针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎临床疗效观察

Clinical Observation on Treatment of Lumbodorsal Myofascitis by Acupuncture Followed by Pushing Tendons and Dispersing Joints and Scraping Therapy

目的观察针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎临床疗效。方法选取2019年4月-2021年5月在宁夏医科大学附属回医中医医院针灸推拿科诊治的腰背肌筋膜炎患者64例为研究对象。采用随机数字表法分为对照组和观察组,各32例。对照组采用常规针灸治疗,观察组采用针刺后行推筋散结刮痧疗法治疗。比较两组临床治疗疗效、疼痛(VAS)评分、RolandMorris功能障碍评分、下腰部功能评分以及临床不良反应发生情况。结果观察组治疗总有效率为96.88%,高于对照组的84.38%,差异有统计学意义(P<0.05);两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组Roland-Morris功能障碍评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组下腰部功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为6.25%,与对照组的9.38%比较,差异无统计学意义(P>0.05)。结论针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎效果确切,可提高治疗总有效率,减轻疼痛,降低功能障碍评分,促进下腰功能障碍恢复,不增加不良反应,有效性和安全性较好,值得临床应用。

Objective To observe the clinical effect on treatment of lumbodorsal myofascitis by acupuncture followed by pushing tendons and dispersing joints and scraping therapy.Methods From April 2019 to May 2021,64 patients with lumbodorsal myofascitis diagnosed and treated in the Department of Acupuncture and Massage,Affiliated Hospital of Hui Medicine&Traditional Chinese Medicine,Ningxia Medical University were selected as subjects.They were randomly divided into control group and observation group,with 32 cases in each group.The control group was treated with conventional acupuncture,and the observation group was treated with pushing tendons and dispersing joints and scraping therapy.The clinical therapeutic efficacy,pain(VAS)score,Roland-Morris dysfunction score,lower lumbar function score and clinical adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 96.88%,which was higher than 84.38%of the control group,and the difference was statistically significant(P<0.05).The VAS scores of the two groups were lower than those before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The Roland-Morris dysfunction scores of the two groups were lower than those before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The lower lumbar function scores of the two groups were higher than those before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 6.25%,which was compared 9.38%in the control group,the difference was not statistically significant(P>0.05).Conclusion The therapy of pushing tendon and dispersing joints and scraping after acupuncture is effective for the treatment of lumbodorsal myofascitis,which can improve the total effective rate,relieve pain,reduce the score of functional disorder,and promote the recovery of low back functional disorder,and there is no significant adverse reaction in clinic,the utility model has the advantages of good effectiveness and safety,and is worthy of clinical application.