药物铺灸联合针刺治疗腰背肌筋膜炎的疗效观察

Observation on curative effect of medicated moxibustion combined with acupuncture on lumbodorsal myofascitis

目的 探讨药物铺灸联合针刺治疗腰背肌筋膜炎的疗效。方法 82例腰背肌筋膜炎患者,按照收治顺序分为对照组和研究组,各41例。对照组接受针刺治疗,研究组接受药物铺灸联合针刺治疗。比较两组治疗效果、Oswestry功能障碍指数问卷表(ODI)评分、视觉模拟评分法(VAS)评分、不良事件发生情况。结果 研究组治疗总有效率97.6%高于对照组的82.9%(P<0.05)。两组治疗前ODI评分、VAS评分无差异(P>0.05);研究组治疗后ODI评分(14.1±3.3)分、VAS评分(2.6±0.6)分均低于对照组的(21.6±4.2)、(4.8±1.1)分(P<0.05)。研究组不良事件发生率2.4%低于对照组的14.6%(P<0.05)。结论 相较于单纯针刺治疗,药物铺灸联合针刺治疗腰背肌筋膜炎的疗效更好,安全性更高,值得应用。

Objective To explore the curative effect of medicated moxibustion combined with acupuncture on lumbodorsal myofascitis.Methods A total of 82 patients with lumbodorsal myofascitis were divided into a control group and a study group according to the order of admission,each with 41 cases.The control group received acupuncture treatment,and the study group received medicated moxibustion combined acupuncture treatment.The therapeutic effect,Oswestry disability index(ODI)score,visual analog scale(VAS)score and adverse events were compared between the two groups.Results The total effective rate of the study group was 97.6%,which was higher than 82.9%in the control group(P<0.05).There were no differences in ODI score and VAS score between the two groups before treatment(P>0.05).After treatment,the study group had ODI score of(21.6±4.2)points and VAS score of(2.6±0.6)points,which were lower than(14.1±3.3)and(4.8±1.1)points in the control group(P<0.05).The incidence of adverse events in the study group was 2.4%,which was lower than 14.6%in the control group(P<0.05).Conclusion Compared with acupuncture treatment alone,medicated moxibustion combined with acupuncture for the treatment of lumbodorsal myofasciitis has better efficacy and higher safety,and is worth applying.