石氏针刺疗法结合太极拳治疗慢性非特异性腰痛疗效观察

Therapeutic effect of Shi’s acupuncture therapy combined with Tai Chi on chronic non-specific low back pain

目的评价石氏针刺疗法结合太极拳治疗慢性非特异性腰痛的临床疗效。方法将上海市中西医结合医院骨伤科2020年6月-2022年2月治疗的60例慢性非特异性腰痛患者随机分为3组,每组20例。单纯药物组给予塞来昔布胶囊口服,针刺太极组给予石氏针刺疗法结合太极拳治疗,针药太极组给予塞来昔布胶囊口服及石氏针刺疗法结合太极拳治疗,3组患者均治疗4周。比较3组患者治疗前后腰痛VAS评分及ODI功能障碍评分,评估比较3组临床疗效。结果治疗前后3组受试者疼痛VAS评分比较差异均无统计学意义(P均>0.05),但治疗后针药太极组VAS疼痛评分绝对分数(治疗前VAS疼痛评分-治疗后VAS疼痛评分)明显高于单纯药物组(P<0.05)。治疗后针刺太极组和针药太极组ODI评分均明显低于单纯药物组(P均<0.05),ODI评分绝对分数(治疗前ODI评分-治疗后ODI评分)均明显高于单纯药物组(P均<0.05)。针刺太极组和针药太极组显效率均明显高于单纯药物组(P均<0.05),针刺太极组和针药太极组比较差异无统计学意义(P>0.05);3组总有效率比较差异无统计学意义(P>0.05)。结论石氏针刺疗法结合太极拳改善慢性非特异性腰痛患者功能障碍的疗效优于单纯药物治疗,减轻疼痛的疗效与单纯药物治疗无差异,但是同时服用药物疼痛改善更明显。

Objective It is to evaluate the clinical efficacy of Shi’s acupuncture therapy combined with Tai Chi in the treatment of chronic non-specific low back pain.Methods Sixty patients with chronic non-specific low back pain treated in the Department of Orthopedics and Traumatology of Shanghai Hospital of Integrated Traditional Chinese and Western Medicine from June 2020 to February 2022 were randomly divided into three groups,with 20 patients in each group.The simple medicine group was treated with celecoxib capsules orally,the acupuncture Tai Chi group was treated with Shi’s acupuncture therapy combined with Tai Chi,and the acupuncture-medicine Tai Chi group was treated with celecoxib capsules orally,with Shi’s acupuncture therapy combined with Tai Chi.All the patients of the three groups were treated for 4 weeks.The VAS score and ODI dysfunction score of low back pain of the patients before and after treatment were compared among the three groups,and the clinical efficacy of the three groups was evaluated and compared.Results There was no statistically significant difference in pain VAS scores before and after treatment among the three groups(all P>0.05),but the absolute VAS pain score(VAS pain score before treatment-VAS pain score after treatment)of the acupuncture-medicine Tai Chi group was significantly higher than that of the simple medicine group(P<0.05).After treatment,the ODI scores of the acupuncture Tai Chi group and the acupuncture-medicine Tai Chi group were significantly lower than that of the simple drug group(both P<0.05),and the absolute ODI scores(ODI score before treatment-ODI score after treatment)were significantly higher than those of the simple drug group(both P<0.05).The effective rates of the acupuncture Tai Chi group and the acupuncture-medicine Tai Chi group were significantly higher than that of the simple medicine group(both P<0.05),and there was no statistically significant difference between the acupuncture Tai Chi group and the acupuncture-medicine Tai Chi group(P>0.05).There was no statistically significant difference in total effective rate among the three groups(all P>0.05).Conclusion Shi’s acupuncture therapy combined with Tai Chi has a better therapeutic effect in improving dysfunction in patients with chronic non-specific low back pain than simple drug treatment.The efficacy of alleviating pain is no different from that of simple drug treatment,but the improvement of pain is more significant when treating with medicine at the same time.