针刀松解术结合拔罐治疗腰臀部软组织损伤的临床研究
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摘要
软组织损伤主要是指人体局部各关节囊、筋络、韧带、肌肉、滑囊、腱鞘等遭受暴力撞击、强力扭转、累积性、疲劳性或牵拉压迫损伤等,可引起软组织粘连、瘢痕、挛缩、堵塞、硬结、条索、硬化、钙化等病理变化。从而出现了人体弓弦力学系统动态平衡失调,严重的可出现关节畸形。在中医学中属“痹症”、“腰痛”范畴。是因感受外邪、跌扑损伤和劳欲太过等因素有关,出现人体筋脉受损,气血不畅而导致瘀血阻络、经络之气阻滞。根据不同部位的软组织损伤中医辨证分型主要以气滞血瘀型及血虚寒凝型较为多见。是针灸理疗科的常见病和多发病；有着病程长、反复发作、不易治愈等特点。
针刀松解术具有剥离和切断软组织粘连的特点,是朱汉章教授在中医针灸理论和现代医学理论的基础上,根据生物力学的观点,用于治疗因慢性软组织损伤等原因所引起疼痛性疾病的一种方法,即针与刀相结合形成的一种闭合性微创伤性手术疗法。具有见效快、方法简单、经济实用等特点。不仅具有现代医学微创技术的特点,同时也是与中医治疗技术即中医针刺疗法的完美结合。针刀主要通过手术效应、针刺效应以及综合效应等来发挥其功效。且可直达病痛所在之处,是目前最为有效的治疗手法之一。对患处起到松解、止痛、疏通经络、活血化瘀的作用。
拔罐治疗,具有通经活络、行气活血、消肿止痛、祛风散寒等作用。对于腰臀部软组织损伤后,所出现的局部软组织的气血瘀滞,经久局部软组织受压,导致经脉受阻,气血运行不畅,具有通经活络、行气活血、消肿止痛、祛风散寒等作用。且拔罐治疗对于改善和恢复腰臀部软组织损伤部位的微循环、疏通经络有着一定的治疗效果。臀部软组织损伤及劳损的治疗也较为常见。
本研究将针刀松解术结合拔罐治疗同时运用在腰臀部软组织的治疗上,用治于腰臀部软组织损伤从临床观察角度,客观的评价针刀松解术与拔罐治疗腰臀部软组织损伤的临床疗效,且希望通过该治疗手段系统性治疗腰臀部软组织损伤,从治疗中观察和探讨腰臀部软组织损伤病程时间较长是否出现病程的转病,循求出对腰臀部软组织损伤更有效的治疗疗效,以改善腰臀部软组织损伤患者因及病所带来的疼痛不适,恢复患者的正常日常生活,缩短治疗疗程,从而减轻患者及家属的经济生活负担,提高患者病后生存质量以期更好的更好的推广应用于临床上。
方法：
腰臀部软组织损伤117例,分针刀结合火罐治疗组40例；单纯针刀治疗组38例；常规针灸对照组39例。临床指标：VAS评分法;Oswestry功能障碍指数；软组织损伤症状分化表。研究对象：广州中医药大学第一附属医院针灸科门诊；台湾嘉义市信和美联合诊所中医部门诊。
治疗方法：
1.针刀结合拔罐治疗组：
(1)定位：先对患者口诉疼痛位置进行定位。或从肌肉组织学上触诊检查是否于痛点部位可触及肌肉条索状结节及高应力点。临床上除较为明显可触及的软组织病理样改变硬结、结节、条索状外,应在根据软组织形态分部进行定位,松解挛缩的软组织。
(2)对定位点进行消毒。
(3)予利多卡因进行定位点注射麻醉药进行局部麻醉。
(4)使用工型3号针刀进行定位点的肌肉、肌筋膜剥离松解。
(5)出针后选择适宜已消毒的火罐,行闪火法将火罐扣在刀口位置上,约停1-2min左右,拔出瘀血,出血量约为2-3ml,即可起罐。
(6)对刀口再次消毒,于刀口上外覆盖纱布,防止刀口感染。
(7)术后24h要保持针孔清洁、干燥；避免水和汗渍浸湿；以每周进行一次针刀治疗。针刀三次进行观察,疗效评定。
2.单纯针刀治疗组
操作步骤与第一组相同,但针刀松解后在刀口按压约1-2min左右。再对刀口进行消毒,于刀口外覆盖纱布,防止刀口感染。术后24h要保持针孔清洁、干燥；避免水和汗渍浸湿；以每周进行一次针刀治疗。针刀三次进行观察,疗效评定。
