针刺不同穴位对急性腰部软组织损伤镇痛效果的对照观察

The Observation on the Analgesic Effect of Acupuncture Different Acupoint on Cute Lumbar Sprain

目的:观察针刺后溪穴、腰痛穴和扭伤穴对急性腰部软组织损伤的镇痛效果,对比并分析各项结果,探讨具体机制。方法:自2013年5月—2014年10月,选取医院康复科收治的急性腰部软组织损伤患者共84例,随机分为4组,每组21例,分别接受针刺后溪穴治疗(后溪穴组)、针刺腰痛穴治疗(腰痛穴组)、针刺扭伤穴治疗(扭伤穴组)和常规止痛药治疗(对照组)。观察并对比不同组之间的治疗效果及治疗前后VAS评分差异。结果:经过1个疗程治疗,后溪穴组患者与扭伤穴组患者总有效率均为100%,高于腰痛穴组总有效率(76.19%),亦高于对照组总有效率(38.10%),差异有统计学意义(P<0.05)。而四组患者VAS评分均较治疗前有显著下降(P<0.05)。其中后溪穴组与扭伤穴组治疗后的VAS评分分别为(3.15±0.89)分和(3.21±0.75)分,两者比较差异无统计学意义(P>0.05),均低于腰痛穴组(4.83±1.03分)和对照组(6.58±1.10分),差异有统计学意义(P>0.05)。而腰痛穴组治疗后VAS评分又低于对照组,差异有统计学意义(P>0.05)。结论:针刺后溪穴、扭伤穴、腰痛穴治疗对于急性腰部软组织损伤患者的止痛效果均优于常规止痛药物,其中后溪穴与扭伤穴组效果无明显差异,均优于腰痛穴组。针刺后溪穴与扭伤穴治疗急性腰部软组织损伤具有疗程短,效果好,费用少等优点,值得临床推广。

Objective： To observe analgesic effects of acupuncture on cute lumbar sprain. Methods： 84 cases of cute lumbar sprain were assigned into 4 groups to receive different treatments. The differences of analgesic effects were studied by clinical effects and VAS scores. Results： The total efficacy and VAS score in Houxi acupoint was 100% and 3.15 ± 0.89 ,in Niushang acupoint was 100% and 3.21±0.75, in Yaotong acupoing was 76.19% and 4.83 ± 1.03, in control group was 38.10% and 6.58 ± 1.10. Conclusions ： Acupuncture showed remarkable effects.