[1]周胜利,贺卓众,杨阳,等.基于颈骶并治理论针刀治疗腰骶肌筋膜炎30例[J].中国中医骨伤科杂志,2025,33(02):67-70+75.[doi:10.20085/j.cnki.issn1005-0205.250213]
　ZHOU Shengli,HE Zhuozhong,YANG Yang,et al.30 Cases of Lumbosacral Myofascitis Treated with Acupotomy Based on the Theory of Combined Treatment of Cervical Sacral[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(02):67-70+75.[doi:10.20085/j.cnki.issn1005-0205.250213]
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基于颈骶并治理论针刀治疗腰骶肌筋膜炎30例()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年02期
页码:
67-70+75
栏目:
临床报道
出版日期:
2025-02-15

文章信息/Info

Title:
30 Cases of Lumbosacral Myofascitis Treated with Acupotomy Based on the Theory of Combined Treatment of Cervical Sacral
文章编号:
1005-0205(2025)02-0067-04
作者:
周胜利1; 2; 贺卓众1; 2; 杨阳1; 2; 文皓佳1; 2; 付磊2△
1湖南中医药大学第二中医临床学院(长沙,410005)
2湖南中医药大学第二附属医院
Author(s):
ZHOU Shengli1; 2; HE Zhuozhong1; 2; YANG Yang1; 2; WEN Haojia1; 2; FU Lei2△
1The Second School of Clinical Medicine,Hunan University of Chinese Medicine,Changsha 410005,China; 2The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410005,China.
关键词:
颈骶并治;  针刀;  腰骶肌筋膜炎;  临床疗效
Keywords:
combined treatment of cervical sacral;  acupot- omy;  lumbosacral myofascitis
分类号:
R686.3
DOI:
10.20085/j.cnki.issn1005-0205.250213
文献标志码:
B
摘要:
目的:观察基于颈骶并治理论针刀治疗腰骶肌筋膜炎的近远期疗效。方法:于2024年1-5月招募腰骶肌筋膜炎患者30例,予以颈骶并治针刀治疗,每5 d治疗1次,共3次。观察其治疗前、治疗后1 d、3个月及6个月的下腰痛日本骨科协会(JOA)评分、Oswestry功能障碍指数(ODI)评分及剪切波弹性成像法的弹性模量值,评估其近远期疗效。结果:与治疗前相比,治疗后JOA评分、ODI评分及弹性模量值明显下降,差异有统计学意义(P<0.05); JOA评分与ODI评分根据重复测量方差分析,存在时间主效应且差异有统计学意义(P<0.001)。治疗后愈显率为63.33%,总有效率为100%。结论:基于颈骶并治理论针刀治疗腰骶肌筋膜炎的近远期疗效显著,能明显减轻患者腰骶部疼痛状况,改善症状体征、生活质量和激痛点硬度,且无不良反应。
Abstract:
Objective:To assess the short-term and long-term outcomes of needle-knife therapy for lumbosacral myofascial fasciitis based on the combined treatment of cervical sacral principle.Methods:Between January and May 2024,30 patients with lumbosacral myofascial fasciitis were recruited and treated with needle-knife therapy following the combined treatment of cervical sacral protocol,with treatments every 5 d for a total of 3 sessions.The low back pain JOA scores,ODI scores,and the Young's modulus values from shear wave elastography(SWE)were measured before treatment,and 1 d,3 months,and 6 months post-treatment to evaluate both short-term and long-term outcomes.Results:Post-treatment,the JOA and ODI scores,as well as the Young's modulus values,showed significant reductions compared to those measured before treatment(P<0.05); Significant differences were observed in the JOA and ODI scores over time,as indicated by repeated measures analysis of variance(P<0.001).After treatment,the recovery rate was 63.33%,and the total effective rate was 100%.Conclusion:Needle-knife therapy grounded in the combined treatment of cervical sacral principle demonstrates significant short-term and long-term efficacy in treating lumbosacral myofascial fasciitis.It effectively alleviates lumbosacral pain,ameliorates symptoms and signs,enhances quality of life,and reduces the hardness of pain points,without any adverse reactions.

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备注/Memo

备注/Memo:
基金项目:湖南省中医药管理局科研计划项目(D2022032)
湖南中医药大学校级科研基金与联合项目(2021XJJJ056)
湖南中医药大学研创课题(2024CX061)
△通信作者 E-mail:fulei@126.com
更新日期/Last Update: 2025-02-15