CAJ | 학술논문

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。
목적：관찰침자후계혈결합초단파치료급성요뉴상적료효。방법135례요뉴상환자수궤분위삼조：후계혈침자조、초단파치료조、결합조，삼조분별채용상응적방법치료，관찰삼조재치료l주화1개월후적료효。결과치료1주후，경과Ridit분석，삼조지간적차이유통계학의의（P=0.016）。후계혈침자조여초단파치료조지간적차이무통계학의의（P=0.409），결합조여후계혈침자조、초단파치료조비교지간적차이유통계학의의（P=0.046，P=0.005）。1개월후수방，후계혈침자조여초단파치료조지간적차이무통계학의의（P=0.575），결합조여후계혈침자조、초단파치료비교지간적차이유통계학의의（P=0.041，P=0.010）。결론후계혈침자여초단파량자결합치료급성요뉴상가이명현제고조기료효，수획교호적원기료효，기감경홀자적통고，우가이강저급성요뉴상적재차발생，치득림상추엄응용。
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.