针刺对软组织损伤的即刻镇痛效果的临床观察1.PDF

针刺对软组织损伤的即刻镇痛效果的临床观察1 刘农虞 任天培 向宇 陈雪莹 (香港大学中医药学院，香港，999077) 摘要 目的:观察针剌治疗不同部位软组织损伤的即刻止痛效果。方法: 对接受针刺治疗的软组织损伤病例， 采用VAS 量表观察其治疗前后的即刻变化. 结果: 观察了112 病例，涉及14 个部位，共计454 例次数的 软组织损伤，其中针刺治疗后VAS 评分比治疗前明显降低, 差异有统计学意义(P0.01); 治疗次数分组中, 针刺治疗后VAS 评分比治疗前均有明显降低, 差异有统计学意义(P0.01); 治疗各部位分组中,针刺治疗 后VAS 评分比治疗前分别明显降低, 差异有统计学意义(P0.01)结论: 针刺对各部位的软组损伤均有即刻 镇痛效果, 不同治疗次数均显示有即刻镇痛效应. 关键词针刺；软组织损伤；即刻镇痛；经筋 Immediate Analgesic Effect of Acupuncture for Soft Tissue Injury: A Case Series Liu Nongyu, Yum Tin Pui, Heung Yu Darwin, Chan Suet Ying (Chinese Medicine School of The University of Hong Kong，Hong Kong999077，China) AbstractObjective：To investigate the immediate analgesic effect of acupuncture for soft tissue injury. Methods： Observing the changes in VAS score of the patients suffered from soft tissue injury before and after the acupuncture treatment. Results ：Observing 112 patients, totally 14 sites of injury, 454 frequencies of soft tissue injuries showed a decrease in VAS score after the acupuncture treatment significantly (P0.01). In grouping by the frequency of treatment, there was a decrease in VAS score respectively after the acupuncture treatment significantly (P0.01). In grouping by the sites of soft tissue injury, there was a decrease in VAS score respectively after the acupuncture treatment significantly (P0.01).Conclusion：There is an immediate analgesic effect of acupuncture for different sites of soft tissue injury. Also, the effect has been shown in different frequencies of treatment. Key words Acupuncture; Soft tissue injury; Immediate analgesic effect; Muscle meridian 软组织损伤所引起的疼痛为护理及社会带来严重问题, 同时也成为成年人口减低工作能力的重要原 因之一. 香港为世界经济繁荣的城市, 生活节奏加速，工作压力增大，软组织损伤的发病率呈现上升趋势, 患者不断寻求中西医药治疗.希望能得到既无毒副作用，又能实时镇痛的疗法。中国传统的针刺疗法正好 能满足上述要求。为了能验证针刺的即刻镇痛效果，故特意透过疼痛视觉模拟评分表 (VAS评分)的评估方 法开展初步临床研究，观察针刺对软组织损伤的即刻止痛效果。现将研究结果报告如下. 1 临床资料 1.1 研究对象所有病例均来源于香港大学中医药学院属下的两间中医临床教研中心, 观察时间