烧山火手法治疗寒湿型慢性腰肌劳损的临床观察

Clinical Observation of Heat-Producing Needling in Treating CLMS of Cold-Dampness

目的:观察烧山火手法治疗寒湿型慢性腰肌劳损的临床疗效。方法:将200例符合纳入标准的寒湿型慢性腰肌劳损患者通过随机数表法,按照1:1比例分为治疗组和对照组,每组100例。治疗组采用烧山火手法,每日1次,10日为1个疗程;对照组采用单纯西药封闭治疗,隔日1次,10日为1个疗程,2个疗程后进行疗效评价。观察两组患者疼痛视觉模拟评分(VAS)、功能障碍指数(ODI)和临床疗效,并比较两组复发率。结果:治疗后两组VAS、ODI均显著降低,与治疗前比较有显著性差异(P<0.05),且治疗后对照组优于治疗组(P<0.05),在治疗结束后1个月随访时,治疗组的VAS评分明显低于对照组(P<0.05);治疗组总有效率68%,对照组总有效率85%;治疗结束后1个月随访时,治疗组复发率20%,对照组复发率68%,两组比较差异显著(P<0.05),治疗组的复发率明显低于对照组。结论:烧山火手法和西药封闭疗法均能够有效缓解慢性腰肌劳损患者的疼痛症状,改善腰部功能活动,但在远期疗效上,烧山火手法更安全有效,值得临床推广应用。

Objective:To observe the clinical efficacy of heat-producing needling in the treatment of chronic lumbar muscle strain(CLMS)of cold-dampness.Methods:A total of 200 patients with CLMS were randomly divided into the treatment group(n=100)and the control group(n=100).The treatment group was treated with heat-producing needling,the needling was once a day,and 10 days were taken as one course of treatment.The control group was treated with western medicine local blocking,the treatment was once every other day,and 10 days were taken as a course of treatment.After two courses of treatment,the pain visual analogue scale(VAS),Oswestry disability index(ODI)and clinical efficacy were observed in the two groups,as well as the recurrence rates were compared between the two groups.Results:The scores of VAS and ODI were significantly lowered after the treatment than those before the treatment in the two groups(P<0.05);of which the improvements in the treatment were more significantly(P<0.05).During the one-month follow-up after the treatment,the scores of VAS was significantly lower in the treatment group than that of the control group(P<0.05).The total effective rate of the treatment group was 68%,and it was 85%in the control group,there was statistical difference between the two groups(P<0.05).The recurrence rate of the treatment group was 20%,which was significantly lower than 68%in the control group(P<0.05).Conclusion:Both the heat-producing needling and the western medicine local blocking can effectively alleviate the pain symptoms and improve the lumbar function in patients with CLMS.However,in terms of the long-term efficacy,the heat-producing needling is better,safe and effective,and it is worthy of clinical application.