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火熨术治疗腰背肌筋膜炎临床观察

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目的 观察火熨术治疗腰背肌筋膜炎的临床疗效.方法 纳入试验的120例腰背肌筋膜炎患者采用随机数字表法进行分组,分为火熨术治疗组(40例),艾灸治疗组(40例)和常规治疗组(40例).其中,常规治疗组患者给予针刺和推拿治疗.比较各组患者在治疗前1天、治疗2周后、治疗后2个月的疼痛视觉模拟量表(VAS)及Oswestry功能障碍指数(ODI)、罗兰-莫里斯功能障碍问卷表(RDQ)数据.结果 各组患者治疗后的VAS、ODI、RDQ评分均低于治疗前(P<0.05),且治疗2周与治疗后2个月差异无统计学意义(P>0.05).各组患者在治疗2周和2个月后,火熨术治疗组、常规治疗组与艾灸治疗组比较,在V AS、ODI、RDQ评分差异有统计学意义(P<0.001),火熨术治疗组和常规治疗组在VAS、ODI、RDQ评分差异无统计学意义(P>0.05).结论 基于"引火助阳"理论下中医传统火熨术对腰背肌筋膜炎患者的疗效优于艾灸治疗,与常规的针刺推拿治疗相比有同样的疗效,并且能够持续较长的时间.
Clinical Observation of Fire-ironing in the Treatment of Lumbar Myofascitis
Objective:To observe the clinical efficacy of fire-ironing in the treatment of lumbar myofascitis.Methods:A total of 120 patients with lumbar myofascitis were randomly divided into three groups using a ran-dom number table method:fire-ironing treatment group(40 cases),moxibustion treatment group(40 cases),and conventional treatment group(40 cases).The conventional treatment group received acupuncture and massage ther-apy.Pain assessment was conducted using Visual Analogue Scale(VAS),Oswestry Disability Index(ODI),and Rowland-Morris Disability Questionnaire(RDQ)data,which were compared among the three groups one day be-fore treatment,two weeks after treatment,and two months after treatment.Results:After treatment,the VAS,ODI,and RDQ scores in all three groups decreased compared with before treatment(P<0.05).There was no significant difference between the scores at two weeks and two months after treatment(P>0.05).At both time points,com-pared with the moxibustion group,there were significant differences in VAS,ODI,and RDQ scores in fire-ironing treatment group and the conventional group(P<0.001).However,there was no significant difference in VAS,ODI,and RDQ scores between the fire-ironing treatment group and the conventional treatment group(P>0.05).Conclu-sion:Based on the theory of"bringing fire to help yang",the traditional Chinese medicine therapy of fire ironing is more effective than moxibustion for treating lumbar myofascitis.It has similar effects as conventional acupunc-ture and massage therapy and can provide long-lasting relief.

Lumbar myofascitisFire ironingTraditional Chinese medicine therapy

李倩、周杰、王冉、解雷

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重庆市中医院,重庆 400021

腰背肌筋膜炎 火熨术 中医治疗

重庆市科研机构绩效激励引导项目

jxyn2021-1-3

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(5)
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