蜂针结合温针灸治疗髂骨致密性骨炎患者的临床疗效及对情绪状态的影响研究

Study on the Efficacy of Bee-stinging Therapy Combined with Warmneedling Moxibustion Therapy for the Treatment of Patients with Iliac Condensing Ostitis and Its Influence on Emotional State

【目的】观察蜂针结合温针灸治疗髂骨致密性骨炎患者的临床疗效及对情绪状态的影响。【方法】将60例髂骨致密性骨炎患者随机分为观察组和对照组,每组各30例。对照组给予温针灸治疗,观察组在对照组的基础上给予蜂针治疗,疗程为4周。观察2组患者治疗前后疼痛程度视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分以及抑郁自评量表(SDS)评分的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗4周后,观察组的总有效率为93.33%(28/30),对照组为83.33%(25/30);组间比较(秩和检验),观察组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗前,2组患者的VAS评分、ODI评分、SDS评分比较,差异均无统计学意义(P>0.05)。治疗后,2组患者的VAS评分、ODI评分、SDS评分均较治疗前明显降低(P<0.05),且观察组的降低幅度均明显优于对照组,差异均有统计学意义(P<0.01)。【结论】蜂针结合温针灸治疗髂骨致密性骨炎的临床疗效显著,该疗法能有效缓解疼痛,改善功能活动,对可能伴随的抑郁情绪也起到较好的良性调节作用。

Objective To investigate the efficacy of bee-stinging therapy combined with warm-needling moxibustion therapy in treating patients with iliac condensing ostitis(ICO)and to observe its influence on emotional state.Methods Sixty patients with ICO were randomly divided into the observation group and the control group,with 30 cases in each group.The control group was given warm-needling moxibustion,and the observation group was treated with bee-stinging therapy combined with warm-needling moxibustion therapy.The treatment for the two groups lasted for 4 weeks.Before and after treatment,the pain scores of visual analogue scale(VAS),scores of Oswestry disability index(ODI)and scores of self-rating depression scale(SDS)were compared in the two groups.Meanwhile,the clinical efficacy of the two groups was evaluated.Results(1)After 4 weeks of treatment,the total effective rate of the observation group was 93.33%(28/30)and that of the control group was 83.33%(25/30).The intergroup comparison by rank sum test showed that the clinical efficacy of the observation group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)Before treatment,there were no significant differences in the VAS scores,ODI scores and SDS scores between the two groups(P>0.05).After treatment,the VAS scores,ODI scores and SDS scores in the two groups were obviously decreased in comparison with those before treatment,and the degree of the decrease of the scores in the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.01).Conclusion Bee-stinging therapy combined with warm-needling moxibustion therapy exerts certain clinical effect for the treatment of ICO by relieving pain,improving functional activity,and playing a benign role in regulating depression.