温针灸联合拔火罐治疗慢性腰肌劳损所致腰痛的临床观察

Clinical Observation of Warming Acupuncture Combined with Cupping in Treating Low Back Pain Caused by Chronic Lumbar Muscle Strain

目的观察温针灸联合拔火罐治疗慢性腰肌劳损所致腰痛的临床疗效.方法选择2018年1月—2019年9月该院收治的102例慢性腰肌劳损所致腰痛患者为研究对象,按照治疗方法分为观察组52例和对照组50例.对照组给予温针灸治疗,观察组给予温针灸联合拔火罐治疗.治疗2周后,采用视觉模拟评分法(VAS)评价两组患者腰痛程度,采用oswestry功能障碍指数量表(ODI)评价两组患者腰椎功能障碍情况,并对两组患者的临床疗效进行比较.结果治疗2周后,观察组VAS评分(2.20±0.63)分,明显低于对照组(3.54±1.31)分,差异有统计学意义(t=6.623,P<0.05);观察组ODI评分(22.72±4.56)分,明显低于对照组(27.35±4.78)分,差异有统计学意义(t=5.007,P<0.05);观察组总有效率96.15%,明显优于对照组84.00%,差异有统计学意义(χ2=4.258,P<0.05).结论温针灸联合拔火罐治疗慢性腰肌劳损所致腰痛患者效果肯定,可明显缓解腰痛程度,改善腰椎功能障碍,提高临床疗效.

Objective To observe the clinical efficacy of warming acupuncture combined with cupping in the treatment of low back pain caused by chronic lumbar muscle strain.Methods 102 patients with low back pain caused by chronic lumbar muscle strain admitted from January 2018 to September 2019 were selected as the research subjects.The subjects were divided into 52 cases in the treatment group and 50 cases in the control group according to the treatment method.The control group was given warming acupuncture treatment,while the treatment group was given warming acupuncture combined with cupping therapy.After 2 weeks of treatment,the Visual Analogue Scale(VAS)was used to evaluate the low back pain of the two groups of patients,and the Oswestry Dysfunction Index scale(ODI)was used to evaluate the lumbar dysfunction of the two groups of patients.The clinical efficacy of the two groups of patients was compared.Results After 2 weeks of treatment,the VAS score of the treatment group(2.20±0.63)points was significantly lower than that of the control group(3.54±1.31)points,the difference was statistically significant(t=6.623,P<0.05);the ODI score of the treatment group(22.72±4.56)points was significantly lower than that of the control group(27.35±4.78)points,the difference was statistically significant(t=5.007,P<0.05);the total effective rate of the treatment group was 96.15%,better than that of the control group by 84.00%,the difference was statistically significant(χ2=4.258,P<0.05).Conclusion Warming acupuncture combined with cupping in the treatment of patients with low back pain caused by chronic lumbar muscle strain is affirmative,which can significantly relieve the degree of low back pain,improve lumbar spine dysfunction,and improve clinical efficacy.