针刺反阿是穴治疗运动损伤疼痛110例

Acupuncture of the anti-ashi acupoint in the treatment of 110 patients with motion traumatic pain

目的:观察针刺反阿是穴治疗急性和亚急性运动损伤疼痛患者的疗效,并应用目测类比疼痛评分量表进行评估。方法:选择2005-03/2006-02在石家庄机械化步兵学院医院理疗室就诊的部队院校运动损伤疼痛(腰痛、肩痛、颈痛和腕、踝疼痛)患者110例,均为急性和亚急性损伤,以上患者均知情同意。取反阿是穴,局部消毒后用毫针直刺,得气后留针30min,个别加以反阿是穴推拿。其间行捻转提插补泻法3次,1次/d,10次为1个疗程。每次治疗前后患者均根据自己的疼痛情况填写疼痛评分量表(是一条直线,一般长10cm,取其两端代表疼痛知觉的极限,一端定为“不痛”,另一端定为“严重疼痛”),可以减少患者在描述中的主观因素和对正确诊断的干扰。治疗1个疗程后评估疗效:①有效:治疗后目测类比疼痛评分标示2cm以下,无功能障碍及自觉症状。②好转:治疗后目测类比疼痛评分标示在4cm以下或评分标示与治疗前相比<2cm者,即症状基本消失。③无效:与原疼痛量相比无变化,与治疗前对比无明显改善。总有效率=(有效+好转)/总人数×100%。结果:纳入运动损伤疼痛患者110例,全部进入结果分析,无脱落。治疗1个疗程后不同疼痛部位运动损伤疼痛患者的总有效率为94%。结论:针刺反阿是穴能有效改善运动损伤疼痛患者的疼痛症状。

AIM： To evaluate the curative effect of the anti-ashi acupoint acupuncture concerning patients with acute and subacute motion traumatic pain by Visual Analogue Scale （VAS）. METHODS： 110 patients with acute and subacute motion traumatic pain （lumbago, omodynia, pain in the neck, ankle, wrist） were selected from the Physical Therapy Department of Shijiazhuang Mechanized Infantry Academy Hospital between March 2005 and February 2006. All enrolled subjects knew and agreed with the items. The anti-ashi acupoint was located and acupunctured with acupuncture needle under disinfection, and the needle was kept for 30 minutes （twist, lift and insert the needle for 3 times）. Several patients needed Anti ashi acupoints message. The treatment was given once a day for totally 10 times of one course. The VAS was filled by patients according to their self-evaluations before and after the treatment （It was a 10-cm-line, one end represented no pain, the other represented extreme pain）, which could reduce the interference of patient＇s subjective factors. Evaluation on the curative effect after one course： ① Efficacy： The VAS score was less than 2 cm indicated that patients had no function handicap and conscious symptom. ② Straighten up： The VAS score less than 4 cm after the treatment or patients with the differences in VAS scores before and after the treatment less than 2 cm were considered as with none conscious symptom. ③ Inefficacy： No changes in the VAS score in comparison with that before the treatment. The total efficacy percent =（efficacy ＋ straighten up）/total number of patients×100%. RESULTS： A total of 110 enrolled patients with motion traumatic pain were involved in the analysis of results, and no one withdrew from the study. The total efficacy percent was 94% in patients with motion traumatic pain in different parts at one course after the treatment. CONCLUSION; Acupuncture of anti-ashi acupoint can significantly alleviate the symptoms of patients with motion traumatic pain.