3.常规针灸对照组：
(1)取穴：以局部阿是穴及足太阳膀胱经为主
(2)主穴：委中、大肠俞、阿是穴、
(3)配穴：寒湿腰痛加腰阳关；瘀血腰痛加膈俞肾虚腰痛加肾俞；督脉腰痛加腰夹脊、后溪膀胱经腰痛加志室、昆仑；腰骶部痛加次髎、腰俞腰眼部痛加腰眼
(4)方法：委中、大肠俞、阿是穴及临证配穴针刺治疗,加电针机以密波为主。留针约30min左右,出针后行火罐治疗,以闪火法将火罐扣在腰部或腰臀部患侧位置,约停留5分钟后,即可起罐。以隔日进行1次针刺,每周三次治疗为一疗程。以三次疗程进行观察,疗效评定。
结果：
1.三组治疗后Oswestry疗效评定,经K-W秩和检验,P=0.001,P<0.05,差异有统计学意义,针刀罐组的疼痛强度和日常生活自理能力改善最明显,纯针刀组次之,电针罐组再次之。
2.三组治疗后VAS评分,经K-W秩和检验,P=0.001,P<0.05,差异有统计学意义,针刀罐组对于疼痛的缓解疗效最好,纯针刀组次之,电针罐组再次之。
3.三组治疗后软组织损伤症状分化量表评分,经K-W秩和检验,P=0.001,P<0.05,差异有统计学意义,针刀罐组疗效最好,纯针刀组疗效次之,电针罐组疗效再次之。
结论：
1.对于腰臀部软组织损伤的治疗效果,发现针刀松解术结和拔罐治疗法在腰臀部软组织损伤后的效果优于常规针刺治疗组治疗。但与单纯针刀松解治疗法的差异并不大,但也说明了针刀松解术结合拔罐治疗效果较优于单纯针刀松解治疗。
2.临床研究观察中发现,对于腰臀部软组织损伤,并非全为单一性软组织损伤为主,有部分患者可合并2-3处软组织同时损伤或因单处软组织损伤后失治或误治,出现其他部位软组织代偿性过度劳损应而出现损伤症状,如单一性治疗现发病部位软组织,则可能降低疾病的治疗好转率,如对于腰臀部软组织损的合并部位或原始疼痛部位同时进行治疗可有效的提高患者的治愈率。
3.两者并用改善腰臀部软组织损伤的后所出现的临床症状,使受损的软组织得以恢复,且亦可恢复该局部软组织的生物力学和微循环,从而提高了患病者的生存质量,为治疗该病较为理想的方法,较为值得在腰臀部软组织损伤的诊治中推广应用。
Soft tissue injury mainly refers to the injury of joint capsule, tendons,ligaments, muscles, bursa, tendon sheath that impact of violence, strong torsion, cumulative fatigue or stretch compression. It may lead to adhesions and scar contracture, congestion, induration, cord, hardening, calcification and other pathological changes, and even leads to joint deformity. In Chinese medicine, it is called "arthralgia syndrome","low back pain", mainly caused by the exogenous evils, injury or flutter and crafts, work too hard and desire too much and other factors. It is usually divided into blood stasis and blood deficiency Hanning type.It is characterized by longer duration, recurrent, and so hard to cure.
