经筋针刺与麦肯基疗法交替应用治疗慢性非特异性腰痛临床观察

Clinical Observation on Treatment of Chronic Nonspecific Lumbago by Interchangeover of Acupuncture and McKenzie Therapy

目的观察经筋针刺联合麦肯基运动疗法治疗慢性非异性腰痛的临床疗效。方法纳入2020年5月—2020年12月就诊于医院的慢性非特异性腰痛患者78例,采用简单随机数表法将患者随机分为针刺组、联合组,每组各39例。针刺组采用单纯经筋针刺,每次选取9~12个结筋病灶点。联合组采用经筋针刺联合麦肯基运动疗法隔天交替进行,治疗第一天采用经筋针刺,操作同针刺组,第二天采用麦肯基运动疗法。两组每天治疗1次,每周连续治疗6 d,休息1 d,两周为1疗程,共治疗2个疗程。比较两组治疗前后VAS疼痛评分、Roland-Morris功能障碍评分,并对临床疗效进行评价。结果治疗后两组VAS评分、RMDQ评分均较前降低,联合组疗效明显优于针刺组(P<0.05)。结论经筋针刺联合麦肯基疗法在慢性非特异性腰痛的治疗上效果显著,能极大的改善患者病痛和不适症状,值得临床推广应用。

Objective To observe the clinical effect of acupuncture via tendons combined with McKenzie exercise therapy on chronic non-heterosexual low back pain.Methods Seventy-eight patients with chronic nonspecific low back pain treated in the hospital from May 2020 to December 2020 were included.The patients were randomly divided into acupuncture group and combined group by simple random number table method,with 39 cases in each group.The acupuncture group was treated with simple meridian acupuncture,and 9-12 tendon focal points were selected for each time.The combined group was treated with meridian acupuncture combined with Mackenzie exercise therapy alternately every other day.The first day of treatment was treated with meridian acupuncture,the operation was the same as that of the acupuncture group,and the second day was treated with MacKenzie exercise therapy.The two groups were treated once a day,and there were 6 days of continuous treatment and 1 day of rest every week.Two weeks was a course of treatment,with a total of two courses of treatment.VAS pain score and Roland Morris dysfunction score were compared between the two groups before and after treatment,and the clinical efficacy was evaluated.Results After treatment,VAS score and RMDQ score in both groups were lower than those before.The curative effect of the combined group was significantly better than that of the acupuncture group(P<0.05).Conclusion Acupuncture through tendons combined with McKenzie therapy is effective in the treatment of chronic nonspecific low back pain,which can greatly improve patients’pain and discomfort,and is worthy of clinical application.