| 任彬彬,冯晓东,张 超.经筋辨证理论针刺治疗慢性腰痛镇痛效应的临床研究[J].中国康复医学杂志,2021,(6):676~680 |
| 经筋辨证理论针刺治疗慢性腰痛镇痛效应的临床研究 点此下载全文 |
| 任彬彬 冯晓东 张 超 |
| 河南中医药大学第一附属医院康复科，河南省郑州市，450000 |
| 基金项目：河南省中医药科学研究专项课题（2018ZY2133）；2017年全国名老中医药专家传承工作室建设项目[国中医药人教函（2018）134] |
| DOI：10.3969/j.issn.1001-1242.2021.06.006 |
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| 摘要： |
| 摘要
目的：探讨经筋辨证理论针刺治疗慢性腰痛的临床效果。
方法：选取本院慢性腰痛患者96例（2018年9月—2019年6月），随机数字表法分为对照组（n=48）与研究组（n=48）。两组均实施核心稳定训练，对照组采取传统取穴针刺方法，研究组于对照组基础上采取经筋辨证理论针刺。统计两组治疗前及治疗结束后疼痛程度（VAS）及腰部功能（RMDQ）评分、临床疗效、腰部动态及静态肌耐力、治疗满意度。
结果：①疼痛及腰部功能：治疗前两组VAS及RMDQ分值间无显著差异（P＞0.05），治疗结束后两组VAS及RMDQ分值较治疗前降低（P＜0.05），且研究组低于对照组（P＜0.05）；②临床疗效：研究组总有效率（93.75%）高于对照组（79.17%）（P＜0.05）；③腰部动态及静态肌耐力：治疗前两组腰部动态及静态肌耐力间无显著差异（P＞0.05），治疗结束后两组腰部动态及静态肌耐力较治疗前增加（P＜0.05），且研究组高于对照组（P＜0.05）；④治疗满意度：研究组治疗满意度（95.83%）高于对照组（79.17%）（P＜0.05）。
结论：核心稳定训练、传统取穴针刺基础上采取经筋辨证理论针刺治疗慢性腰痛，可有效缓解患者疼痛程度，改善腰部功能，增强腰部动态及静态肌耐力，提升疾病整体治疗疗效，且患者对治疗效果满意度较高。 |
| 关键词：经筋辨证理论针刺 慢性腰痛 镇痛效果 腰部功能 腰部肌耐力 |
| Clinical study on the analgesic effect of acupuncture based on meridian-tendon dialectical theory in chronic low back pain Download Fulltext |
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| Rehabilitation Department of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine， Henan， Zhengzhou， 450000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To explore the clinical effect of acupuncture based on meridian-tendon dialectical theory in chronic low back pain.
Method：Ninety-six patients with chronic low back pain (from September 2018 to June 2019) in our hospital were randomly divided into control group (n=48) and study group (n=48). Core stability training was carried out in both groups. The traditional acupoint selection and acupuncture method were adopted in the control group， while the research group received acupuncture based on meridian-tendon dialectical theory on the basis of the control group. The VAS and RMDQ scores， lumbar dynamic and static muscle endurance before and after treatment， and clinical efficacy， treatment satisfaction were counted.
Result：①Pain and lumbar function： There was no significant difference in VAS and RMDQ scores between the two groups before treatment (P>0.05). After treatment， the VAS and RMDQ scores of the two groups were lower than those before treatment (P<0.05)， of which the research group were lower than those of the control group (P<0.05). ②Clinical efficacy： The total effective rate of the study group (93.75%) was higher than that of the control group (79.17%) (P<0.05). ③Lumbar dynamic and static muscle endurance： There was no significant difference in lumbar dynamic and static muscle endurance between the two groups before treatment (P>0.05). Lumbar dynamic and static muscle endurance of the two groups increased after treatment (P<0.05)， of which the research group was higher than those of the control group (P<0.05). ④Treatment satisfaction： The treatment satisfaction of the research group (95.83%) was higher than that of the control group (79.17%) (P<0.05).
Conclusion：Acupuncture based on meridian-tendon dialectical theory in chronic low back pain on the basis of core stability training and traditional acupoint selection and acupuncture can effectively relieve pain， improve the waist function， enhance the dynamic and static muscle endurance of the waist， improve the overall treatment effect of the disease， and the patients are satisfied with the treatment effect. |
| Keywords:acupuncture based on meridian-tendon dialectical theory chronic low back pain analgesic effect lumbar function lumbar muscle endurance |
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