摘要
目的:观察针灸联合双氯芬酸钠缓释胶囊治疗颈肩腰腿痛的临床疗效。方法:选取颈肩腰腿痛患者200例,随机分为观察组和对照组各100例。对照组常规给予双氯芬酸钠缓释胶囊治疗,观察组在对照组基础上加用针灸治疗。观察比较2组临床疗效、中医证候评分、疼痛程度[视觉模拟评分法(VAS)评分]、运动功能[Fugl-Meyer运动功能评定量表(FMA)]及睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]。结果:观察组总有效率为93.00%(93/100),对照组为84.00%(84/100),2组比较,差异有统计学意义(P<0.05)。治疗后,观察组主、次症等中医证候评分均较治疗前降低(P<0.05),且观察组2项评分均低于对照组(P<0.05)。治疗前,2组疼痛VAS评分比较,差异无统计学意义(P>0.05)。治疗3、10天,2组VAS评分均较本组前一时间点降低(P<0.05),且观察组在相同时间点VAS评分均低于对照组(P<0.05)。治疗后,2组FMA评分均较治疗前升高(P<0.05),PSQI评分均较治疗前降低(P<0.05);且观察组FMA评分高于对照组(P<0.05),PSQI评分低于对照组(P<0.05)。结论:中医针灸治疗颈肩腰腿痛患者能有效改善患者中医证候,减轻疼痛程度,提高临床疗效,并有助于改善患者的运动功能和睡眠质量。
Objective:To observe the clinical effect of acupuncture and moxibustion combined with Diclofenac Sodium Sustained-Release Capsules for pain in neck,shoulder,waist,and leg.Methods:A total of 200 cases of patients with pain in neck,shoulder,waist,and leg were selected and randomly divided into the observation group and the control group,with 100 cases in each group.The control group was routinely given Diclofenac Sodium Sustained-Release Capsules,and the observation group was additionally treated with acupuncture and moxibustion based on the treatment of the control group.Clinical effects,traditional Chinese medicine(TCM)syndrome scores,pain severity[Visual Analogue Scale(VAS)scores],motor function[scores of Fugl-Meyer Motor Function Assessment Scale(FMA)],and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were observed and compared between the two groups.Results:The total effective rate was 93.00%(93/100)in the observation group and 84.00%(84/100)in the control group,the difference being significant(P<0.05).After treatment,the scores of main and secondary symptoms of TCM syndromes in the two groups were declined(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference in VAS scores between the two groups(P>0.05).After 3 and 10 days of treatment,VAS scores in the two groups were reduced compared to the previous time point in the same group(P<0.05),and VAS scores in the observation group were lower than those in the control group at the same time point(P<0.05).After treatment,FMA scores in the two groups were increased when compared with those before treatment(P<0.05),and PSQI scores were declined when compared with those before treatment(P<0.05);FMA score in the observation group was higher than that in the control group(P<0.05),and PSQI score in the observation group was lower than that in the control group(P<0.05).Conclusion:In the treatment of pain in neck,shoulder,waist,and leg,acupuncture and moxibustion of TCM can effectively improve the TCM syndrome of patients,reduce the severity of pain,improve the clinical curative effect,and help improve their motor function and sleep quality.
作者
汪来煜
张艳军
陈朴涛
WANG Laiyu;ZHANG Yanjun;CHEN Putao(Pain Department,Anji Pushi Hospital of Integrated Chinese and Western Medicine,Anji Zhejiang 313300,China;Orthopaedics Department,Anji Pushi Hospital of Integrated Chinese and Western Medicine,Anji Zhejiang 313300,China)
出处
《新中医》
2025年第12期104-108,共5页
New Chinese Medicine
关键词
颈肩腰腿痛
痰瘀痹阻证
针灸疗法
双氯芬酸钠缓释胶囊
疼痛
运动功能
睡眠质量
Pain in neck,shoulder,waist,and leg
Phlegm-stasis impediment and obstruction syndrome
Acupuncture and moxibustion therapy
Diclofenac Sodium Sustained-Release Capsules
Pain
Motor function
Sleep quality
