CAJ | 학술논문

目的：比较不同方法治疗腰肌劳损的近、远期临床疗效。方法将2010年1月~2013年1月治疗的144例腰肌劳损患者随机分为银质针配合推拿治疗组（Ⅰ组）、针刺配合推拿治疗组（Ⅱ组）和单纯推拿治疗组（Ⅲ组），每组各48例。经过2个疗程治疗后，对3组治疗后1个月、1年的临床疗效及视觉模拟评分（ VAS）进行统计对比。结果治疗后1个月，Ⅰ组、Ⅱ组、Ⅲ组的总有效率分别为100%、87.5%和70.8%，Ⅰ组明显高于Ⅱ组和Ⅲ组，Ⅱ组明显高于Ⅲ组（均p<0.05）；治疗后1年，Ⅰ组、Ⅱ组、Ⅲ组的总有效率分别为87.5%、62.5%和47.9%，Ⅰ组明显高于Ⅱ组和Ⅲ组（p<0.05），Ⅱ组与Ⅲ组间未见显著差异（p>0.05）。治疗后1个月，Ⅰ组VAS评分明显低于Ⅱ组和Ⅲ组，Ⅱ组明显低于Ⅲ组（均p<0.05）；治疗后1年，Ⅰ组VAS评分明显低于Ⅱ组和Ⅲ组（p<0.05），Ⅱ组与Ⅲ组相比未见明显差异（p>0.05）。结论针刺配合推拿治疗腰肌劳损具有较好的近期疗效，但远期疗效局限；银质针配合推拿治疗腰肌劳损具有较好的近、远期疗效，值得临床推广应用。
목적：비교불동방법치료요기로손적근、원기림상료효。방법장2010년1월~2013년1월치료적144례요기로손환자수궤분위은질침배합추나치료조（Ⅰ조）、침자배합추나치료조（Ⅱ조）화단순추나치료조（Ⅲ조），매조각48례。경과2개료정치료후，대3조치료후1개월、1년적림상료효급시각모의평분（ VAS）진행통계대비。결과치료후1개월，Ⅰ조、Ⅱ조、Ⅲ조적총유효솔분별위100%、87.5%화70.8%，Ⅰ조명현고우Ⅱ조화Ⅲ조，Ⅱ조명현고우Ⅲ조（균p<0.05）；치료후1년，Ⅰ조、Ⅱ조、Ⅲ조적총유효솔분별위87.5%、62.5%화47.9%，Ⅰ조명현고우Ⅱ조화Ⅲ조（p<0.05），Ⅱ조여Ⅲ조간미견현저차이（p>0.05）。치료후1개월，Ⅰ조VAS평분명현저우Ⅱ조화Ⅲ조，Ⅱ조명현저우Ⅲ조（균p<0.05）；치료후1년，Ⅰ조VAS평분명현저우Ⅱ조화Ⅲ조（p<0.05），Ⅱ조여Ⅲ조상비미견명현차이（p>0.05）。결론침자배합추나치료요기로손구유교호적근기료효，단원기료효국한；은질침배합추나치료요기로손구유교호적근、원기료효，치득림상추엄응용。
Objective To compare the short and long term curative effect of different methods in the treatment of lumbar muscle strain. Methods Total 144 patients with lumbar muscle strain to receive treatment in our squadron from Jan. 2010 to Jan. 2013 were randomly divided into groupⅠ(silver needle acupuncture combined with massage;n=48),groupⅡ(acupuncture combined with massage;n=48),and groupⅢ(simple massage;n=48). After two courses of treatment,statistics and comparison of the curative effects and visual analog scores (VAS)among the three groups were made after the treatment for one month and one year. Resuits After the treatment for one month,the total effectiveness in the three groups was 100%,87. 5% and 70. 8%,respectively;the effectiveness in groupⅠwas significantly higher than that in other two groups,and that in groupⅢdecreaseed significantly compared with groupⅡ(all p<0. 05). After the treatment for one year, the total effectiveness in the three groups was 87. 5%,62. 5% and 47. 9%,respectively;the effectiveness in groupⅠwas significantly higher than that in other two groups(p<0. 05),and those in groupⅡandⅢhad no significant difference(p>0. 05). After the treatment for one month,the VAS score in groupⅠwas significantly lower than that in groupⅡandⅢ,and that in groupⅢincreased significantly compared with groupⅡ(all p<0. 05);after the treatment for one year,the VAS score in groupⅠwas significantly lower than that in groupⅡandⅢ(p<0. 05),and those in groupⅡandⅢhad no significant difference( p>0. 05). Conciusion Acupuncture combined with massage has better short-term curative effect but worse long-term curative effect on lumbar muscle strain;silver needle acupuncture combined has better short and long term curative effect on lumbar muscle strain,and is worth clinical promotion and application.