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对称取穴滞针法治疗急性腰扭伤的临床观察

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目的 观察对称取穴滞针法治疗急性腰扭伤的临床疗效.方法 将90例急性腰扭伤患者随机分为观察组与对照组各45例.观察组采用腰部痛点对称取穴滞针法治疗,对照组采用常规电针治疗.两组患者连续治疗3 d,并在治疗结束1个月后随访.观察并记录两组患者治疗前后、随访3个时间节点的疼痛视觉模拟量表(VAS)评分、腰椎关节活动度(ROM)评分和日本改良下腰痛骨科评分量表(JOA)评分.结果 治疗3d后和1个月后随访,两组患者VAS评分、ROM评分、JOA评分均较治疗前明显改善(P<0.05),两组比较,观察组较对照组改善更显著(P<0.05).结论 对称取穴滞针法治疗急性腰扭伤即时疗效明显且远期预后稳定,在减轻疼痛、改善腰部活动度和提高有效率方面均优于常规电针治疗.
Clinical Observation of Symmetrical Acupoint Retention Needle Technique for the Treatment of Acute Lumbar Sprain
Objective:To observe the clinical efficacy of the symmetrical acupoint retention needle technique in the treatment of acute lumbar sprain.Methods:90 patients with acute lumbar sprain were randomly divided into an observation group and a control group,each with 45 cases.The observation group was treated with the symmetri-cal acupoint retention needle technique targeting painful points in the waist,while the control group received con-ventional electroacupuncture treatment.Both groups underwent continuous treatment for 3 days and were followed for 1 month after the end of treatment.Changes in Visual Analogue Scale(VAS)scores for pain,range of motion(ROM)scores for lumbar joints,and Japanese Orthopaedic Association(JOA)scores for modified lower back pain were observed and recorded at three time points:before treatment,after treatment,and during follow-up.Results:After 3 days of treatment and 1 month of follow-up,the VAS scores,ROM scores,and JOA scores were significant-ly improved compared to before treatment(P<0.05)in both groups.When comparing the two groups,the improve-ments in the observation group were more significant than those in the control group(P<0.05).Conclusion:The symmetrical acupoint retention needle technique for treating acute lumbar sprain shows immediate and obvious effi-cacy with stable long-term prognosis.It is superior to conventional electroacupuncture treatment in terms of reduc-ing pain,improving lumbar mobility,and increasing the effectiveness rate.

Acute lumbar sprainSymmetrical acupoint selectionRetention needle techniqueAcupunctureGi-ant needle technique

彭文忠、林枫毓、张文斌、朱正威、刘渝松

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重庆市中医骨科医院,重庆 400010

重庆中医药学院,重庆 402760

急性腰扭伤 对称取穴 滞针法 针刺 巨刺

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(12)