手法复位联合刺络拔罐治疗军事训练相关急性腰扭伤

Effects of traditional Chinese bone-setting combined with blood-letting puncture and cupping on military training related acute lumbar sprain

目的观察手法复位联合刺络拔罐治疗军事训练急性腰扭伤的临床疗效。方法选取2016年1月-2018年7月于某部队基层医院理疗科及解放军海军第971医院中医科就诊的军事训练急性腰扭伤患者64例,随机分为对照组及观察组,每组32例。对照组采取单纯手法复位,观察组采取手法复位联合阿是穴刺络拔罐,隔日治疗1次,共治疗3次。采用视觉模拟评分(visual analogue scale,VAS)及腰椎活动度(Schober test,ST)作为评估指标,依据患者治疗前后的VAS相对值评定临床疗效。结果首次治疗结束后,观察组VAS明显低于对照组(3.16±1.53 vs 4.34±1.73,P<0.05),ST明显高于对照组[(5.47±1.45)cm vs(4.15±1.57)cm,P<0.05];疗程结束后,观察组VAS评分仍低于对照组(1.59±0.81 vs 2.16±1.21,P<0.05),观察组ST明显高于对照组[(7.00±1.37)cm vs(6.28±1.32)cm,P<0.05];首次治疗结束后,观察组显效率为78.13%,对照组为50.00%,观察组明显高于对照组(P=0.036);两组患者均未出现明显不良反应。结论手法复位联合刺络拔罐治疗军事训练相关急性腰扭伤疗效好,见效快,安全可行,操作简单,便于基层开展。

Objective To evaluate the effects of traditional Chinese bone-setting combined with blood-letting puncture and cupping on military training related acute lumbar sprain.Methods A prospective study was conducted in 64 patients diagnosed with military training related acute lumbar sprain admitted to a primary hospital of the People’s Liberation Army(PLA)and No.971 Hospital of PLA Navy from January 2016 to July 2018.The patients were randomly divided into control group(n=32)and observation group(n=32).Patients in control group were given traditional Chinese bone-setting therapy,and patients in observation group were given traditional Chinese bone-setting combined with blood-letting puncture and cupping on Ashi points,once every other day for a total of 3 times.Visual analogue scale(VAS)and Schober test(ST)were used to evaluate the treatment outcomes.The clinical efficacy was evaluated based on the relative value of VAS before and after the treatment.Results After the first treatment,the VAS of the observation group was significantly lower than that of the control group(3.16±1.53 vs 4.34±1.73,P<0.05),while ST was significantly higher([5.47±1.45]cm vs[4.15±1.57]cm,P<0.05).After all the treatment,the VAS of the observation group was still significantly lower than that of the control group(1.59±0.81 vs 2.16±1.21,P<0.05),the ST in the observation group was significantly higher than that in the control group([7.00±1.37]cm vs[6.28±1.32]cm,P<0.05).After the first treatment,the marked improvement rate was significantly higher in the observation group than that of the control group(78.13%vs 50%,P=0.036).There was no obvious side effect in the two groups.Conclusion Traditional Chinese bone-setting combined blood-letting puncture and cupping treatment is effective and safe in treatment of military training related acute lumbar sprain,with rapidity of action.The treatment method is simple and suitable for applying in primary medical units in the army.