The Acupuncture knife lysis is characterized by peeling and cutting the soft tissue adhesions,Zhu Hanzhang invent this special therapy.It is the treatment of pain disorders due to chronic soft tissue injury and other reasons. It is a combination of acupuncture and scalpel. It is characterized by quick, simple, economical and practical. Not only has it the characteristics of modern medicine and minimally invasive techniques, but also with TCM treatment technology that is the perfect combination of Chinese acupuncture. Acupuncture scalpel has surgical effect, the acupuncture effect as well as the combined effect of both. And it directly go to the site of pain, is the most effective treatment techniques currently, playing the role of release, pain relief on the affected area, clear the meridians, the blood circulation. Cupping can clear the meridians, push qi and blood circulation, expelling wind and cold, and other effects. Cupping is also common in the treatment of hip soft tissue injury and strain.
In this study, acupuncture scalpel lysis combined with cupping therapy is used in the treatment of soft tissue on the waist and hips. Next, objectively assess the efficacy of this theropy on soft tissue injury on the waist and hips. We want to find another way to cure this kind of disease. To improve the patient's discomfort due to the pain caused by the disease and restore the patient's normal daily life, to shorten the course of treatment, so as to reduce the burden of the economic life of patients and their families to improve the quality of life in patients with the disease, in order to better clinical application.
Methods
Patients with soft tissue injury of the waist and hips120cases, Divided into acupuncture scalpel combined the cupping treatment group40cases;Only acupuncture the scalpel treatment group40cases;Conventional acupuncture control group of40patients. Clinical indicators:the VAS score; Oswestry dysfunction index; differentiation of soft tissue injury symptoms table. Study:First Affiliated Hospital of the Guangzhou University of Traditional Chinese Medicine acupuncture clinic; Chiayi City, Taiwan, the letter and beauty clinic departments of Chinese medicine clinic
Treatment:
1、 Acupuncture scalpel combined the cupping treatment group:
(1) Positioning:the location of pain in patients with positioning.
(2) disinfection anchor points.
(3) injection of lidocaine in the anchor points.
(4) use the I3acupotomology positioning point of the muscle, myofascial release peel.
(5) after unplug Acupuncture scalpel, select suitable sterile cupping, cupping buckle on the location of the oral surgery, stopping about1-2min, pull out the bleeding, the bleeding is about2to3ml of can from the tank.
(6) re-sterilized the surgery point, and covered it with gauze to prevent infection.
(7) keep the pinhole clean in24h after surgery; avoid water and soaked in perspiration;7day a course of treatment. Three courses for the observation of the target
2、 Only acupuncture therapy group
Procedure is identical with the first group, the pressing point but acupuncture scalpel lysis of approximately1-2min. For disinfection, to the point where surgery estuary covered gauze to prevent infection oral surgery.24h after surgery to keep the pinhole clean, dry; avoid water and soaked in perspiration;7day a course of treatment. To three cycles of micro-observation of the target, the efficacy evaluation.
3、 Conventional acupuncture control group:
(1) acupoints:local Ashi points and bladder meridian
(2) the main point:Weizhong、 dachangshu、 ashi point
(3) Distribution Point:alpine low back pain:yaoyangguan;stasis low back pain plus geshu; Kidney lower back pain plus Shenshu; the low back pain and lumbar Huatuojiaji, houxi;
(4)method:acupuncture treatment, plus the EA machine to dense wave-based. The needle for about30minutes or so, the needle underwent cupping therapy, a flash fire cupping buckle at the waist or waist-hip ipsilateral position, stay about5minutes later, you can from the tank.1day,6times for a course.
Results:1. Three groups after treatment Oswestry curative effect evaluation, the K-W rank and inspection, P=0.001, P<0.05, the difference was statistically significant, needle knife group can pain intensity, and daily life self-care ability improve, the most obvious times pure needle knife group, cupping jar set again.
2. Three groups of VAS score after treatment, the K-W rank and inspection, P=0.001, P<0.05, the difference was statistically significant, needle knife tank group for pain relief effect is best, pure times needle knife group, cupping jar set again
3. Three groups after treatment of soft tissue injury symptom differentiation rating scale, rank and inspection by the K-W, P-0.001, P<0.05, the difference was statistically significant, needle knife group curative effect best, pure needle knife group curative effect, cupping jar Group efficacy of again.
