针刺运动疗法结合中药热敷治疗急性腰扭伤的临床研究

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Abstract Objective To observe the clinical effect of acupuncture exercise therapy combined with Chinese medicine hot compress in the treatment of acute lumbar sprain. Methods One hundred and twenty patients with acute lumbar sprain admitted to Sanhe Hospital and Sanhe Hospital of Traditional Chinese Medicine from April 2017 to December 2018 were selected as subjects, and they were divided into 2 groups by random number table method, with 60 cases in each group. The observation group was given acupuncture exercise therapy, taking the two points of fútù and xuánzhōng, and combined with hot compress of traditional Chinese medicine Carthami Flos, Spatholobi Caulis, Lycopodii Herba, Phryma Leptostachya, Chaenomelis Fructus, Benincasae Exocarpium, and so on. The control group was given ordinary acupuncture in double lateral lumbar vertebral jiájǐ, shènshù, zhìshì, dàchángshù, yāoyǎn, and combined with external use of Voltaren, 4 times a day, 5 days was taken as a course of treatment, after one course of treatment, the effect was evaluated. The visual analog scale (VAS) was used to compare the lumbago degree of the two groups before and after treatment. The lumbar mobility was detected before and after treatment, including lumbar anteflexion angle, rear protraction angle, right angle of curvature, and left-hand rotation angle. The clinical efficacy of acute lumbar sprain between the two groups was evaluated. Results There was no significant difference in VAS scores between the two groups before treatment (P ＞ 0.05). After treatment, the VAS scores of the two groups were lower than those before treatment (P < 0.05), which of the observation group were lower than those of the control group (P ＜ 0.05). There were no significant differences in all indices of lumbar mobility between the two groups before treatment (P ＞ 0.05). The indices of lumbar mobility of the two groups were higher than those before treatment (P ＜ 0.05), which of the observation group were higher than those of the control group (P ＜ 0.05). The effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P ＜ 0.05). Conclusion Acupuncture exercise therapy combined with Chinese medicine hot compress for acute lumbar sprain has quick effect and less adverse reactions, the curative effect is better than ordinary acupuncture combined with Voltaren.

Key words： Chinese medicine hot compress Extra point Acupuncture exercise therapy Acute lumbar sprain

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	CHEN Wenjie1 CAO Yueqiang1 WANG Aimin2 BAI Ruyu2 ZHANG Zhigang3 ZHANG Ping3 XUE Yujuan3 YAN Jinsheng4

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CHEN Wenjie1 CAO Yueqiang1 WANG Aimin2 BAI Ruyu2 ZHANG Zhigang3 ZHANG Ping3 XUE Yujuan3 YAN Jinsheng4. Clinical study of acupuncture exercise therapy combined with Chinese medicine hot compress in the treatment of acute lumbar sprain[J]. 中国医药导报, 2019, 16(22): 131-134.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I22/131

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