针刺与平衡针结合通督正脊手法治疗急性腰扭伤的疗效比较
Efficacy comparison of acupuncture and balanced acupuncture combined with TongduZhengji manipulation in the treatment of acute lumbar sprain.
作者信息
Fu Guan, Liu Xia, Wang Wansheng, Fan Nannan, Cao Shanmei, Liu Haimeng
机构信息
Department of Rehabilitation Medicine, Binzhou Medical University Hospital Binzhou 256603, Shandong Province, China.
Department of Geriatrics, Binzhou Hospital of Traditional Chinese Medicine Binzhou 256600, Shandong Province, China.
出版信息
Am J Transl Res. 2022 Jul 15;14(7):4628-4637. eCollection 2022.
OBJECTIVE
To compare the curative effect of balanced acupuncture combined with TongduZhengji manipulation vs acupuncture in the treatment of acute lumbar sprain.
METHODS
Clinical data of 71 patients with acute lumbar sprains in our hospital from January 2020 to December 2020 were retrospectively analyzed. Patients were divided into single group (n=35) and combined group (n=36) based on treatment methods. The single group received only acupuncture treatment, while the combined group received balanced acupuncture combined with TongduZhengji manipulation. The treatment efficacy, pain level, lumbar function and motion of the lumbar spine were compared between the two groups.
RESULTS
The Visual Analogue Scale (VAS) scores of the combined group were lower than those of the single group after 3, 4, and 5 days of treatment (P<0.05). There was no significant difference in VAS scores between the two groups after 1 and 2 days of treatment (P>0.05). The Roland-Morris Disability Questionnaire (RMDQ) score of the combined group showed no significant difference compared with that of the single group after 1 and 2 days of treatment (P>0.05), and were lower than those of the single group after 3, 4, and 5 days of treatment (P<0.05). The Japanese Orthopedic Association (JOA) score of the combined group after 1, 2, and 3 days of treatment showed no significant difference compared with the single group (P>0.05), and was higher than that of the single group after 4 and 5 days of treatment (P<0.05). The Range of Motion (ROM) score of the combined group showed no significant difference compared with the single group after 1 and 2 days of treatment (P>0.05), and was lower than that of the single group after 3, 4, and 5 days of treatment (P<0.05). The total effective rate of treatment in the combined group was significantly higher than that in the single group (91.67% vs. 71.43%) (P<0.05).
CONCLUSION
Compared with acupuncture alone, balanced acupuncture combined with TongduZhengji manipulation can significantly reduce the pain level and improve lumbar spine mobility as well as lumbar spine function, exhibiting better curative effect than acupuncture only.
目的
比较平衡针灸联合通督正脊手法与单纯针刺治疗急性腰扭伤的疗效。
方法
回顾性分析我院2020年1月至2020年12月收治的71例急性腰扭伤患者的临床资料。根据治疗方法将患者分为单纯组（n = 35）和联合组（n = 36）。单纯组仅接受针刺治疗，联合组接受平衡针灸联合通督正脊手法治疗。比较两组的治疗效果、疼痛程度、腰椎功能及腰椎活动度。
结果
治疗3、4、5天后，联合组视觉模拟评分（VAS）低于单纯组（P < 0.05）。治疗1、2天后，两组VAS评分差异无统计学意义（P > 0.05）。治疗1、2天后，联合组罗兰·莫里斯功能障碍问卷（RMDQ）评分与单纯组比较差异无统计学意义（P > 0.05），治疗3、4、5天后低于单纯组（P < 0.05）。治疗1、2、3天后，联合组日本骨科学会（JOA）评分与单纯组比较差异无统计学意义（P > 0.05），治疗4、5天后高于单纯组（P < 0.05）。治疗1、2天后，联合组活动度（ROM）评分与单纯组比较差异无统计学意义（P > 0.05），治疗3、4、5天后低于单纯组（P < 0.05）。联合组治疗总有效率显著高于单纯组（91.67% 对71.43%）（P < 0.05）。
结论
与单纯针刺相比，平衡针灸联合通督正脊手法能显著降低疼痛程度，改善腰椎活动度及腰椎功能，疗效优于单纯针刺。
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