| 摘要: |
| 目的：观察傍针刺治疗血瘀型慢性非特异性下腰痛的临床疗效。方法：将64例血瘀型慢性非特异性下腰痛患者随机分为治疗组与对照组，每组各32 例。治疗组予以傍针刺法治疗，对照组予以常规针刺治疗，均30 min/次，1次/d，以7 d为1个疗程，共治疗2个疗程。观察2组疼痛视觉模拟量表（Visual Analog Scale，VAS）评分、日本骨科学会下腰痛评定量表（Japanese Orthopedic Association，JOA）评分、腰椎功能障碍指数（Oswestry Disability Index，ODI）评分、中医证候积分和白细胞介素-6（interleukin-6，IL-6）、内啡肽（β-EP）的水平变化，并评价临床疗效。结果：总有效率治疗组为93.75%（30/32），对照组为87.50%（28/32），2组比较，差异有统计学意义（P＜0.05）。治疗第7天、第14天及治疗后14 d 2组VAS评分、JOA评分、ODI评分、中医证候积分均优于治疗前，其中治疗第14天及治疗后14 d改善更明显，且治疗组与对照组同时间节点比较，差异均有统计学意义（P＜0.05）。治疗第14天后，2组IL-6、β-EP水平均优于治疗前，且治疗组优于对照组（P＜0.05）。结论：相较于常规针刺，傍针刺法治疗血瘀型慢性非特异性下腰痛在缓解腰部疼痛、改善功能障碍和血瘀证候方面疗效更为显著，其机制可能与降低血清炎症因子和提升β-EP含量有关。 |
| 关键词: 慢性非特异性下腰痛 血瘀型 傍针刺法 临床观察 |
| DOI： |
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| Clinical effect of proximal needling in treatment of chronic non-specific low back pain with blood stasis：An analysis of 32 cases |
| CHEN Liping,CEN Ke,FANG Jin |
| (Huanggang Hospital of Traditional Chinese Medicine，Huanggang 438000，Hubei，China) |
| Abstract: |
| Objective：To investigate the clinical effect of proximal needling in the treatment of chronic non-specific low back pain with blood stasis.Methods：A total of 64 patients with chronic non-specific low back pain with blood stasis were randomly divided into treatment group and control group，with 32 patients in each group.The patients in the treatment group received proximal needling，and those in the control group received conventional acupuncture，for 30 minutes each time，once a day.Each course of treatment was 7 days，and both groups were treated for 2 courses.The two groups were observed in terms of the changes in Visual Analog Scale (VAS) pain score，Japanese Orthopedic Association (JOA) low back pain rating scale score，Oswestry Disability Index (ODI) score，traditional Chinese medicine (TCM) syndrome score，and the levels of interleukin-6 (IL-6) and β-endorphin (β-EP)，and clinical outcome was assessed.Results：There was a significant difference in overall response between the treatment group and the control group ［93.75% (30/32) vs 87.50% (28/32)，P < 0.05］.Both groups had significantly better VAS score，JOA score，ODI score，and TCM syndrome score on days 7 and 14 of treatment and 14 days affer treatment，with significantly greater improvements on day 14 and 14 days after treatment ，and there were significant differences in these scores between the two groups at the same time point (P < 0.05).After 14 days of treatment，both groups had significantly better expression levels of IL-6 and β-EP，and the treatment group had significantly better levels than the control group (P < 0.05).Conclusion：Compared with conventional acupuncture in the treatment of chronic non-specific low back pain with blood stasis，proximal needling shows a better clinical effect in alleviating lumbar pain and improving dysfunction and blood stasis syndrome，possibly by reducing serum inflammatory factors and increasing the content of endorphin. |
| Key words: chronic non-specific low back pain blood stasis proximal needling clinical observation |
