摘要
目的:观察温肾健脾针刺法治疗寒湿型慢性非特异性腰痛的临床疗效。方法:选取广州市第一人民医院门诊2018年3月-2019年3月65例寒湿型慢性非特异性腰痛患者,随机分成治疗组和对照组,治疗组使用温肾健脾针刺法治疗,共33例,取穴:合谷穴(双)、后溪(双)、阴陵泉(双)、足三里(双)、地机(双)、复溜穴(双);对照组使用常规穴位针刺治疗,共32例,取穴:阿是穴、大肠俞(双)、腰夹脊(双)、环跳(患)、委中(患)、阳陵泉(双)、悬钟(双)、丘墟(双);两组均每天针刺1次,3天为1个疗程,共2个疗程,治疗前后均采用视觉模拟评分法(Visual Analogue Scale/Score,VAS)及Oswestry功能障碍问卷(Oswestry Disability Index,ODI)评分进行比较。结果:治疗2个疗程后,两组VAS和ODI评分较治疗前均有明显差异,有统计学意义(P <0.05);治疗组与对照组比较示:治疗组在VAS及ODI方面均优于对照组(P <0.05);总有效率方面:治疗组为93.55%(29/31),对照组为83.87%(31/26)。结论:温肾健脾针刺法治疗寒湿型慢性非特异性腰痛疗效显著,安全性高,操作方便,此外笔者根据中医"象思维"治病原理,临床发现针刺合谷反应点对治疗各种证型的腰痛均有良好效果,值得临床推广应用。
Objective:To observe the clinical effect of the acupuncture method with warming the kidney and strengthening the spleen on chronic non-specific low back pain of cold-dampness type.Methods:65patients with chronic non-specific low back pain of colddampness type from March 2018 to March 2019 were randomly divided into the treatment group(33 cases)and the control group(32 cases).The acupoints of the treatment group were:Hegu Point(合谷穴)(Double),Houxi(后溪)(Double),Yinlingquan(阴陵泉)(Double),Zusanli(足三里)(Double),Diji(地机)(Double),Fuliu Point(复溜穴)(Double),and the control group were:Ashi Point(阿是穴),Dachangshu(大肠俞)(double),Yaojiaji(腰夹脊)(double),Huantiao(环跳)(disease),Weizhong(委中)(disease),Yanglingquan(阳陵泉)(double),Xuanzhong(悬钟)(double),Qiuxu(丘墟)(double).The treatment group was treated with the acupuncture method of warming the kidney and strengthening the spleen.And the conventional acupuncture method was received by the control group.Both groups were treated once a day,3 days were a course,there were 2 courses in total.The Visual Analogue Scale(VAS)and the Oswestry Disability Index(ODI)score of both groups were compared before and after treatment.Results:After 2 courses of treatment,the VAS and ODI score of two groups were significantly different compared with that before treatment(P<0.05).And the comparison between the treatment group and the control group showed that the effect of treatment group was superior to the control group in terms of VAS and ODI score(P<0.05).As for the total effective rate:The treatment group was 93.55%(29/31),and that of the control group was 83.87%(31/26).Conclusion:The acupuncture method with warming the kidney and strengthening the spleen is effective on chronic non-specific low back pain of cold-dampness type,it is safe and easy to operate.In addition,according to the principle of"image thinking"of TCM,the author finds that acupuncture at Hegu responsive point has a good effect on the treatment of various types of low back pain.It is worthy of clinical application.
作者
肖越
刘晓俊
杨午霞
翁瑜君
余永森
Xiao Yue;Liu Xiaojun;Yang Wuxia;Weng Yujun;Yu Yongsen
出处
《中医临床研究》
2020年第27期124-126,共3页
Clinical Journal Of Chinese Medicine
基金
刘晓俊广州市名中医传承工作室建设项目。
关键词
温肾健脾
针刺
寒湿型
慢性非特异性腰痛
Warming the kidney and strengthening the spleen
Acupuncture
Cold-dampness type
Chronic non-specific low back pain
