摘要
目的:观察针刺结筋病灶点治疗腰背肌筋膜炎的临床疗效。方法:将68例腰背肌筋膜炎患者,随机分为经筋组(34例)和对照组(34例)。经筋组患者先进行足太阳经筋触诊,确定结筋病灶点部位后按照毫针针刺的流程施治,常见结筋病灶点为环跳次、志室次、肓门次、腰椎横突、白环俞次、中膂俞次、膀胱俞次、小肠俞次、关元俞次、大肠俞次等;对照组选择腰眼、阿是穴、大肠俞、委中为主穴辨证施治。两组均每天1次,共治疗8周。观察记录0周、2周、4周、8周两组患者的视觉模拟疼痛评分(visual analogue scale,VAS)、Roland-Morris功能障碍调查表(roland-morris dysfunction questionnaire,RMDQ),腰部静动态肌耐力评估,病例完成情况、安全性评价并进行疗效评价。结果:经筋组疗效明显优于对照组(P<0.05);自第2疗程开始两组VAS、RMDQ、腰部静动态肌耐力比较,差异有统计学意义(P<0.05);时间因素与治疗方案之间存在交互作用(P<0.05),说明时间因素发挥的作用在两种方案上有差异,经筋组随着疗程延长(尤其在4周后),评分改善的效果显著高于对照组。结论:基于经筋理论针刺治疗腰背肌筋膜炎可以有效缓解疼痛,改善腰部功能,且持续治疗时间超过4周后疗效显著。
Objective: To observe the clinical effect of acupuncture at the focus point of tendon knot in the treatment of lumbar back myofascitis. Methods: 38 patients with lumbar back myofascitis were randomly divided into two groups: the tendon group( 34 cases) and the control group( 34 cases). The patients in the tendon group were first palpated by foot sun tendon. After the location of the focus was determined,the treatment was carried out according to the process of needling with filiform needle. The common focus points of tendon group were Huantiaoci,Zhishici,Huangmenci,Yaozhui Hengtu,baihuanshuci,Zhonglushuci,Pangguangshuci,Xiaochangshuci,Guanyuanshuci and Dachangshuci,etc. In the control group,Yaoyan,Ashi acpoint,Dachangshu and Weizhong were selected for dialectical treatment,once a day for 8 weeks in both groups. The visual analog scale( VAS),Roland-Morris Dysfunction Questionnaire( RMDQ),lumbar static and dynamic muscle endurance were observed and recorded in the 0,2,4 and 8 weeks groups. Results: The therapeutic effect of tendon group was significantly better than that of the control group( P < 0. 05);the differences of VAS,RMDQ and lumbar static and dynamic muscle endurance at different time points were statistically significant( P < 0. 05) since the second course of treatment;there was interaction between the time factor and the treatment plan( P <0. 05),indicating that the effect of the time factor on the two plans was different,and tendon group was different with the treatment course of treatment. After 4 weeks,the effect of score improvement was significantly higher than that of the control group. Conclusion: Based on the theory of tendon,treating lumbar back myofascitis with acupuncture can effectively relieve pain and improve lumbar function,and the effect is significant after more than 4 weeks of continuous treatment.
作者
冉维佳
于洋
RAN Weijia;YU Yang(Northeast International Hospital,Shenyang Liaoning China 110623;Liaoning University of Chinese Medicine,Shenyang Liaoning China 110847)
出处
《中医学报》
CAS
2019年第11期2454-2458,共5页
Acta Chinese Medicine
基金
国家自然科学基金面上项目(81574050)
辽宁省第二批次科学技术计划项目(2013226012)
关键词
腰背肌筋膜炎
经筋
结筋病灶点
针刺疗法
lumbar back myofascitis
tendon
focus of tendon knot
acupuncture therapy
