中药热敷治疗联合夹脊穴针刺对慢性腰肌劳损患者CODI、腰部耐力及血液流变学的影响

Effect of Traditional Chinese Medicine Hot Compress Therapy Combined with Acupuncture at Jiaji Points on CODI, Lumbar Endurance and Hemorheology for Patients with Chronic Lumbar Muscle Strain

目的:观察中药热敷治疗联合夹脊穴针刺对慢性腰肌劳损患者中文版Oswestry功能障碍指数(CODI)、腰部耐力及血液流变学的影响。方法:以2019年2月~2020年11月来本院治疗的114例慢性腰肌劳损患者作为研究对象,按照简单随机化的方法划分成中药组、针刺组与联合组,每组均38例。中药组实施中药热敷治疗,针刺组实施夹脊穴针刺治疗,联合组实施中药热敷+夹脊穴针刺治疗。判定三组治疗1个月后的疗效,并比较三组治疗前、治疗1个月后疼痛状况、CODI、腰部耐力时间及血液流变学参数[全血黏度高切值、血浆黏度、纤维蛋白原(FIB)]。结果:联合组治疗总有效率均明显较中药组、针刺组高(P<0.05);治疗后三组NRS评分、CODI及全血黏度高切值、血浆黏度、FIB与同组治疗前相比均明显降低,且联合组均明显较同期其他两组低(P<0.05);治疗后三组腰部耐力时间与同组治疗前相比均增加,且联合组均明显较同期其他两组长(P<0.05)。结论:对慢性腰肌劳损患者实施中药热敷联合夹脊穴针刺治疗的效果较佳,可显著缓解腰痛症状,明显增加腰部耐力,有效改善血流变及腰肌功能。

Objective:To investigate the effect of traditional Chinese medicine hot compress therapy combined with acupuncture at Jiaji points on the Chinese version of Oswestry dysfunction index(CODI),lumbar endurance and hemorheology for patients with chronic lumbar muscle strain.Methods:A total of 114 patients with chronic lumbar muscle strain who came to our hospital for treatment from February 2019 to November 2020 were taken as the research objects.They were divided into a traditional Chinese medicine group,an acupuncture group and a combined group according to the simple randomization method,with 38 in each group.The traditional Chinese medicine group received traditional Chinese medicine hot compress treatment,the acupuncture group received acupuncture at Jiaji poinst,and the combined group received traditional Chinese medicine hot compress+acupuncture at Jiaji points.The efficacy of the three groups was determined after 1 month of treatment,and the pain conditions,CODI,lumbar endurance time and hemorheological parameters[whole blood viscosity high cut value,plasma viscosity,fibrin Original(FIB)]of the three groups were compared before and after 1 month of treatment.Results:The total effective rate of treatment in the combined group was significantly higher than that of the traditional Chinese medicine group and the acupuncture group(P<0.05);after treatment,the NRS scores,CODI and whole blood viscosity high cut-off value,plasma viscosity,and FIB of the three groups were significantly lower than those of the same group before treatment,and those of the combined group were significantly lower than those of the other two groups in the same period(P<0.05);after treatment,the lumbar endurance time of the three groups increased compared with the same group before treatment,and that of the combined group was significantly longer than that of the other two groups in the same period(P<0.05).Conclusion:The effect of Chinese medicine hot compress combined with acupuncture at Jiaji points is better for patients with chronic lumbar muscle strain,it can significantly alleviate the symptoms of lumbar pain,significantly increase lumbar endurance,and effectively improve hemorheology and lumbar muscle function.