动刺结合放血疗法治疗急性腰扭伤的效果(1)

http://www.100md.com 2019年6月15日 《中国医药导报》 2019年第17期

     [摘要] 目的 觀察动刺结合放血疗法治疗急性腰扭伤的效果。 方法 选取2017年4月～2018年12月河北中医学院附属医院和三河市医院收治入院的急性腰扭伤患者100例作为研究对象，采用随机数字表法将其分成观察组和对照组，每组各50例。观察组采用针灸动刺疗法，取穴为伏兔和悬钟两穴，并结合放血疗法进行治疗;对照组采用普通针刺治疗，针刺穴位为双侧腰椎夹脊穴、肾俞、志室、大肠俞、腰眼，1次/d，5 d为1个疗程，1个疗程后评价疗效。比较两组治疗前后腰部前屈和后伸活动度;观察并比较两组治疗前后日本骨科协会评估治疗分数(JOA)。 结果 治疗前两组腰部活动度比较，差异无统计学意义(P > 0.05);治疗后两组腰部活动度均高于治疗前(P < 0.05)，且观察组高于对照组(P < 0.05)。治疗后两组JOA评分高于治疗前(P < 0.05)，且观察组高于对照组(P < 0.05)。观察组总有效率明显高于对照组，差异有统计学意义(P < 0.05)。 结论 动刺结合放血疗法治疗急性腰扭伤起效快，不良反应较少，效果优于普通针刺治疗。

    [关键词] 动刺疗法;放血疗法;经外奇穴;急性腰扭伤

    [中图分类号] R246.9 [文献标识码] A [文章编号] 1673-7210(2019)06(b)-0169-04

    Efficacy evaluation of acupuncture combined with bloodletting therapy in the treatment of acute lumbar sprain

    GAO Yang1 LI Xi1 DU Shuangqing1 LIU Haiyong2 ZHAO Jinrong2 CHEN Wenjie2

    1.Department of Orthopedics， Affiliated Hospital of Hebei College of Traditional Chinese Medicine， Hebei Province， Shijiazhuang 050000， China; 2.Department of Traditional Chinese Medicine， Sanhe Hospital of Hebei Province， Hebei Province， Sanhe 065200， China

    [Abstract] Objective To observe the effect of dynamic acupuncture therapy combined with bloodletting therapy on acute lumbar sprain. Methods A total of 100 patients with acute lumbar sprains admitted to the Affiliated Hospital of Hebei College of Traditional Chinese Medicine and Sanhe Hospital from April 2017 to December 2018 were selected as the research objects. They were divided into observation group and control group by random number table method， 50 cases in each group. The observation group was treated with acupuncture and moxibustion， and the acupoints were Futu and Xuanzhong， combined with bloodletting therapy. The control group was treated with ordinary acupuncture， and the acupoints were bilateral lumbar Jiaji， Shenyu， Zhishi， Dachangyu， Yaoyan， once a day， 5 days as a course of treatment， and the curative effects of two groups were evaluated after one course of treatment. The lumbar flexion and extension activity before and after treatment were compared between the two groups， and the Japanese Orthopaedic Association Scores (JOA) before and after treatment were observed and compared between the two groups. Results There was no significant difference in lumbar activity between the two groups before treatment (P > 0.05). The lumbar activity of the two groups were higher than that before treatment (P < 0.05)， and the observation group was higher than the control group (P < 0.05). The JOA scores of the two groups were higher than those before treatment (P < 0.05)， and the observation group was higher than the control group (P < 0.05). The total effective rate of the observation group was significantly higher than that of the control group， and the difference was statistically significant (P < 0.05). Conclusion The treatment of dynamic acupuncture therapy combined with bloodletting therapy has a quick onset and less adverse reactions， and the effect is better than ordinary acupuncture.(高阳 李锡 杜双庆 刘海永 赵金荣 陈文杰)

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