浮针治疗急性腰扭伤即刻镇痛作用时效规律研究

Immediate Analgesic Effect of Superficial Needling Treating Acute Lumbar Sprain: Study of Time-Effect Law

目的:观察浮针与传统毫针刺对急性腰扭伤镇痛作用随时间变化的规律,比较两组的差异性。方法:采用随机对照试验方法,将120例急性腰扭伤患者随机分为浮针组、传统针刺组,每组各60例,两组均治疗1次,留针30 min。比较两组疗效,观察两组治疗前、治疗开始后5 min、15 min、30 min、1 h、2 h、4 h、8 h及24 h的压痛VAS评分,以及治疗前、治疗开始后30 min、1 h、2 h、4 h、8 h及24 h的两组活动相关性疼痛评分,比较两组之间的差异。结果:浮针组总有效率93. 3%,显著高于传统针刺组80%(P <0. 01)。压痛VAS评分:浮针组治疗后各时间点均较治疗前差异明显;组间比较:浮针组治疗开始5 min、15 min、30 min、1 h、2 h、8 h和24 h各时间点与传统针刺组比较差异明显(P <0. 01),4 h与传统针刺组VAS评分差异无统计学意义(P> 0. 05)。活动相关性疼痛VAS评分:浮针组治疗开始30 min、1 h、2 h、4 h、8 h和24 h各时间点均较治疗前差异明显,组间比较:30 min、1 h、2 h、8 h和24 h与传统针刺组比较差异明显(P <0. 01),4 h与针刺组VAS评分差异无统计学意义(P>0. 05)。结论:浮针疗法对急性腰扭伤具有肯定的即时镇痛作用,与传统针刺比较,镇痛作用起效更迅速,作用效应更强更持续。

Objective： To observe the variation of the analgesic effect of superficial needling and traditional filiform needling on acute lumbar sprain with time,and to compare the differences between the two groups.Methods： 120 patients with acute lumbar sprain were randomly divided into the superficial needling group（ n =60） and the traditional acupuncture group（ n = 60）. The curative effect were compared between the two groups.VAS scores of pressing pain and activity correlation pain before the treatment,5 min,15 min,30 min,1 h,2 h,4 h,8 h and 24 h after the treatment were observed and compared between the two groups. Results： The total effective rate of the superficial needling group was 93. 3%,which was significantly higher than 80% of the traditional acupuncture group（ P〈0. 01）. In terms of VAS score of pressing pain,there were statistical differences between different time points and pretreatment in the superficial needling group（ P〈0. 01）; also,there were significant differences between the superficial needling group and the traditional group at the time points of 5 min,15 min,30 min,1 h,2 h,8 h,and 24 h（ P〈0. 01）; no difference was seen at the time point of 4 h between the two groups（ P〉0. 05）. In terms of VAS score of activity correlation pain,there were statistical differences between the time points of 30 min,1 h,2 h,8 h,24 h and pretreatment in the superficial needling group（ P〈0. 01）; also,there were significant differences between the superficial needling group and the traditional group at the time points of 30 min,1 h,2 h,8 h,and 24 h（ P〈0. 01）; no difference was seen at the time point of 4 h between the two groups（ P〉0. 05）. Conclusion： Superficial needling therapy has a definite immediate analgesic effect on acute lumbar sprain. It has more rapid,stronger and more persistent effect than the traditional acupuncture has.