基于红外热成像评估解剖点等分定位后斜刺法对急性期骶髂关节损伤的影响OA
Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography
目的:基于红外热成像技术评估解剖点等分定位后斜刺法治疗急性期骶髂关节损伤的临床疗效.方法:将150例急性期骶髂关节损伤患者随机分为斜刺组、直刺组和点穴推拿组,每组50 例.各组在骶髂关节解剖点等分定位后,分别采用斜刺法、直刺法及点穴推拿法进行治疗.均每天治疗1次,每周治疗5次,10次为 1个疗程,共治疗 1 个疗程.观察各组治疗前后日本骨科协会评分(JOA)、疼痛视觉模拟量表(VAS)评分、世界卫生组织生活质量测定量表简表(WHO QOL-BREF)评分及腰骶部平均温度,并探讨腰骶部平均温度与各疗效指标的相关性.结果:治疗后,斜刺组JOA、WHO QOL-BREF评分高于直刺组和点穴推拿组(P＜0.01,P＜0.001),VAS评分低于直刺组和点穴推拿组(P＜0.01,P＜0.001),患侧腰骶部平均温度低于直刺组和点穴推拿组(P＜0.001).治疗后,各组患者患侧腰骶部平均温度与JOA评分呈负相关(r=-0.645、-0.482、-0.809,P＜0.001).结论:解剖点等分定位后斜刺法治疗急性期骶髂关节损伤,疗效优于直刺法及点穴推拿法;治疗后患侧腰骶部平均温度与腰骶部功能障碍的严重程度相关.
Objective To evaluate the clinical therapeutic effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography.Methods A total of 150 patients with acute sacroiliac joint injury were randomly divided into an oblique needling group,a perpendicular needling group,and an acupressure+tuina group,with 50 cases in each group.After equal division and positioning of anatomic points at sacroiliac joints,the oblique needling,perpendicular needling and acupressure+tuina techniques of acupuncture were operated in three groups,respectively.The treatment was administered once daily,5 sessions per week;10 sessions constituted one treatment course,with a total of one course required in the trial.Before and after treatment,the scores of Japanese Orthopaedic Association(JOA),visual analogue scale(VAS)of pain,and World Health Organization quality of life-BREF(WHO QOL-BREF),as well as the average temperature of the lumbosacral region were observed in each group.Additionally,the correlation between the average lumbosacral temperature and efficacy indicators was explored.Results After treatment,the scores of JOA,WHO QOL-BREF in the oblique needling group were higher(P＜0.01,P＜0.001),and the VAS score was lower(P＜0.01,P＜0.001)than those in the perpendicular needling group and the acupressure+tuina group;and the average temperature of the affected lumbosacral region in the oblique needling group was lower compared with that in the other two groups(P＜0.001).After treatment,the average lumbosacral temperature of the affected side showed a negative correlation with the JOA score in each group(r=-0.645,-0.482,-0.809,P＜0.001).Conclusion Following equal division and positioning of anatomic points,the therapeutic effect of acupuncture with oblique needling is superior to the perpendicular needling and acupressure+tuina on acute sacroiliac joint injury.The average temperature of the affected lumbosacral region is correlated with the severity of lumbosacral dysfunction after treatment.
匡家毅;黎玉宣;莫雯智;龚黎玉;邓明玉;唐妮;吴德锐;符文彬
广州中医药大学第二临床医学院,广东 广州 510120||桂林市中医医院,推拿科,广西 桂林 541002桂林市中医医院,针灸科,广西 桂林 541002桂林市中医医院,推拿科,广西 桂林 541002桂林市中医医院,推拿科,广西 桂林 541002广西中医药大学广西中医药大学广西中医药大学广州中医药大学第二临床医学院,广东 广州 510120||广东省中医院针灸科,广州 510006
急性期骶髂关节损伤解剖点等分定位斜刺直刺点穴推拿红外热成像
acute sacroiliac joint injuryequal division and positioning of anatomic pointsoblique needlingperpendicular needlingacupressure and tuinainfrared thermography
《中国针灸》 2026 (9)
1434-1440,7
广西中医药适宜技术开发与推广项目:GZSY21-79广西中医药大学联合基金项目(桂林市中医医院专项):2024GL016
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