Conclusion:
For the treatment of soft tissue injuries of the waist and hip effect, the effect of the needle knife surgery knot and cupping therapy in soft tissue injury of the waist and hips than conventional acupuncture treatment group. But the release with a simple knife therapy is not much difference, but also illustrates the needle knife surgery combined effect of cupping therapy is better than a simple knife release treatment.
Clinical observation found that for the waist hip soft tissue injuries, not all for single soft tissue injuries is given priority to, some patients can incorporate2-3soft tissue damage at the same time or by simply lost after soft tissue injury or disease, excessive strain should be in other parts of the soft tissue compensatory damage symptoms, such as single risk treatment is soft tissue, may reduce the treatment of diseases, the, such as the waist hip soft tissue damage of the merger of the parts or the original pain parts at the same time, treatment can effectively improve the cure rate of patients. Both improve the waist and hips soft tissue injury which occurred after clinical symptoms, to restore damaged soft tissue, and can be restored to the local soft tissue biomechanics and microcirculation, thus improving the quality of life of the ill, ideal method for the treatment of the disease, the more worthy of popularization and application in the diagnosis and treatment of soft tissue injuries of the waist and hips.
针刀松解术具有剥离和切断软组织粘连的特点,是朱汉章教授在中医针灸理论和现代医学理论的基础上,根据生物力学的观点,用于治疗因慢性软组织损伤等原因所引起疼痛性疾病的一种方法,即针与刀相结合形成的一种闭合性微创伤性手术疗法。具有见效快、方法简单、经济实用等特点。不仅具有现代医学微创技术的特点,同时也是与中医治疗技术即中医针刺疗法的完美结合。针刀主要通过手术效应、针刺效应以及综合效应等来发挥其功效。且可直达病痛所在之处,是目前最为有效的治疗手法之一。对患处起到松解、止痛、疏通经络、活血化瘀的作用。
拔罐治疗,具有通经活络、行气活血、消肿止痛、祛风散寒等作用。对于腰臀部软组织损伤后,所出现的局部软组织的气血瘀滞,经久局部软组织受压,导致经脉受阻,气血运行不畅,具有通经活络、行气活血、消肿止痛、祛风散寒等作用。且拔罐治疗对于改善和恢复腰臀部软组织损伤部位的微循环、疏通经络有着一定的治疗效果。臀部软组织损伤及劳损的治疗也较为常见。
本研究将针刀松解术结合拔罐治疗同时运用在腰臀部软组织的治疗上,用治于腰臀部软组织损伤从临床观察角度,客观的评价针刀松解术与拔罐治疗腰臀部软组织损伤的临床疗效,且希望通过该治疗手段系统性治疗腰臀部软组织损伤,从治疗中观察和探讨腰臀部软组织损伤病程时间较长是否出现病程的转病,循求出对腰臀部软组织损伤更有效的治疗疗效,以改善腰臀部软组织损伤患者因及病所带来的疼痛不适,恢复患者的正常日常生活,缩短治疗疗程,从而减轻患者及家属的经济生活负担,提高患者病后生存质量以期更好的更好的推广应用于临床上。
方法：
