温通刮痧法在气滞血瘀型肩颈部疼痛患者中止痛的疗效观察

摘要

目的 观察温通刮痧法在治疗气滞血瘀型肩颈部疼痛患者中的止痛效果.方法 采用随机分组的方法,将本院2017年12月至2018年8月收治的气滞血瘀型肩颈部疼痛患者120例随机分成4组,分别是空白组、艾灸组、刮痧组和温通刮痧组(艾灸+刮痧),每组30例.空白组患者不采用中医外治法,艾灸组是采用艾灸法治疗,刮痧组是采用刮痧法治疗,温通刮痧法组采用艾灸法联合刮痧法治疗,观察4组在治疗肩颈部疼痛患者中的疼痛效果.结果 温通刮痧法组治疗总有效率为92.9％,空白组为57.1％,艾炙组为78.6％,刮痧组为67.9％,温通刮痧法组治疗总有效率均高于其他3组(均P＜0.05);治疗后,温通刮痧法组患者疼痛评分均低于空白组、艾灸组和刮痧组(均P＜ 0.05).结论 温通刮痧法能有效缓解气滞血瘀型肩颈部疼痛患者的疼痛.%Objective To observe the analgesic effect of warming and scraping in the treatment of patients with shoulder and neck pain of qi stagnation and blood stasis type.Methods 120 patients with shoulder and neck pain of qi stagnation and blood stasis type treated at our hospital form December,2017 to August,2018 were randomly divided into a blank group,a moxibustion group,a scraping group,and a warming and scraping group,30 cases for each group.The blank group did not use the external treatment of traditional Chinese medicine.The moxibustion group were treated with moxibustion,the scraping group with scraping,the warming and scraping group with moxibustion,warming,and scraping.The effects of the 4 groups were observed.Results The total effective rate was 92.9％ in the warming and scraping group,57.1％ in the blank group,78.6％ in the moxibustion group,and 67.9％ in the scraping group (all P ＜ 0.05).After the treatment,the pain score was lower in the warming and scraping group than in the blank group,the moxibustion group,and the scraping group (all P ＜ 0.05).Conclusion Warming and scraping in the treatment of patients with shoulder and neck pain of qi stagnation and blood stasis type is effective.