腰背痛患者求治于针灸的因素调查和初期疗效观察

Survey of factors of the patient with lumbago seeking for acupuncture treatment and observation on the therapeutic effect of acupuncture at early days

目的:调查影响腰背痛患者到针灸科求治的因素并观察针灸治疗腰背痛的初期疗效。方法:将45例腰背痛患者采用叙述性研究方法,通过问卷形式了解患者到针灸科求治的原因。针灸取穴以肾俞、大肠俞、命门、腰阳关为主,治疗1、2次,以治疗前后疼痛、烦恼评分和欧氏失能指数(ODI)评价其初期临床疗效。结果:推荐(12例,26.7%)、相信中医(10例,22.2%)、医院品牌(6例,13.3%)、医生口碑(5例,11.1%)是患者到针灸科求治的主要原因。治疗后ODI、疼痛评分和烦恼评分分别为11.0±7.3、5.0±1.9、4.8±2.1,与治疗前12.6±7.7、6.5±1.8、6.7±2.1比较,差异均有显著性意义(均P<0.05)。治疗前后的估计帮助分值分别为7.1±1.5、7.2±2.3,差异无显著性意义(P>0.05)。结论:医院、医生的良好信誉,中医针灸的良好口碑是患者求治于针灸的主要外在因素,针灸治疗腰背痛的初期疗效与病人的预期值一致。

Objective To explore factors of the patient with lumbago seeking for acupuncture treatment and to observe the therapeutic effect of acupuncture at early days. Methods The factors of the patient with lumbago seeking for acupuncture treatment were investigated by questionnaire in 45 cases of lumbago. The patients enrolled were treated by acupuncture and moxibustion for 1-2 sessions with Shenshu （BL 23）, Dachangshu （BL 25）, Mingmen （GV 4）, Yaoyangguan （GV 3） selected. Changes of pain, restlessness score and ODI before and after treatment were used for assessment of clinical therapeutic effect at early days. Results Recommendation （12 cases, 26.7 %）, believing Chinese medicine （10 cases, 22.2%）, reputation of hospital （6 cases, 13.3%）, public praise of doctors （5 cases, 11. 1%） were main causes for the patient with lumbago seeking for acupuncture treatment. ODI, pain score and restlessness score were 11.0±7.3, 5.0±1. 9, 4.8±2.1 after treatment and 12.6±7.7, 6.5±1.8, 6.7±2.1 before treatment, respectively, with significant differences before and after treatment （all P〈0. 05）. The assessment help score before and after treatment were 7.1 ± 1.5 and 7.2±2.3, respectively, with no significant difference before and after treatment （P〉0.05）. Conclusion Good reputation of hospital and doctors, and good public praise of acupuncture and moxibustion are main external factors for the patient with lumbago seeking for acupuncture treatment, and the therapeutic effect of acupuncture and moxibustion on lumbago at early days is identical to the patient＇s expectation.