腰臀部软组织损伤117例,分针刀结合火罐治疗组40例；单纯针刀治疗组38例；常规针灸对照组39例。临床指标：VAS评分法;Oswestry功能障碍指数；软组织损伤症状分化表。研究对象：广州中医药大学第一附属医院针灸科门诊；台湾嘉义市信和美联合诊所中医部门诊。
治疗方法：
1.针刀结合拔罐治疗组：
(1)定位：先对患者口诉疼痛位置进行定位。或从肌肉组织学上触诊检查是否于痛点部位可触及肌肉条索状结节及高应力点。临床上除较为明显可触及的软组织病理样改变硬结、结节、条索状外,应在根据软组织形态分部进行定位,松解挛缩的软组织。
(2)对定位点进行消毒。
(3)予利多卡因进行定位点注射麻醉药进行局部麻醉。
(4)使用工型3号针刀进行定位点的肌肉、肌筋膜剥离松解。
(5)出针后选择适宜已消毒的火罐,行闪火法将火罐扣在刀口位置上,约停1-2min左右,拔出瘀血,出血量约为2-3ml,即可起罐。
(6)对刀口再次消毒,于刀口上外覆盖纱布,防止刀口感染。
(7)术后24h要保持针孔清洁、干燥；避免水和汗渍浸湿；以每周进行一次针刀治疗。针刀三次进行观察,疗效评定。
2.单纯针刀治疗组
操作步骤与第一组相同,但针刀松解后在刀口按压约1-2min左右。再对刀口进行消毒,于刀口外覆盖纱布,防止刀口感染。术后24h要保持针孔清洁、干燥；避免水和汗渍浸湿；以每周进行一次针刀治疗。针刀三次进行观察,疗效评定。
3.常规针灸对照组：
(1)取穴：以局部阿是穴及足太阳膀胱经为主
(2)主穴：委中、大肠俞、阿是穴、
(3)配穴：寒湿腰痛加腰阳关；瘀血腰痛加膈俞肾虚腰痛加肾俞；督脉腰痛加腰夹脊、后溪膀胱经腰痛加志室、昆仑；腰骶部痛加次髎、腰俞腰眼部痛加腰眼
(4)方法：委中、大肠俞、阿是穴及临证配穴针刺治疗,加电针机以密波为主。留针约30min左右,出针后行火罐治疗,以闪火法将火罐扣在腰部或腰臀部患侧位置,约停留5分钟后,即可起罐。以隔日进行1次针刺,每周三次治疗为一疗程。以三次疗程进行观察,疗效评定。
结果：
1.三组治疗后Oswestry疗效评定,经K-W秩和检验,P=0.001,P<0.05,差异有统计学意义,针刀罐组的疼痛强度和日常生活自理能力改善最明显,纯针刀组次之,电针罐组再次之。
2.三组治疗后VAS评分,经K-W秩和检验,P=0.001,P<0.05,差异有统计学意义,针刀罐组对于疼痛的缓解疗效最好,纯针刀组次之,电针罐组再次之。
3.三组治疗后软组织损伤症状分化量表评分,经K-W秩和检验,P=0.001,P<0.05,差异有统计学意义,针刀罐组疗效最好,纯针刀组疗效次之,电针罐组疗效再次之。
结论：
1.对于腰臀部软组织损伤的治疗效果,发现针刀松解术结和拔罐治疗法在腰臀部软组织损伤后的效果优于常规针刺治疗组治疗。但与单纯针刀松解治疗法的差异并不大,但也说明了针刀松解术结合拔罐治疗效果较优于单纯针刀松解治疗。
2.临床研究观察中发现,对于腰臀部软组织损伤,并非全为单一性软组织损伤为主,有部分患者可合并2-3处软组织同时损伤或因单处软组织损伤后失治或误治,出现其他部位软组织代偿性过度劳损应而出现损伤症状,如单一性治疗现发病部位软组织,则可能降低疾病的治疗好转率,如对于腰臀部软组织损的合并部位或原始疼痛部位同时进行治疗可有效的提高患者的治愈率。
3.两者并用改善腰臀部软组织损伤的后所出现的临床症状,使受损的软组织得以恢复,且亦可恢复该局部软组织的生物力学和微循环,从而提高了患病者的生存质量,为治疗该病较为理想的方法,较为值得在腰臀部软组织损伤的诊治中推广应用。
Soft tissue injury mainly refers to the injury of joint capsule, tendons,ligaments, muscles, bursa, tendon sheath that impact of violence, strong torsion, cumulative fatigue or stretch compression. It may lead to adhesions and scar contracture, congestion, induration, cord, hardening, calcification and other pathological changes, and even leads to joint deformity. In Chinese medicine, it is called "arthralgia syndrome","low back pain", mainly caused by the exogenous evils, injury or flutter and crafts, work too hard and desire too much and other factors. It is usually divided into blood stasis and blood deficiency Hanning type.It is characterized by longer duration, recurrent, and so hard to cure.
