循经远取动法联合冲击波治疗急性腰扭伤临床研究

目的:观察循经远取动法联合体外冲击波对急性腰扭伤的疗效。方法:选取90例符合急性腰扭伤诊断标准的患者,随机分为循经远取动法组、体外冲击波组和联合治疗组,每组30例。循经远取动法组采取远端选穴,针刺得气后使用捻转手法加大穴位刺激强度,同时嘱患者活动腰部,留针25 min,每日1次,治疗7 d;冲击波组使用瑞士STORZ发散式冲击波治疗仪MP-100,对腰部的疼痛点及其上下左右进行刺激,2日1次,治疗3次;联合治疗组为以上两种方法联合治疗。比较3组患者治疗前后视觉模拟量表(VAS)评分及关节活动度(ROM)评分。结果:联合治疗组总有效率100.00%,循经远取动法组总有效率86.67%,体外冲击波组总有效率83.34%,联合治疗组明显优于其他两组,差异有统计学意义(P0.01)。三组患者治疗后疼痛均减轻,联合治疗组的起效时间短,联合治疗组治疗后VAS评分明显低于循经远取动法组和体外冲击波组,差异具有统计学意义(P0.01)。三组患者ROM评分均降低,但联合治疗组的起效时间短,治疗后评分明显低于其他两组,差异具有统计学意义(P0.01)。结论:循经远取动法联合体外冲击波治疗急性腰扭伤效果明显优于单纯循经远取动法和体外冲击波法,且能更好地缓解患者疼痛。

Clinical Study on Effect of Meridian Distal Acupoint Selection and Appropriate Exercise Combined with Extracorporeal Shock Wave on Acute Lumbar Sprain

Objective:To observe the effect of meridian distal acupoint selection and appropriate exercise combined with extracorporeal shock wave on acute lumbar sprain. Methods:Ninety patients who met the diagnostic criteria of acute lumbar sprain were included and randomly divided into three groups:meridian distal acupoint selection and appropriate exercise group,shockwave group and combination therapy group,30 patients in each group. Acupoints were selected at the distal end in the meridian distal acupoint selection with appropriate exercise group. After the arrival of qi,twist and turn technique was used to increase the stimulation intensity of the points,meanwhile,the patients were instructed to move the waist. The needles were kept for 25 minutes,once a day for a total of 7 days. In the shockwave group,Swiss STORZ diverging shockwave therapy instrument MP-100 was used to stimulate the pain points in the waist and the upper,lower,left and right sides,one time every 2 days,with a total of 3 times of treatment. The combination therapy group was given the combination therapy of the above two methods. The scores of the visual analogue scale(VAS) and range of movement(ROM) before and after treatment were compared among the 3 groups. Results:The total effective rate in the combined therapy group was 100.00%,in the meridian distal acupoint selection with appropriate exercise group was 86.67%,and in the shockwave group was 83.34%,respectively. The combination therapy group was significantly better than the other two groups,with significant difference(P<0.01). Pain was reduced in all the three groups after treatment. In the combination therapy group,the effect was most immediate,and after treatment the VAS score was the lower than that in the other two groups,with significant difference(P<0.01). It was showed that the effect was most immediate in the combined group. In the combination therapy group,ROM score was lower than that in the other two groups with significant difference(P<0.01). Conclusion:The effect of meridian distal acupoint selection and appropriate exercise and extracorporeal shock on acute lumbar sprain was significantly better than that of meridian distal acupoint selection with appropriate exercise or shock wave therapy,and it could relieve pain of patients more effectively.