两种不同中医疗法治疗慢性颈肩腰腿痛的临床效果比较

Comparison of Clinical Effect of Two Different Traditional Chinese Medicine Therapies on Chronic neck,Shoulder,Waist and Leg Pain

目的:探讨两种中医疗法治疗慢性颈肩腰腿痛的效果。方法:选取2020年2月-2021年2月南京市高淳人民医院收治的94例慢性颈肩腰腿痛患者,按照入院顺序排序,以统计学软件SAS将其随机分成两组,各47例。对照组以中医梅花针叩刺治疗,观察组以梅花针叩刺联合平衡针法治疗。比较两组治疗效果、疼痛评分、肢体功能评分、中医症候积分。结果:观察组总有效率为95.74%,高于对照组的76.60%(P<0.05)。治疗前,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗4、8、12周,观察组VAS评分均低于对照组(P<0.05)。治疗前和治疗4周,两组Neer肩关节评分比较,差异无统计学意义(P>0.05);治疗8、12周,观察组Neer肩关节评分均高于对照组(P<0.05)。治疗前,两组日本骨科协会治疗分数(JOA)评分比较,差异无统计学意义(P>0.05);治疗4、8、12周,观察组JOA评分均高于对照组(P<0.05)。治疗前和治疗4周,两组Lysholm膝关节评分比较,差异均无统计学意义(P>0.05);治疗8、12周,观察组Lysholm膝关节评分均高于对照组(P<0.05)。治疗前和治疗4周,两组中医症候积分比较,差异均无统计学意义(P>0.05);治疗8、12周,观察组中医症候积分均低于对照组(P<0.05)。两组复发率比较,差异无统计学意义(P>0.05)。结论:梅花针叩刺联合平衡针法治疗慢性颈肩腰腿痛的疗效好于单纯梅花针叩刺治疗,该治疗方案能帮助患者缓解疼痛,改善颈肩腰腿等的功能,达到更理想的治疗效果。

Objective:To explore the curative effect of two kinds of traditional Chinese medicine therapy on chronic neck,shoulder,waist and leg pain.Method:A total of 94 patients with chronic neck,shoulder,waist and leg pain admitted to Nanjing Gaochun People’s Hospital from February 2020 to February 2021 were selected,sorted according to the order of admission,and randomly divided into two groups by statistical software SAS,47 cases in each group.The control group was treated with traditional Chinese medicine plum-blossom needle tapping,while the observation group was treated with plum-blossom needle tapping combined with balanced acupuncture.The treatment effect,pain scores,limb function scores and traditional Chinese medicine syndrome scores were compared between the two groups.Result:The total effective rate of the observation group was 95.74%,which was higher than 76.60% of the control group (P<0.05).Before treatment,there was no significant difference in visual analogue scale (VAS) scores between the two groups (P>0.05);at 4,8 and 12 weeks of treatment,the VAS scores of the observation group were lower than those of the control group (P<0.05).There were no significant differences in Neer shoulder scores between the two groups before treatment and 4 weeks after treatment (P>0.05);at 8 and 12 weeks of treatment,the Neer shoulder scores of the observation group were higher than those of the control group (P<0.05).Before treatment,there was no significant difference in the Japanese orthopaedic association treatment score (JOA) score between the two groups (P>0.05);at 4,8 and 12 weeks of treatment,the JOA scores of the observation group were higher than those of the control group (P<0.05).There were no significant differences in Lysholm knee scores between the two groups before treatment and 4 weeks after treatment (P>0.05);at 8 and 12 weeks of treatment,the Lysholm knee scores of the observation group were higher than those of the control group (P<0.05).Before treatment and 4 weeks after treatment,there were no significant differences in traditional Chinese medicine syndrome scores between the two groups (P>0.05);after 8 and 12 weeks of treatment,the traditional Chinese medicine syndrome scores of the observation group were lower than those of the control group (P<0.05).There was no significant difference in the recurrence rate between the two groups (P>0.05).Conclusion:The curative effect of plum-blossom needle tapping combined with balanced acupuncture on chronic neck,shoulder,waist and leg pain is better than that of plum-blossom needle tapping alone,this treatment scheme can help patients to relieve pain,improve the function of neck,shoulder,waist and leg,and achieve more ideal therapeutic effect.