摘要
目的:比较背部阳经透刺结合电针与西药布洛芬缓释胶囊治疗腰背肌筋膜炎的疗效差异,探寻治疗腰背肌筋膜炎的较好方法。方法:将60例腰背肌筋膜炎患者随机分为两组,针刺组30例选取疼痛部位的膀胱经第一侧线背俞穴及相应水平的督脉穴自上而下透刺结合电针治疗;西药组30例采用口服布洛芬胶囊治疗,疗程30天。比较两组疗效及治疗前后疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数评分。结果:针刺组总有效率96.7%(29/30),优于西药组的73.3%(22/30)(P<0.05)。治疗后两组均可降低VAS评分及功能障碍指数评分(P<0.01,P<0.05),且改善程度针刺组均优于西药组(均P<0.05)。结论:背部阳经透刺结合电针治疗腰背肌筋膜炎疗效优于西药布洛芬缓释胶囊,可有效缓解疼痛,改善功能障碍。
Objective TO compare the difference in the therapeutic effect on lower back myofascitis between the combined therapy of penetration needling on yang meridian of the back and electroacupuncture and the western medi- cation of Ibuprofen capsules, and probe into a better method of treatment for lower back myofascitis. Methods Six- ty cases of lower back myofascitis were randomly divided into two groups. 30 cases in observation group were treated with penetration needling combined with electroacupuncture on the back-shu points on the first line of the Bladder Meridian and the points of the corresponding levels on the Governor Vessel. 30 cases in control group were treated with Ibuprofen capsules. The treatment session was 30 days. The therapeutic effects were compared and the Visual Analog Scales （VAS） and Oswestry disability index were detected before and after treatment in two groups separately. Results The total effective rate in observation group was 96.7% （29/30）, which was superior to that （73.3%, 22/30） in control group. VAS and Oswestry disability index decreased in either group （P〈0.01, P〈0.05）. The improvement extent in observation group was superior to that in control group （P〈0.05）. Conclusion The therapy of penetration needling on yang meridian of the back combined with electroacupuncture has the advantageous therapeutic effect on lower back myofascitis as compared with the medication of Ibuprofen capsules, which can release pain and improve the functional disturbance effectively.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第10期816-818,共3页
Chinese Acupuncture & Moxibustion
关键词
腰背肌筋膜炎
针刺疗法
透刺
电针
密波
Lower Back Fasciitis
Acupuncture Therapy
Penetration Needling
Electroacupuncture
Dense Wave
