温通针法治疗产后身痛26例临床观察

Clinical observation on 26 cases of postpartum body pain treated by warming-promotion method of acupuncture

目的观察温通针法治疗产后身痛的临床疗效。方法将52例产后身痛患者采用随机数字表法分为治疗组和对照组,各26例。治疗组主穴采用温通针法,对照组主穴采用平补平泻法,2组配穴均采用平补平泻法。2组均每日治疗1次,连续治疗7次为1个疗程,2个疗程之间间隔2 d,共治疗3个疗程。比较2组的临床疗效以及治疗前、治疗1,2,3个疗程和随访3个月后的视觉模拟评分法(VAS)评分,并观察2组治疗过程中不良反应发生情况。结果治疗组总有效率为96.2%(25/26),对照组为76.9%(20/26),2比较差异有统计学意义(P<0.05);2组治疗1,2,3个疗程及随访3个月后VAS评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组降低更明显(P<0.05);2组患者治疗期间均无晕针,折针,气胸,内脏、神经及血管损伤等不良反应发生。结论温通针法治疗产后身痛临床疗效显著,可明显降低患者VAS评分,值得临床推广应用。

Objective To observe the clinical efficacy of warming-promotion method of acupuncture on postpartum body pain. Methods Fifty-two cases of postpartum body pain were divided into treatment group and control group according to random number table method,with 26 cases in each. The treatment group was given warming-promotion method of acupuncture at the main acupoint,while the control group was given mild supplementing and reducing manipulation of needle at the main acupoint,the adjunct acupoints of the 2 groups were both given mild supplementing and reducing manipulation of needle.The 2 groups were both treated once a day,7 times as a course of treatment,each course of treatment interval of 2 days,a total of 3 courses of treatment. The clinical efficacy,visual analogue scale(VAS) scores before treatment,1,2,3 courses of treatment and 3 months of follow-up were compared between the 2 groups. Results The total effective rate of the treatment group was 96.2%(25/26),that of the treatment group was 76.9%(20/26),and the difference between the 2 groups was statistically significant(P<0.05). After 1,2,3 courses of treatment and 3 months of follow-up,VAS scores of the 2 groups significantly decreased,and the difference was statistically significant compared with that in the same group before treatment(P<0.05),and the decrease in the treatment group was more significant(P < 0. 05);there were no adverse reactions such as fainting during acupuncture,breaking of needle,pneumatothorax,visceral,nerve and vascular injury in both groups during the treatment. Conclusion It has significant clinical efficacy to use warming-promotion method of acupuncture in the treatment of postpartum body pain,and can markedly decrease VAS scores,which deserves clinical promotion and application.