【摘要】 【目的】观察筋针运动疗法治疗急性腰扭伤患者的临床疗效。【方法】将60例急性腰扭伤患者随机分为观察组和对照组,每组各30例。观察组采用筋针运动疗法治疗,对照组给予口服醋氯芬酸缓释片治疗。连续治疗5 d。治疗5 d后,评价2组临床疗效,观察2组患者治疗前后视觉模拟评分(VAS)以及脊柱活动度的变化情况,并评价2组的安全性及不良反应的发生情况。【结果】(1)治疗后,2组患者的VAS评分、脊柱活动度评分均明显改善(P<0.05),且观察组在改善VAS评分、脊柱活动度评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)观察组总有效率为100.00%(30/30),对照组为93.33%(28/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗过程中,治疗组未发生明显不良反应。对照组有3例患者出现呕吐、恶心、厌食的症状,1例患者出现皮肤瘙痒的症状,1例患者出现便秘的症状,予以对症处理后症状消失。2组患者不良反应发生率比较,治疗组明显优于对照组,差异有统计学意义(P<0.05)。【结论】筋针运动疗法治疗急性腰扭伤能够减轻患者腰痛的症状,显著改善患者的生活质量,临床疗效显著。更多还原

【Abstract】 Objective To observe the clinical effect of sinew acupuncture exercise therapy for the treatment of acute lumbar sprain. Methods A total of 60 cases of acute lumbar sprain were randomly divided into observation group and control group,30 cases in each group. The observation group of patients received sinew acupuncture exercise therapy,and the control group of patients received oral use of analgesic sustained release tablets,the treatment lasting 5 continuous days. After 5 days of treatment,the clinical efficacy of the two groups was evaluated,the changes in visual analogue scale(VAS)score,spinal range of motion in the two groups were observed before and after treatment, and the safety and incidence of adverse reactions in the two groups were evaluated. Results(1)After treatment,the VAS score and spinal range of motion in the two groups were improved(P<0.05),and the improvement in VAS score and spinal range of motion of the observation group was superior to that of the control group(P<0.05).(2)The total effective rate was 100.00%(30/30)in the observation group, and was 93.33%(28/30)in the control group. The curative efficacy of the observation group was superior to that of the control group(P<0.05).(3)During the trial,no obvious adverse reactions were seen in the observation group. The symptoms of emesis,nausea,anorexia occurred in 3 cases of patients in the control group,skin itch in one case,constipation in one case, and then disappeared after symptomatic treatment. The incidence of adverse reactions in the observation group was lower than the control group(P<0.05). Conclusion Sinew acupuncture exercise therapy has an effect on treatment of acute lumbar sprain,and is effective for reducing the lumbago symptoms of the patients,and significantly improving the quality of life.更多还原