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经穴针刺对急性腰扭伤疼痛程度及治疗效果的影响。

Effect of Acupuncture along Meridians on Pain Degree and Treatment of Acute Lumbar Sprain.

机构信息

Rehabilitation Medicine Center, Huizhou Third People's Hospital, Guangzhou Medical University, No. 176, Dongping Section, Huizhou Avenue, Guangzhou, Guangdong 516002, China.

出版信息

Dis Markers. 2022 Jul 23;2022:5497805. doi: 10.1155/2022/5497805. eCollection 2022.

Abstract

AIM

This study is aimed at investigating the effect of acupuncture along meridians on pain degree and treatment of acute lumbar sprain.

METHODS

A total of 96 patients with acute lumbar sprain from May 2019 to March 2021 in our hospital were selected and divided into the study and control groups. The patients in the control group were administered conventional western medicine and massage therapy, while the study group underwent acupuncture along meridians based on the control group. The therapeutic effect, visual analogue scale (VAS), Roland-Morris Disability Questionnaire (RMDQ), and lumbar range of motion (ROM) scores, emG inversion times, emG amplitude of the sacrospinalis muscle, and the serum TNF- and IL-6 levels were determined.

RESULTS

The total effective rate of the study group was significantly higher than that of the control group. After treatment, the VAS, RMDQ, and ROM scores of the study group were significantly lower than those of the control group. Before the intervention, the EMG inversion times and the EMG amplitude of the spinous process muscle in the study group were not significantly different from those in the control group. After the intervention, the number and amplitude of EMG reversal in the study group were significantly higher than those in the control group. After the intervention, the serum levels of TNF- (pg/ml) and IL-6 (pg/ml) in the study group were significantly lower than those in the control group. . Meridian acupuncture for acute lumbar sprain can effectively improve body function, relieve pain, regulate serum inflammatory factors, and improve the overall therapeutic effect.

摘要

目的

本研究旨在探讨经穴针刺对急性腰扭伤疼痛程度和治疗的影响。

方法

选取我院 2019 年 5 月至 2021 年 3 月收治的 96 例急性腰扭伤患者,将其分为研究组和对照组。对照组患者给予常规西药和按摩治疗,研究组在对照组基础上给予经穴针刺治疗。观察两组患者的治疗效果、视觉模拟评分(VAS)、Roland-Morris 残疾问卷(RMDQ)、腰椎活动度(ROM)评分、肌电图(EMG)反转时间、骶棘肌 EMG 振幅、血清 TNF-和 IL-6 水平。

结果

研究组总有效率明显高于对照组。治疗后,研究组 VAS、RMDQ 和 ROM 评分均明显低于对照组。干预前,研究组和对照组的 EMG 反转时间和棘突肌 EMG 振幅差异无统计学意义。干预后,研究组的 EMG 反转次数和振幅均明显高于对照组。干预后,研究组血清 TNF-(pg/ml)和 IL-6(pg/ml)水平明显低于对照组。

结论

经穴针刺治疗急性腰扭伤能有效改善机体功能,缓解疼痛,调节血清炎症因子,提高整体治疗效果。

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