标题：互动式刺法加贴敷疗法治疗急性腰扭伤临床疗效观察

      作者：朱华亮 1，周宗波 1，蔡燕 2    1.海口市中医医院骨伤科，海南 海口 570216；2.海南省人民医院中医科，海南 海口 570311

      卷次： 2019年30卷10期

      【摘要】 目的 观察互动式刺法加贴敷疗法治疗急性腰扭伤的临床疗效，为临床上治疗急性腰扭伤提供有效、可行的治疗方法。方法 选择2017年1月至2018年10月海口市中医医院骨伤科门诊60例急性腰扭伤患者，按随机数表法分为观察组和对照组，每组30例。观察组采取互动式刺法加贴敷疗法治疗，对照组采取贴敷疗法，两组患者均治疗3 d。分别于治疗前后测定两组患者的视觉模拟评分(VAS)、腰椎活动度评分，并检测患者治疗前后血清中白细胞介素-6 (IL-6)、血栓素B2 (TXB2)、肿瘤坏死因子-α (TNF-α)水平，比较两组患者的临床效果。结果观察组患者的临床治疗总有效率为90.0%，明显高于对照组的73.3%，差异具有统计学意义(P<0.05)；治疗后，观察组和对照组患者的VAS评分[(1.32±0.92)分 vs (2.54±1.38)分]、腰椎活动度评分[(1.05±0.46)分 vs (2.34±0.58)分]、血清IL-6 [(51.47±5.34) mg/L vs (59.37±7.11) mg/L]、TXB2 [(134.26±12.10) ng/L vs (153.84±13.72) ng/L]、TNF-α [(0.88±0.21) μg/L vs (1.64±0.32)μg/L]比较，观察组明显低于对照组，差异均有统计学意义(P<0.05)。结论 互动式刺法联合贴敷疗法治疗急性腰扭伤能够能很快改善症状，降低血清炎症因子，临床疗效显著。
      【关键词】 急性腰扭伤；互动式刺法；贴敷疗法；视觉模拟评分；腰椎活动度评分
      【中图分类号】 R68 【文献标识码】 A 【文章编号】 1003—6350（2019）10—1289—04

Clinical observation on the treatment of acute lumbar sprain with interactive acupuncture-movement therapyand sticking therapy.
ZHU Hua-liang 1, ZHOU Zong-bo 1, CAI Yan 2. 1. Department of Orthopaedics, Haikou Hospital ofTraditional Chinese Medicine, Haikou 570216, Hainan, CHINA; 2. Department of Traditional Chinese Medicine, HainanGeneral Hospital, Haikou 570311, Hainan, CHINA
【Abstract】 Objective To observe the clinical efficacy of interactive acupuncture-movement therapy and stick-ing therapy in the treatment of acute lumbar sprain, and provide an effective and feasible method for clinical treatment.Methods A total of 60 patients with acute lumbar sprain in the Department of Orthopaedics at Haikou Hospital of Tra-ditional Chinese Medicine from January 2017 to October 2018 were randomly divided into observation group and con-trol group, according to the random number table method, with 30 cases in each group. The observation group was treat-ed with interactive acupuncture-movement therapy and sticking therapy, and the control group was treated with stickingtherapy. Two groups of patients were treated for 3 days. The Visual Analog Scale (VAS) and Lumbar Motion Scores weremeasured before and after treatment, and the serum levels of interleukin-6 (IL-6), thromboxane B2 (TXB2), tumor necrosisfactor-α (TNF-α) were measured before and after treatment. The clinical effects were compared between the two groups ofpatients. Results The total effective rate of clinical treatment in the observation group was 90.0%, which was significantlyhigher than 73.3% in the control group (P<0.05). After treatment, the VAS score ([1.32±0.92] vs [2.54±1.38]), lumbar mo-tion score ([1.05±0.46] vs [2.34±0.58]), IL-6 levels ([51.47±5.34] mg/L vs [59.37±7.11] mg/L), TXB2 levels ([134.26±12.10] ng/L vs [153.84±13.72] ng/L), and TNF-α levels ([0.88±0.21] μg/L vs [1.64±0.32] μg/L) were compared betweenthe observation group and the control group, and the levels in the observation group was significantly lower than those thecontrol group (P<0.05). Conclusion Interactive acupuncture-movement therapy combined with sticking therapy for acutelumbar sprain can quickly improve symptoms and reduce serum inflammatory factors. The clinical efficacy is satisfactory.
      【Key words】 Acute lumbar sprain; Interactive acupuncture-movement therapy; Sticking therapy; Visual AnalogScale (VAS); Lumbar Motion Scores