中医针灸结合中药热敷治疗颈肩腰腿疼痛的短期疗效

Treating neck and leg pain by acupuncture plus TCM heat

目的:分析中医针灸联合中药热敷治疗颈肩腰腿疼痛的短期疗效。方法:选择2013年1月-12月间于我院接受治疗的198例颈肩腰腿疼痛患者为研究对象,行随机数字表法分组。观察组99例行中医针灸结合中药热敷治疗;对照组99例行常规超短波治疗。所有患者持续治疗14d,并于治疗前后以视觉模拟评分(VAS)评价疗效,并进一步对观察组患者按疾病分组,评价中医针灸结合中药热敷对不同原发疾病疼痛的疗效。结果:两组治疗前VAS评分接近,差异无统计学意义;治疗后均有显著下降,较治疗前差异有统计学意义(P<0.05)。且观察组评分[(2.28±1.03)分比(3.26±1.68)分,t=-4.948,P<0.05]显著低于对照组。观察组颈椎病疼痛、肩周炎、腰肌劳损、关节炎疼痛治疗均较佳,且关节炎疼痛治疗显效率高达100.0%。结论:中医针灸结合中药热敷治疗颈肩腰腿疼痛,具有极佳的短期疗效,可能具有推广价值。

Objective： Acupuncture plus TCM heat for neck and leg pain were investigated. Methods： 198 neck and leg pain patients were included. 99 patients in the observation group received TCM acupuncture treatment; In the control group, 99 recieved ultrshoart wave therapy. Results： Before treatment VAS score was similiar, the difference was not statistically significant; decreased significantly after treatment, compared with before treatment, difference was statistically significant（P〈0.05）. And scores [（2.28 ± 1.03） points vs（3.26 ± 1.68） points, t =-4.948, P〈0.05] in the observation group were significantly lower than that in the control group. In the observation group cervical spondylosis pain, frozen shoulder, lumbar muscle strain, arthritis pain treatment are preferred, and efficiency for arthritis pain therapy goes up to 100.0%. Conclusion： Acupuncture plus TCM heat in treating neck and leg pain could have excellent short-term effects.