The Acupuncture knife lysis is characterized by peeling and cutting the soft tissue adhesions,Zhu Hanzhang invent this special therapy.It is the treatment of pain disorders due to chronic soft tissue injury and other reasons. It is a combination of acupuncture and scalpel. It is characterized by quick, simple, economical and practical. Not only has it the characteristics of modern medicine and minimally invasive techniques, but also with TCM treatment technology that is the perfect combination of Chinese acupuncture. Acupuncture scalpel has surgical effect, the acupuncture effect as well as the combined effect of both. And it directly go to the site of pain, is the most effective treatment techniques currently, playing the role of release, pain relief on the affected area, clear the meridians, the blood circulation. Cupping can clear the meridians, push qi and blood circulation, expelling wind and cold, and other effects. Cupping is also common in the treatment of hip soft tissue injury and strain.
In this study, acupuncture scalpel lysis combined with cupping therapy is used in the treatment of soft tissue on the waist and hips. Next, objectively assess the efficacy of this theropy on soft tissue injury on the waist and hips. We want to find another way to cure this kind of disease. To improve the patient's discomfort due to the pain caused by the disease and restore the patient's normal daily life, to shorten the course of treatment, so as to reduce the burden of the economic life of patients and their families to improve the quality of life in patients with the disease, in order to better clinical application.
Methods
Patients with soft tissue injury of the waist and hips120cases, Divided into acupuncture scalpel combined the cupping treatment group40cases;Only acupuncture the scalpel treatment group40cases;Conventional acupuncture control group of40patients. Clinical indicators:the VAS score; Oswestry dysfunction index; differentiation of soft tissue injury symptoms table. Study:First Affiliated Hospital of the Guangzhou University of Traditional Chinese Medicine acupuncture clinic; Chiayi City, Taiwan, the letter and beauty clinic departments of Chinese medicine clinic
Treatment:
1、 Acupuncture scalpel combined the cupping treatment group:
(1) Positioning:the location of pain in patients with positioning.
(2) disinfection anchor points.
(3) injection of lidocaine in the anchor points.
(4) use the I3acupotomology positioning point of the muscle, myofascial release peel.
(5) after unplug Acupuncture scalpel, select suitable sterile cupping, cupping buckle on the location of the oral surgery, stopping about1-2min, pull out the bleeding, the bleeding is about2to3ml of can from the tank.
(6) re-sterilized the surgery point, and covered it with gauze to prevent infection.
(7) keep the pinhole clean in24h after surgery; avoid water and soaked in perspiration;7day a course of treatment. Three courses for the observation of the target
2、 Only acupuncture therapy group
Procedure is identical with the first group, the pressing point but acupuncture scalpel lysis of approximately1-2min. For disinfection, to the point where surgery estuary covered gauze to prevent infection oral surgery.24h after surgery to keep the pinhole clean, dry; avoid water and soaked in perspiration;7day a course of treatment. To three cycles of micro-observation of the target, the efficacy evaluation.
3、 Conventional acupuncture control group:
(1) acupoints:local Ashi points and bladder meridian
(2) the main point:Weizhong、 dachangshu、 ashi point
(3) Distribution Point:alpine low back pain:yaoyangguan;stasis low back pain plus geshu; Kidney lower back pain plus Shenshu; the low back pain and lumbar Huatuojiaji, houxi;
(4)method:acupuncture treatment, plus the EA machine to dense wave-based. The needle for about30minutes or so, the needle underwent cupping therapy, a flash fire cupping buckle at the waist or waist-hip ipsilateral position, stay about5minutes later, you can from the tank.1day,6times for a course.
Results:1. Three groups after treatment Oswestry curative effect evaluation, the K-W rank and inspection, P=0.001, P<0.05, the difference was statistically significant, needle knife group can pain intensity, and daily life self-care ability improve, the most obvious times pure needle knife group, cupping jar set again.
