摘要
Objective： To observe the clinical effects of a combination of acupuncture and drug administration for non-specific acute lumbar sprain. Methods： Sixty-nine cases were randomly allocated into a combination group, an acupuncture group, and a drug group according to the visiting sequence. Patients in the acupuncture group （n=24） were treated with acupuncture daily for 5 d, 20 patients in the drug group were treated with oral Diclofenac Sodium, 50 mg per time, twice per day, for 5 d, and 25 patients in the combination group were treated with methods in both the acupuncture group and the drug group. The Numerical Rating Scale （NRS） and the Roland-Morris Disability Questionnaire （RMDQ） were used to evaluate the therapeutic effects. Results： All patients in the three groups got improvement in pain and movement, the combination group had the best effects （P〈0.01）, and there was no significant difference between the acupuncture group and the drug group. Conclusion： Combination of acupuncture and drug has a better effect than single acupuncture or routine treatment of Diclofenac Sodium on acute lumbar sprain.
目的：观察针药并用治疗非特异性急性腰扭伤的临床疗效。方法：将69例患者按就诊川页序随机分为针药并用组、针刺组和药物组。针刺组24例，采用针刺治疗，每日1次，共治疗5次；药物组20例，采用口服双氯芬酸钠治疗，50mg每次，每日2次，连服5日；针药并用纽25例采用与针刺组、药物组相同的针刺和药物治疗。以疼痛量表和下腰痛量表评价临床疗效。结果：三组患者治疗后在疼痛，活动度方面均有一定改善，但针药并用组疗效最佳，与针刺组、药物组比较，差异有统计学意义（P〈0．01）；针刺组与药物组比较，差异无统计学意义。结论：针药并用治疗急性腰扭伤疗效优于单纯针刺治疗或常规剂量双氯芬酸钠治疗。
