康志　马春花　刘海永　白荟芳

[摘要] 目的 探討针刺伏兔配委中放血疗法治疗急性腰扭伤的临床效果。 方法 对2010年9月～2011年9月河北省三河市医院针灸科门诊诊治的60例急性腰扭伤患者资料进行回顾性分析，根据治疗方法不同分成两组，各30例。治疗组采用针刺伏兔配委中放血疗法；对照组采用针刺腰椎夹脊穴治疗。所有患者均以5 d为治疗周期，比较两组治疗前后目测类比评分（VAS）及临床疗效、治疗时间和恢复正常工作时间。 结果 治疗组治疗后的VAS为（2.64±1.68）分，对照组治疗后的VAS为（3.68±2.45）分，均较治疗前明显降低[（7.46±2.78）、（7.50±3.05）分]，差异有统计学意义（t=6.386，3.280，P < 0.05）；治疗组治疗后的VAS低于对照组，差异有统计学意义（t=2.740，P < 0.05）。治疗组治疗时间为（3.26±0.46）d，恢复正常工作时间为（6.51±1.26）d，明显短于对照组[（5.05±0.68）、（8.38±1.75）d]，差异有统计学意义（t=3.015，2.746，P < 0.05）。治疗组总有效率为95.0%，明显高于对照组的72.3%，差异有统计学意义（χ2=4.382，P < 0.05）。 结论 针刺伏兔配委中放血疗法治疗急性腰扭伤显效快，治愈率高，是一种安全可靠的新疗法。

[关键词] 针刺；伏兔；委中；放血；急性腰扭伤

[中图分类号] R245.3 [文献标识码] A [文章编号] 1673-7210（2016）12（a）-0105-04

Preliminary effect of acupucture Futu combined with Weizhong bloodletting therapy in the treatment of acute lumbar sprain

KANG Zhi1 MA Chunhua2 LIU Haiyong2 BAI Huifang2

1.Department of Traditional Chinese Medicine， Yanjiao People's Hospital of Sanhe City， Hebei Province， Sanhe 065200， China； 2.Department of Traditional Chinese Medicine， Hospital of Sanhe City， Hebei Province， Sanhe 065200， China

[Abstract] Objective To discuss clinical effect of acupucture Futu combined with Weizhong bloodletting therapy in the treatment of acute lumbar sprain. Methods Data of 60 patients with acute lumbar sprain from September 2010 to September 2011 in Acupuncture Outpatient， Hospital of Sanhe City， Hebei Province were retrospectively analyzed. According to the different treatment methods， all patients were divided into two groups， each group was 30 cases. Acupucture Futu combined with Weizhong bloodletting therapy were used in treatment group. Acupuncture at lumbar Jiaji was applied in control group.All patients were treated for 5 days as the treatment period. AVS before and after treatment and clinical effect， treatment time， resume normal working time between two groups were compared. Results After treatment， VAS of treatment group was （2.64±1.68） points， and VAS of control group was （3.68±2.45） points， which were significantly lower than before treatment [（7.46±2.78）， （7.50±3.05） points]， the differences were statistically significant （t= 6.386， 3.280， P < 0.05）. VAS of treatment group was lower than that of control group after treatment， the difference was statistically significant （t = 2.740， P < 0.05）. Treatment time of treatment group was （3.26±0.46） d and resume normal working time of treatment group was （6.51±1.26） d， significantly shorter than those of control group [（5.05±0.68）， （8.38±1.75） d]， the differences were statistically significant （t = 3.015， 2.746， P < 0.05）. Total effective rate of treatment group was 95.0%， significantly higher than that of control group of 72.3%， the difference was statistically significant （χ2 = 4.382， P < 0.05）. Conclusion Acupucture Futu combined with Weizhong bloodletting therapy in the treatment of acute lumbar sprain takes effect quickly， cure rate is high， which is a safe and effective method.

[Key words] Acupuncture； Futu； Weizhong； Bloodletting； Acute lumbar sprain

急性腰扭傷属中医学“痹证”“岔气”“腰痛”等范畴，是临床上常见的急性腰痛病证[1]。西医学认为本病为腰部软组织遭受牵拉过度或扭闪等外力所致的损伤。损伤多以骶棘肌及腰背筋膜附着处为主，如肌肉、韧带、筋膜、椎体小关节和关节囊、腰骶关节及骶髂关节等[2]。多见于体力劳动者且多为青壮年，长期从事弯腰工作的人以及平时锻炼较少的人[3-4]，以剧烈的腰痛伴腰部活动受限、腰部强直，甚至有腰部肌肉痉挛以及咳嗽、打喷嚏、大便等腹部用力活动疼痛加重等为主要临床表现。应及时采取相应治疗措施，不能延误病情形成慢性腰痛[5]，严重影响患者的腰部正常功能。针灸治疗急性腰扭伤疗效显著，临床治疗方法较多，如头针、耳针、面针、放血疗法等[6]。中医针刺伏兔通过调气促血行，血行则瘀活，瘀活则肿痛消。……