ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-052 中医学研究 2026, 2(07): 205-208

分析中医针灸推拿治疗颈肩腰腿痛的临床疗效及疼痛复发率

中化二建集团医院

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摘要

目的 分析颈肩腰腿痛采用中医外治疗法的效果,探究中医针灸推拿对其疼痛复发的控制效果。方法以2021年1月至2025年12月为研究时限,抽取5年内90例本院收治的颈肩腰腿痛患者。采用信封法按1∶1随机分为两组(对照组、实验组)各45例,开展前瞻性研究。对照组为常规西医治疗,实验组在对照组基础上加入中医针灸推拿治疗。评价疗效与中医证候积分,随访6个月对比疼痛复发率与功能恢复情况。结果 实验组治疗总有效率高于对照组,且治疗后中医证候积分均低于对照组(P<0.05)。随访6个月内,实验组疼痛复发率低于对照组,且颈椎、腰椎、肩关节功能评分均高于对照组(P<0.05)。结论 中医针灸推拿在颈肩腰腿痛临床治疗中属于可行的外治技术,能够提升疗效以减轻患者临床症状,且预后较好,有利于降低患者疼痛复发率,促进功能全面恢复,值得参考应用。

Abstract

Objective To analyze the effect of external treatment of Traditional Chinese Medicine(TCM) on neck, shoulder, waist and leg pain, and to explore the control effect of TCM acupuncture and massage on pain recurrence. Methods From January 2021 to December 2025, 90 patients with neck, shoulder, waist and leg pain in our hospital within 5 years were selected. The patients were 1∶1 divided into two groups(control group and experimental group) with 45 cases in each group by envelope. The control group was treated with conventional Western medicine, and the experimental group was treated with TCM acupuncture and massage on the basis of the control group. The curative effect and TCM syndrome score were evaluated, and the pain recurrence rate and functional recovery were compared after 6 months of follow-up. Results The total effective rate of the experimental group was higher than that of the control group, and the TCM syndrome score after treatment was lower than that of the control group(P<0.05). Within 6 months of follow-up, the recurrence rate of pain in the experimental group was lower than that in the control group, and the functional scores of cervical spine, lumbar spine and shoulder joint in the experimental group were higher than those in the control group(P<0.05). Conclusion TCM Acupuncture and massage in the clinical treatment of neck, shoulder, waist and leg pain is a feasible external treatment technology, which can improve the curative effect to reduce the clinical symptoms of patients, and has a good prognosis, which is conducive to reducing the recurrence rate of pain and promoting the comprehensive recovery of function, which is worthy of reference and application.

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[1]师达文.分析中医针灸推拿治疗颈肩腰腿痛的临床疗效及疼痛复发率[J].疾病预防与控制,2026,2(07):205-208.