2. Three groups of VAS score after treatment, the K-W rank and inspection, P=0.001, P<0.05, the difference was statistically significant, needle knife tank group for pain relief effect is best, pure times needle knife group, cupping jar set again
3. Three groups after treatment of soft tissue injury symptom differentiation rating scale, rank and inspection by the K-W, P-0.001, P<0.05, the difference was statistically significant, needle knife group curative effect best, pure needle knife group curative effect, cupping jar Group efficacy of again.
Conclusion:
For the treatment of soft tissue injuries of the waist and hip effect, the effect of the needle knife surgery knot and cupping therapy in soft tissue injury of the waist and hips than conventional acupuncture treatment group. But the release with a simple knife therapy is not much difference, but also illustrates the needle knife surgery combined effect of cupping therapy is better than a simple knife release treatment.
Clinical observation found that for the waist hip soft tissue injuries, not all for single soft tissue injuries is given priority to, some patients can incorporate2-3soft tissue damage at the same time or by simply lost after soft tissue injury or disease, excessive strain should be in other parts of the soft tissue compensatory damage symptoms, such as single risk treatment is soft tissue, may reduce the treatment of diseases, the, such as the waist hip soft tissue damage of the merger of the parts or the original pain parts at the same time, treatment can effectively improve the cure rate of patients. Both improve the waist and hips soft tissue injury which occurred after clinical symptoms, to restore damaged soft tissue, and can be restored to the local soft tissue biomechanics and microcirculation, thus improving the quality of life of the ill, ideal method for the treatment of the disease, the more worthy of popularization and application in the diagnosis and treatment of soft tissue injuries of the waist and hips.
引文
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[5]李武强；江开春.再造散治疗腰背肌筋膜炎50例[J].河南中医,2012,32(2)：206.
[5]毕东敏；刘桂荣.益肾蠲丸治疗腰背肌筋膜炎62例[J].陕西中医,2004,25(9)：809-810.
[6]罗大兴.加味通气散治疗气滞腰痛[J].四川中医,1982,3(2)：66.
[7]王喜芳.龙胆泻肝汤加减治疗非根性坐骨神经痛200例疗效观察[J].甘肃中医,2007,20(8)：36-37.
[8]罗鸿宇.《内经》腰痛针刺辩治浅释[J].中国针灸学会实验针灸分会·经络分会学术研讨会论文集,164-166.
[9]彭亦良；张彦；李永锋；吴青蔓；胡安慧.电针、推拿及中频理疗治疗腰背肌筋膜炎的前瞻、随机、对照性研究[J].现代中西医结合杂志,2013,22(1)：13-15.
[10]王世友.针刺配合火龙灸治疗腰背肌筋膜炎60例[J].中国中医药,2011,9(3)：52-53.
[11]温萍；李旭方；刘满芳.针灸配合走罐治疗腰背肌筋膜炎65例报告[J].甘肃中医,2006,19(8)：37-38.
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[13]陆瑾；李杭京.针刺为主治疗髂腰三角综合征50例临床观察[J].中国针灸,2003,23(4)：215-216.
[14]王攀；晋冬梅.电针配合穴位注射治疗髂腰韧带损伤56例[J].现代中西医结合杂志,2003,12(6)：1737-1738.
[15]李兆宏.齐刺法电针治疗腰骶棘间韧带损伤42例分析[J].实用中医内科杂志,2003,17(2)：139.
[16]陈旭.电针治疗腰三横突综合征72例临床体会[J].中医药信息,2007,24(4)：809-810.
[17]华绍平.局部多针刺治疗臀上皮神经损伤[J].第九届全国软组织疼痛学术会议暨首届中华学会疼痛会软组织疼痛论文汇编,2004,187-188.
[18]高海峰.电针为主治疗臀中肌损伤54例[J].上海针灸杂志,1999,(1)：44-45.
[19]解良注；包狄.密集型针刺拔罐治疗腰肌筋膜劳损110例[J].中国民间疗法,2003,11(1)：15.
[20]刘福斌；宋涛,徐久印.小宽针直刺阿是穴加拔罐放血治疗腰肌劳损[J].实用医学杂志；2011；18(6)：502.
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