Acupuncture; Mindfulness therapy; Medication; Iliotibial band syndrome
针刺; 正念疗法; 药物; 髂胫束综合征
Abstract:
Objective: To observe the clinical efficacy and safety of mindfulness combined with acupuncture therapy in the treatment of iliotibial band syndrome. Methods: A total of 60 patients with iliotibial band syndrome who met the inclusion criteria were enrolled in this study and randomly divided into a treatment group and a control group, with 30 cases in each group. The treatment group received acupuncture at the Huantiao point (GB30) combined with mindfulness therapy, while the control group was treated with oral administration of tramadol/acetaminophen tablets. Both groups underwent a treatment course of 5 days, with a 2-day interval between courses, totaling 2 treatment courses. Results: The visual analog scale (VAS) was used to assess pain in both groups, and VAS scores were compared at the same time points. (1) Intra-group comparison before and after treatment: At the end of treatment, both groups showed statistically significant differences in scores (p< 0.01). At the one-month follow-up after treatment, the acupuncture group exhibited statistically significant differences in scores before and after treatment (p<0.01), whereas the medication group showed no statistically significant differences (p>0.05). (2) Inter-group comparison between the acupuncture and medication groups: At the end of treatment, there was no statistically significant difference in scores between the two groups (p>0.05). However, at the one-month follow-up, the scores showed statistically significant differences (p<0.01). Conclusion: Mindfulness combined with acupuncture therapy can effectively treat iliotibial band syndrome and alleviate pain. In terms of short-term efficacy, mindfulness combined with acupuncture therapy is comparable to medication for treating iliotibial band syndrome. Regarding long-term efficacy, mindfulness combined with acupuncture therapy demonstrates superior therapeutic effects and safety compared to the analgesic medication group.
目的:观察正念结合针刺疗法治疗髂胫束综合征的临床效果和安全性。方法:本研究将符合纳入标准的髂胫束综合征患者共计60例,采用临床随机对照的方法分为治疗组和对照组各30例。治疗组采用针刺环跳穴,并结合正念疗法;对照组采用口服氨酚曲马多片治疗。两组均5天为1疗程,疗程间隔2天,共治疗2个疗程。结果:两组疼痛观察指标采用视觉模拟评分法,同期观察VAS评分比较。(1)治疗前后两组自身比较:治疗结束时,两组评分比较均有极显著统计学差异(p<0.01);治疗结束后一个月随访,针刺组前后评分比较均有极显著统计学差异(p<0.01),药物组前后评分比较均无统计学差异(p>0.05)。(2)针刺组与药物组比较:治疗结束时,两组评分无统计学差异(p>0.05);治疗结束后一个月随访评分均有极显著统计学差异(p<0.01)。结论:正念结合针刺疗法能有效治疗髂胫束综合征,改善疼痛。从近期疗效看,正念结合针刺疗法与药物组治疗髂胫束综合征的近疗效相当;从远期疗效看,正念结合针刺疗法治疗髂胫束综合征的疗效和安全性均优于镇痛药物组。