摘要
目的观察刺络放血后拔药罐治疗瘀血阻络型腰背肌筋膜炎的临床疗效。方法选择2017年3月-2018年10月笔者所在医院就诊的腰背肌筋膜炎患者144例,按照就诊的先后顺序分为对照组和治疗组,各72例。对照组口服盐酸乙哌立松片50 mg/次,3次/d,1周为1个疗程,共治疗3个疗程。治疗组给予刺络放血后拔药罐疗法,每3天1次,3次为1个疗程,共治疗3个疗程。对比2组疗效及治疗前后视觉模拟评分(VAS)、Oswestry功能障碍指数问卷表(ODI)评分。结果治疗组总有效率高于对照组(χ^2=7.91,P<0.05)。治疗前及治疗1个疗程后2组VAS评分及ODI评分差异无统计学意义(P>0.05),治疗2、3个疗程后2组VAS评分及ODI评分差异有统计学意义(P<0.05)。结论刺络放血后拔药罐治疗瘀血阻络型腰背肌筋膜炎临床疗效显著,可明显缓解患者腰背部疼痛,改善活动功能。
Objective To observe the clinical effect of cupping combined with blood-letting puncture in the treatment of waist and back muscle fasciitis with stagnation of blood stasis in the collateral.Methods 144 patients with waist and back muscle fasciitis, who visited the hospital from March 2017 to October 2018, were randomly divided into control group and treatment group according to the sequence of visit, 72 cases in each group.The control group was given eperisone hydrochloride tablets orally, 50 mg/time, 3 times/d, one week was one course and 3 courses totally.And the treatment group was given cupping combined with blood-letting puncture therapy, one time/3 days, 3 times was one course and 3 courses totally.Visual Analogue Scale/Score(VAS) and Oswestry Dability Index(ODI) score were compared between the two groups before and after treatment.Results The total effectiveness of treatment group was higher than that of the control group(X^2=7.91,P<0.05).There was no significant difference in VAS score and ODI score between the two groups before treatment and after one course of treatment(P>0.05).There were significant differences in VAS score and ODI score between the two groups after 2 and 3 courses of treatment(P<0.05).Conclusion Cupping combined with blood-letting puncture can obviously relieve the pain in the waist and back of patients and improve their movement with remarkable clinical effect.
作者
王圆圆
彭东丹
黎志坚
庄金刚
徐银银
温建民
程肖芳
WANG Yuan-yuan;PENG Dong-dan;LI Zhi-jian;ZHUANG Jin-gang;XU Yin-yin;WEN Jian-min;CHENG Xiao-fang(Department of Massage,Shenzhen Hospital of Beijing University of Chinese Medicine(Longgang),Shenzhen 518000,China;No.2 Department of Orthopaedics,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102)
出处
《北京中医药》
2020年第1期14-17,共4页
Beijing Journal of Traditional Chinese Medicine
基金
深圳市医疗卫生三名工程项目(SZSM201805089)。
关键词
腰背肌筋膜炎
药罐
刺络放血
瘀血阻络
waist and back muscle fasciitis
cupping
blood-letting puncture
stagnation of blood stasis in the collateral
