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动态针刺治疗急性腰扭伤的临床疗效及时效关系

[Clinical efficacy and time-effect relationship of dynamic acupuncture for acute lumbar sprain].

作者信息

Zhang Yan-Lin, Chen Song, Luo Zhi-Hui, Chen Bei, Zhou Ting, Gu Xiao-Lei, Chen Jia, Wang Kun-Xiu, Chen Zi-Qin, Yan Peng, Chen Bo-Lin, Tian Ling-Ling

机构信息

College of Acupuncture-Moxibustion and Orthopedics, Hubei University of CM/Preventive Treatment of Acupuncture and Moxibustion, Hubei Collaborative Innovation Center, Wuhan 430061, China.

College of Acupuncture-Moxibustion and Orthopedics, Hubei University of CM/Preventive Treatment of Acupuncture and Moxibustion, Hubei Collaborative Innovation Center, Wuhan 430061, China; Postdoctoral Research Station, Zhongyan Jintan Yanhua Limited Liability Company, Shanghai 213200; Postdoctoral Station, College of Humanities, Xiamen University, Xiamen 361005, Fujian Province; Jingzhou Second People's Hospital, Jingzhou 434002, Hubei Province.

出版信息

Zhongguo Zhen Jiu. 2022 Dec 12;42(12):1368-72. doi: 10.13703/j.0255-2930.20220117-0001.

DOI:10.13703/j.0255-2930.20220117-0001

PMID:36484189

Abstract

OBJECTIVE

To observe the clinical efficacy of dynamic acupuncture for acute lumbar sprain, and to explore the differences of different needle retention time on the improvement of pain, lumbar mobility and lumbar dysfunction.

METHODS

A total of 160 patients with acute lumbar sprain were randomly divided into an observation group A (40 cases, 4 cases dropped off), an observation group B (40 cases, 2 cases dropped off), an observation group C (40 cases, 4 cases dropped off) and a medication group (40 cases, 6 cases dropped off). The patients in the observation group A, the observation group B and the observation group C were treated with acupuncture at "lumbago point" and Sanjian (LI 3) on the left side, and during the needles were kept for 10, 20 and 30 min respectively, the patients were required to take tolerable lumbar active activities, once a day; the patients in the medication group were treated with celecoxib capsules, 0.2 g each time, twice a day. All the patients were treated for 5 d. Before and after treatment, the scores of numerical rating scale-11 (NRS-11), lumbar range of motion (ROM) and modified Oswestry disability index (ODI) were observed, and the clinical efficacy of each group was evaluated.

RESULTS

After treatment, the scores of NRS-11, ROM and ODI in each group were decreased compared before treatment (<0.01). The decreased degree of NRS-11, ROM and ODI in each observation group was greater than that in the medication group (<0.05), and the decreased degree of ROM and ODI in the observation group B and the observation group C was greater than that in the observation group A (<0.05). The total effective rates were 94.4% (34/36) in the observation group A, 94.7% (36/38) in the observation group B and 97.2% (35/36) in the observation group C, respectively, which were higher than 79.4% (27/34) in the medication group (<0.05).

CONCLUSION

Dynamic acupuncture with needle retention for 10, 20 and 30 min all could effectively improve the pain, lumbar mobility and lumbar dysfunction in patients with acute lumbar sprain. If the lumbar dysfunction is severe, needle retention for 20 min or more is recommended.

摘要

目的

观察动态针刺治疗急性腰扭伤的临床疗效，探讨不同留针时间对改善疼痛、腰部活动度及腰部功能障碍的差异。

方法

将160例急性腰扭伤患者随机分为观察组A（40例，脱落4例）、观察组B（40例，脱落2例）、观察组C（40例，脱落4例）和药物组（40例，脱落6例）。观察组A、观察组B和观察组C患者取左侧“腰痛点”及三间（LI 3）针刺，留针时间分别为10、20和30分钟，留针期间要求患者进行可耐受的腰部主动活动，每日1次；药物组患者口服塞来昔布胶囊，每次0.2 g，每日2次。所有患者均治疗5天。观察治疗前后数字分级量表-11（NRS-11）评分、腰部活动度（ROM）及改良Oswestry功能障碍指数（ODI），并评价各组临床疗效。

结果

治疗后，各组NRS-11、ROM及ODI评分均较治疗前降低（P<0.01）。各观察组NRS-11、ROM及ODI评分降低程度均大于药物组（P<0.05），观察组B和观察组C的ROM及ODI评分降低程度大于观察组A（P<0.05）。观察组A总有效率为94.4%（34/36），观察组B为94.7%（36/38），观察组C为97.2%（35/36），均高于药物组的79.4%（27/34）（P<0.05）。