酉时针刺治疗肾虚型腰痛的临床研究

Clinical Study on Acupuncture in the Treatment of Kidney Deficiency Type of Low Back Pain

目的观察酉时针刺治疗肾虚型腰痛的临床疗效。方法选取该院符合肾虚腰痛诊断患者60例,随机分为试验组和对照组,每组30例。试验组在酉时(17:00-19:00、17:00-18:30期间开始治疗)。对照组在除酉时以外的时间治疗(17:00-19:00以外的工作时间)。取穴:选择肾俞、白环俞、委中、太溪四穴,配穴选择临床常用的环跳、阳陵泉、大肠俞三穴。疗程为每天1次,10次为1个疗程,治疗2个疗程以观察疗效。结果2组患者的视觉模拟评分法(VAS)评分,试验组治疗前评分中位数为8分,治疗后为1分,对照组治疗前评分中位数为7分,治疗后为2分。治疗后试验组低于对照组,差异有统计学意义(P<0.05)。2组治疗后均低于治疗前,差异均有统计学意义(P<0.05)。日本骨科协会JOA下腰痛评分中的主观症状、临床体征及日常活动受限度评分,治疗前2组比较差异无统计学意义(P>0.05);治疗后试验组高于对照组,差异有统计学意义(P<0.05);2组治疗后均高于治疗前,差异有统计学意义(P<0.05)。试验组治愈率(20.0%)高于对照组(0),差异有统计学意义(P=0.024),试验组显效率(60.0%)高于对照组(13.3%),差异有统计学意义(χ2=14.067,P<0.001)。结论试验组治疗肾虚型腰痛效果优于对照组,酉时针刺治疗肾虚型腰痛值得临床推广。

Objective To observe the clinical efficacy of Youshi acupuncture in the treatment of low back pain with kidney deficiency.Methods A total of 60 patients with kidney deficiency and low back pain were randomly divided into experimental group and control group,with 30 cases in each group.The experimental group was treated at Youshi(17:00-19:00,17:00-18:30).The control group was treated at a time other than Youshi(working hours other than 17:00-19:00).Selection of acupoints:Shenshu,Baihuanshu,Weizhong and Taixi four acupoints were selected,and the three acupoints of Huantiao,Yanglingquan and Dachangshu commonly used in clinic were selected.The course of treatment was once a day,10 times as a course of treatment,two courses of treatment to observe the curative effect.Results The visual analogue scale(VAS)score of the two groups was eight before treatment and one after treatment in the experimental group.The median score of the control group was seven before treatment and two after treatment.After treatment,the experimental group was lower than the control group,the difference was statistically significant(P<0.05).After treatment,the two groups were lower than those before treatment,differences being significant(P<0.05).There was no significant difference in the subjective symptoms,clinical signs and daily activities of the Japanese Orthopaedic Association(JOA)low back pain score between the two groups before treatment(P>0.05).After treatment,the experimental group was higher than the control group,and the difference was statistically significant(P<0.05).After treatment,the two groups were higher than those before treatment,and the difference was statistically significant(P<0.05).The cure rate of the experimental group(20.0%)was higher than that of the control group(0),and the difference was statistically significant(P=0.024).The effective rate of the experimental group(60.0%)was higher than that of the control group(13.3%),and the difference was statistically significant(χ2=14.067,P<0.001).Conclusion The effect of the experimental group in the treatment of kidney deficiency type low back pain is better than that of the control group.Youshi acupuncture in the treatment of kidney deficiency type low back pain is worthy of clinical promotion.