针灸序贯疗法对慢性腰肌劳损患者腰部疼痛的影响

Effect of Sequential Acupuncture and Moxibustion on Lumbar Pain in Patients with Chronic Lumbar Muscle Strain

目的探讨与分析针灸序贯疗法对慢性腰肌劳损患者腰部疼痛的影响。方法选择2020年9月—2022年12月重庆市忠县中医医院收治的86例慢性腰肌劳损患者作为研究对象,根据1∶1随机抛硬币原则将其分为针灸组与药物组,每组43例。药物组给予常规西药治疗,针灸组在药物治疗基础上给予针灸序贯疗法治疗,两组均治疗观察2周,对比两组治疗总有效率,评定患者治疗前后Oswestry功能障碍指数问卷表(ODI)评分、腰部疼痛视觉模拟标尺法(VAS)评分、腰屈曲范围变化情况。结果治疗后,针灸组治疗总有效率显著高于药物组,差异有统计学意义(P<0.05);治疗后,两组腰部VAS评分均低于治疗前,且针灸组腰部VAS评分低于药物组,差异有统计学意义(P<0.05);治疗后,两组ODI评分均低于治疗前,且针灸组ODI评分低于药物组,差异有统计学意义(P<0.05);治疗后,两组腰屈曲范围大于治疗前,针灸组腰屈曲范围大于药物组,差异有统计学意义(P<0.05)。结论针灸序贯疗法在慢性腰肌劳损患者的应用能促进缓解腰部疼痛,提高总体治疗效果,还可改善患者的腰椎功能,提高腰屈曲范围。

Objective To explore and analysis the effects of sequential acupuncture and moxibustion therapy on lumbar pain in patients with chronic lumbar muscle strain.Methods From September 2020 to December 2022,86 patients with chronic lumbar muscle strain diagnosed and treated in Chongqing Zhongxian Hospital of Traditional Chinese Medicine were selected as research objects.Accorded to the principle of 1:1 envelope random drawing,86 patients were divided into acupuncture group and western medicine group with 43 cases in each groups.The western medicine group were treated with conventional western medicine.The acupuncture group were treated with sequential acupuncture therapy based on the treatment of the western medicine group.Both groups were treated and observed for 2 weeks.Comparing the total response rate of the western medicine group and the acupuncture group,the visual analog scale(VAS of lumbar pain)score,Oswestry dysfunction index questionnaire(ODI)score and lumbar flexion range.Results After treatment,the total effective rate of the acupuncture group were significantly higher than that of the western medicine group(P<0.05).The VAS score of lumbar pain in the acupuncture group and the western medicine group were lower than that before treatment,and the VAS score of lumbar pain in the acupuncture group after treatment were also significantly lower than that in the western medicine group(P<0.05).The Oswestry score of the acupuncture group and the western medicine group were lower than that before treatment,and the Oswestry score of the acupuncture group after treatment were also significantly lower than that of the western medicine group(P<0.05).The range of lumbar flexion in the western medicine group and the acupuncture group after treatment were significantly higher than that before treatment,and the range of lumbar flexion in the acupuncture group after treatment were also significantly higher than that in the western medicine group(P<0.05).Conclusion The application of sequential acupuncture therapy in patients with chronic lumbar muscle strain can promote the relief of lumbar pain,improve the overall treatment effect,improve the lumbar function of patients,and increase the range of lumbar flexion.