针刺后溪穴结合超短波治疗急性腰扭伤的近远期疗效观察

摘要

Objective To investigate short-term and long-term therapeutic effect of acupuncture at Houxi(SI 3) combined with ultrashort wave therapy on acute lumbar sprain. Methods One hundred and thirty-five cases of acute lumbar sprain were randomly divided into three groups, a acupuncture at Houxi(SI 3) group, a ultrashort wave therapy group, a combined therapy group, 45 cases in each group. The three group were treated with relevant methods.Their therapeutic effects were evaluated after treatment for 7 days and one month respectively. Results After a week the therapeutic effect of the three groups was statistically significant difference (P=0.016). The therapeutic effect was not statistically significant difference (P=0.409)between the acupuncture at Houxi (SI 3) group and the ultrashort wave therapy group. The therapeutic effect was statistically significant difference (P=0.005) compared the combined therapy group with acupuncture at Houxi(SI 3) group or the ultrashort wave therapy group espectively. After a month the therapeutic effect of the three groups was not statistically significant difference (P=0.575) between the acupuncture at Houxi(SI 3) group and the ultrashort wave therapy group. The therapeutic effect was statistically significant difference (P=0.041,P=0.010) compared the combined therapy group with acupuncture at Houxi(SI 3) group or the ultrashort wave therapy group espectively. Conclusion Both the short-term and the long-term therapeutic effects of acupuncture at Houxi(SI 3) combined with ultrashort wave therapy on acute lumbar sprain are better than those in the single therapy group. The combined therapy have the obvious effect of less pain and the rate of recrudescence, so the methods should be promoted the use of fit.%目的：观察针刺后溪穴结合超短波治疗急性腰扭伤的疗效。方法135例腰扭伤患者随机分为三组：后溪穴针刺组、超短波治疗组、结合组，三组分别采用相应的方法治疗，观察三组在治疗l周和1个月后的疗效。结果治疗1周后，经过Ridit分析，三组之间的差异有统计学意义（P=0.016）。后溪穴针刺组与超短波治疗组之间的差异无统计学意义（P=0.409），结合组与后溪穴针刺组、超短波治疗组比较之间的差异有统计学意义（P=0.046，P=0.005）。1个月后随访，后溪穴针刺组与超短波治疗组之间的差异无统计学意义（P=0.575），结合组与后溪穴针刺组、超短波治疗比较之间的差异有统计学意义（P=0.041，P=0.010）。结论后溪穴针刺与超短波两者结合治疗急性腰扭伤可以明显提高早期疗效，收获较好的远期疗效，既减轻忽者的痛苦，又可以降低急性腰扭伤的再次发生，值得临床推广应用。