痧点放血疗法对气滞血瘀型腰痛患者的临床疗效

Clinical Efficacy of Sha-point Bloodletting Therapy in Low Back Pain Patients of Qi Stagnation and Blood Stasis Type

目的:探讨气滞血瘀型腰痛患者给予痧点放血疗法的临床效果。方法:选取2021年1月—2022年6月南平市第一医院收治的94例气滞血瘀型腰痛患者为研究对象,以随机数表法将其分为研究组47例与对照组47例。对照组给予常规西药治疗,研究组在对照组基础上给予痧点放血疗法。比较两组临床疗效、疼痛程度、腰部功能、不良反应及复发率。结果:研究组治疗总有效率为93.62%,较对照组的78.72%高,差异有统计学意义(P<0.05)。治疗后,两组数字评分法(NRS)评分、Roland-Morris腰椎功能障碍问卷(RDQ)评分降低,且研究组NRS评分、RDQ评分低于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率为10.64%,与对照组的6.38%比较,差异无统计学意义(P>0.05)。随访3个月,研究组复发率为4.55%,低于对照组的24.32%,差异有统计学意义(P<0.05)。结论:气滞血瘀型腰痛患者给予痧点放血疗法,能够提高临床疗效,减轻患者疼痛,改善腰部功能,降低复发率,安全性较高。

Objective:To explore the clinical efficacy of sha-point bloodletting therapy in low back pain patients of Qi stagnation and blood stasis type.Method:A total of 94 low back pain patients of Qi stagnation and blood stasis type who were admitted in Nanping First Hospital from January 2021 to June 2022 were selected,and they were divided into the study group of 47 cases and the control group of 47 cases by random number table method.The control group was received conventional western medicine treatment,while the study group was received sha-point bloodletting therapy on the basis of the control group.The clinical efficacy,degree of pain,lumbar function,adverse reactions and recurrence rate of the both groups were compared.Result:The total effective rate of the study group was 93.62%,which was higher than 78.72%of the control group,the difference was statistically significant(P<0.05).After treatment,the numerical rating scale(NRS)score and Roland-Morris lumbar spine dysfunction questionnaire(RDQ)scores were decreased in both groups,and NRS score and RDQ score of the study group were lower than those of control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 10.64%,compared with 6.38%in the control group,there was no statistically significant difference(P>0.05).At 3 months of follow-up,the recurrence rate of the study group was 4.55%,which was lower than 24.32%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Treating low back pain patients of Qi stagnation and blood stasis type with sha-point bloodletting therapy can improve clinical efficacy,alleviate pain,improve waist function,reduce the recurrence rate,and have high safety.