小针刀疗法治疗颈肩腰腿痛的疗效及对运动功能、血流动力学的影响

Effect of small needle knife therapy in the treatment of neck,shoulder,and lumbocrural pain and its influence on motor function and hemodynamics

目的探讨小针刀疗法治疗颈肩腰腿痛的疗效及对患者运动功能、血流动力学的影响。方法选择2017年3月至2022年3月西安医学院第三附属医院针刀科收治的104例颈肩腰腿痛患者作为研究对象,按随机数表法均分为对照组和观察组各52例。对照组患者采用常规针刺治疗,观察组患者采用小针刀疗法治疗。治疗两周后比较两组患者的疗效,以及治疗前后的Fugl-Meyer运动评分量表(FMA)评分、视觉模拟疼痛评分(VAS)和血流动力学[血浆黏度(CP)、血沉速率(ESR)、红细胞电泳时间(RBEC)、血细胞比容(HCT)]变化,并统计两组患者治疗期间的不良反应发生情况。结果观察组患者的治疗总有效率为94.23%,明显高于对照组78.85%,差异有统计学意义(P<0.05);治疗后,两组患者的FMA评分均较治疗前明显升高,且观察组为(59.21±5.10)分,明显高于对照组的(50.28±5.01)分,而VAS评分均较治疗前明显降低,且观察组为(2.01±0.42)分,明显低于对照组的(2.98±0.46)分,差异均具有统计学意义(P<0.05);治疗后,两组患者的CP、ESR、REBS、HCT均降低,且观察组患者的上述指标分别为(1.01±0.17)m Pa·s、(14.21±3.97)mm/h、(12.09±3.01)s、(31.34±4.92)%,明显低于对照组的(1.57±0.20)mPa·s、(18.38±3.99)mm/h、(15.28±3.19)s、(38.41±4.89)%,差异均有统计学意义(P<0.05);观察组患者治疗期间的不良反应总发生率为3.85%,略低于对照组的7.69%,但差异无统计学意义(P>0.05)。结论小针刀疗法治疗颈肩腰腿痛效果理想,可提高患者的运功功能,缓解疼痛,改善血流动力学,具有临床应用价值。

Objective To explore the effect of small needle knife therapy on neck,shoulder,and lumbocrural pain and its influence on motor function and hemodynamics.Methods A total of 104 patients with neck,shoulder,and lumbocrural pain admitted to Department of Acupuncture and Knife,the Third Affiliated Hospital of Xi'an Medical College from March 2017 to March 2022 were selected as the study subjects.They were equally divided into a control group and an observation group,with 52 patients in each group.According to random number table method,patients in the control group were treated with conventional acupuncture,while those in the observation group were treated with small needle knife therapy.After 2 weeks of treatment,the efficacy of the two groups was compared,as well as the changes in Fugl-Meyer Motion Score(FMA)scores,Visual Analogue Scale(VAS)score,and hemodynamics[plasma viscosity(CP),erythrocyte sedimentation rate(ESR),erythrocyte electrophoresis time(RBEC),and hematocrit(HCT)]before and after treatment.The occurrence of adverse reactions in the two groups during treatment was statistically analyzed.Results The total effective rate of treatment in the observation group was 94.23%,which was significantly higher than 78.85%in the control group(P<0.05).After treatment,the FMA scores of both groups were significantly higher than those before treatment,and the score in the observation group was(59.21±5.10)points,which was significantly higher than(50.28±5.01)points in the control group;the VAS scores were significantly lower than those before treatment,and the score in the observation group was(2.01±0.42)points,which was significantly lower than(2.98±0.46)points in the control group;the differences were statistically significant(P<0.05).After treatment,CP,ESR,REBS,and HCT in the two groups decreased,and the above indicators in the observation group were(1.01±0.17)mPa·s,(14.21±3.97)mm/h,(12.09±3.01)s,(31.34±4.92)%,which were significantly lower than(1.57±0.20)mPa·s,(18.38±3.99)mm/h,(15.28±3.19)s,(38.41±4.89)%in the control group(P<0.05).The total incidence of adverse reactions during treatment in the observation group was 3.85%,slightly lower than 7.69%in the control group,with no statistically significant differences(P>0.05).Conclusion Acupuncture knife therapy has an ideal effect on treating neck,shoulder,and lumbocrural pain,which can improve the patient's exercise function,alleviate pain,improve hemodynamics,and thus has clinical application value.