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[腰痛患者寻求针灸治疗的因素调查及早期针灸治疗效果观察]

[Survey of factors of the patient with lumbago seeking for acupuncture treatment and observation on the therapeutic effect of acupuncture at early days].

作者信息

He Jing, Volinn Ernest, Zhao Yu, Li Jia

机构信息

Rehabilitation Acupuncture and Moxibustion Center, Huaxi Hospital of Sichuan University, Chengdu 610041, China.

出版信息

Zhongguo Zhen Jiu. 2008 Jul;28(7):519-21.

Abstract

OBJECTIVE

To explore factors of the patient with lumbago seeking for acupuncture treatment and to observe the therapeutic effect of acupuncture at early days.

METHODS

The factors of the patient with lumbago seeking for acupuncture treatment were investigated by questionnaire in 45 cases of lumbago. The patients enrolled were treated by acupuncture and moxibustion for 1-2 sessions with Shenshu (BL 23), Dachangshu (BL 25), Mingmen (GV 4), Yaoyangguan (GV 3) selected. Changes of pain, restlessness score and ODI before and after treatment were used for assessment of clinical therapeutic effect at early days.

RESULTS

Recommendation (12 cases, 26.7%), believing Chinese medicine (10 cases, 22.2%), reputation of hospital (6 cases, 13.3%), public praise of doctors (5 cases, 11.1%) were main causes for the patient with lumbago seeking for acupuncture treatment. ODI, pain score and restlessness score were 11.0+/-7.3, 5.0+/-1.9, 4.8+/-2.1 after treatment and 12.6+/-7.7, 6.5+/-1.8, 6.7+/-2.1 before treatment, respectively, with significant differences before and after treatment (all P < 0.05). The assess ment help score before and after treatment were 7.1+/-1.5 and 7.2+/-2.3, respectively, with no significant difference before and after treatment (P>0.05).

CONCLUSION

Good reputation of hospital and doctors, and good public praise of acupuncture and moxibustion are main external factors for the patient with lumbago seeking for acupuncture treatment, and the therapeutic effect of acupuncture and moxibustion on lumbago at early days is identical to the patient's expectation.

摘要

目的

探讨腰痛患者寻求针灸治疗的因素,并观察早期针灸治疗效果。

方法

采用问卷调查法对45例腰痛患者寻求针灸治疗的因素进行调查。入选患者选取肾俞(BL 23)、大肠俞(BL 25)、命门(GV 4)、腰阳关(GV 3)进行针灸治疗1 - 2个疗程。以治疗前后疼痛、烦躁评分及ODI的变化评估早期临床治疗效果。

结果

推荐(12例,26.7%)、相信中医(10例,22.2%)、医院声誉(6例,13.3%)、医生口碑(5例,11.1%)是腰痛患者寻求针灸治疗的主要原因。治疗后ODI、疼痛评分及烦躁评分分别为11.0±7.3、5.0±1.9、4.8±2.1,治疗前分别为12.6±7.7、6.5±1.8、6.7±2.1,治疗前后差异有统计学意义(均P < 0.05)。治疗前后评估帮助评分分别为7.1±1.5和7.2±2.3,治疗前后差异无统计学意义(P > 0.05)。

结论

医院和医生的良好声誉以及针灸的良好口碑是腰痛患者寻求针灸治疗的主要外部因素,且早期针灸治疗腰痛的效果与患者预期相符。

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