火针治疗棘上、棘间韧带损伤的疗效观察

Observation on the curative effect of fire-needle therapy for treatment of supraspinal and interspinal ligament injuries

目的：观察火针治疗棘上、棘间韧带损伤的临床疗效。方法：将符合要求的117例棘上、棘间韧带损伤患者随机分为2组,火针组60例、针刺组57例。2组均选用一次性不锈钢毫针,火针组进行火针治疗,针刺组进行常规针刺治疗,2～3 d治疗1次,共治疗10次。采用视觉模拟量表（visual analogue scale,VAS）评定疼痛程度,同时采用《中药新药临床研究指导原则》中软组织损伤的疗效标准评定临床疗效。结果：治疗前2组患者疼痛VAS评分比较,差异无统计学意义[（7.00±2.00）分,（7.00±2.00）分,Z=-1.645,P=0.100];治疗结束后2组患者的评分均较治疗前减小（Z=-6.770,P=0.000;Z=-6.608,P=0.000）,而且针刺组的评分大于火针组[（1.00±1.00）分,（4.00±2.00）分,Z=-6.190,P=0.000]。治疗结束后火针组痊愈28例、显效29例、有效3例,针刺组痊愈2例、显效8例、有效32例、无效15例,火针组的临床疗效优于针刺组（R火针=35.17,R针刺=84.09,Z=-8.118,P=0.000）。结论：火针能有效治疗棘上、棘间韧带损伤,其疗效优于常规针刺疗法。

Objective： To observe the clinical curative effects of fire-needle therapy in the treatment of supraspinal and interspinal ligament injuries. Methods： One hundred and seventeen patients with supraspinal and interspinal ligament injuries were enrolled in the study and were randomly divided into 2 groups. Sixty patients were treated with fire-needle therapy and 57 patients were treated with conventional acupuncture therapy,once 2- 3 days for 10 times. The disposable stainless filiform needles were used in both of the 2 groups. The pain degree of all patients were evaluated by using the visual analogue scale（ VAS）,and the clinical curative effects were evaluated according to the therapeutic effect criterion of soft tissue injuries which was extracted from Guiding principles of clinical research on new Chinese medicine.Results： There was no statistical difference in pain VAS scores between the 2 groups before treatment（ 7. 00 ＋ /- 2. 00 vs 7. 00 ＋ /- 2. 00 points,Z =- 1. 645,P = 0. 100）. The pain VAS scores decreased in both of the 2 groups after the end of the treatment（ Z =- 6. 770,P =0. 000; Z =- 6. 608,P = 0. 000）,and the pain VAS scores were higher in acupuncture group compared to fire-needle group（ 1. 00 ＋ /- 1. 00 vs 4. 00 ＋ /- 2. 00 points,Z =- 6. 190,P = 0. 000）. After the end of the treatment,28 patients were cured,29 good and 3 fair in the fireneedle group; while 2 patients were cured,8 good,32 fair and 15 poor in the acupuncture group. The fire-needle group surpassed the acupuncture group in the clinical curative effect（ R fire-needle group = 35. 17,Racupuncture group= 84. 09,Z =- 8. 118,P = 0. 000）. Conclusion：fire-needle therapy can effectively treat supraspinal and interspinal ligament injuries,and it surpasses conventional acupuncture therapy in the clinical curative effect.