摘要
目的:观察针刺阿是穴配合艾灸热敏化腧穴治疗项背肌筋膜疼痛综合征的临床疗效,探索一种新的组合疗法。方法:采用单盲、随机、对照研究方法,将符合条件的62例患者随机分为试验组32例,给予针刺阿是穴配合艾灸热敏化腧穴治疗;对照组30例,给予针刺阿是穴配合TDP治疗。两组均为每周治疗5次,共治疗10次。采用国际公认的简化麦吉尔疼痛量表为观察指标,比较治疗前后疼痛评定指数(PRI)、视觉模拟评分(VAS)和现时疼痛强度(PPI)的积分变化,并评价疗效。结果:两组治疗后PRI、VAS、PPI积分都显著性降低(P<0.01);与对照组相比,试验组治疗后PRI、VAS、PPI积分更低(P<0.01)。试验组痊愈率为34.4%(11/32),对照组痊愈率为10.0%(3/30),试验组痊愈率明显优于对照组(P<0.05)。结论:针刺阿是穴配合艾灸热敏化腧穴对项背肌筋膜疼痛综合征有很好的疗效,明显优于针刺阿是穴配TDP治疗。
Objective To observe the therapeutic effect of acupuncture of Ashi points in combination with moxibustion of heat-sensitive points for neck-back myofascial pain syndrome, so as to find a better combined therapy. Methods A total of 62 eligible patients were randomly divided into treatment group （acupuncture of Ashi-points plus moxibustion of heat-sensitive points, n=32） and control group （acupuncture of Ashi-points plus TDP irradiation, n = 30） by using single-blind method. Ashi-points were the tenderpoints or subcutaneous induration spots determined by digital pressure in the focus region, and the heat-sensitive points were the acupoints around the subcutaneous induration spots in the neck-back regions determined by patients＇ feeling （heat from the ignited moxa transmitting toward the deep muscle layer, extending toward the surrounding region of the Ashi-points, etc. and the distal part of the body） during moxibustion. Ashi-points were punctured with filiform needles and stimulated with reducing method by lifting, thrusting and twirling the acupuncture needle repeatedly till ＂Deqi＇, followed by retaining the needle for 30 min. Moxibustion was given to the patients for 10- 90 min （when the patient began to feel heat penetrating into the deeper muscle layer to the termination of the heat transmission）. TDP irradiation was given to the Ashi-points for 30 rain in every session of treatment. The treatment was conducted once daily, 5 times a week, two weeks altogether. McGill pain questionnaire containing pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI） and ＂the criteria for assessing the therapeutic effect of back-myofascitis＂ recorded in ＂Standards for Diagnosis and Efficacy Evaluation of Clinical Conditions in Chinese Medicine＇（published in 1994 in China） were used to evaluate the analgesic effect. Results Before the treatment, no significant differences were found between the treatment and control groups in PRI, VAS and PPI. After the treatment, PRI, VAS and PPI were all signi-ficantly lower in the treatment group than in the control group（ P〈0.01 ）. Of the 32 and 30 myofascitis patients in the treatment and control groups, 11 （34.4%） and 3 （10.0%） were cured, 20 （62.5%） and 25 （83.3%） experienced improvement in their symptoms, 1 （3. 1% ） and 2 （6.7%） had no apparent changes. The cure rate of the treatment group was significant bigger than that of the control group（P〈0.05）. Conclusion Acupuncture combined with moxibustion of Ashi-points can effectively relieve pain reaction in neck-back myofascial pain syndrome patients, which is significantly superior to that of acupuncture plus TDP irradiation therapy.
出处
《针刺研究》
CAS
CSCD
北大核心
2011年第2期116-120,共5页
Acupuncture Research
基金
江西省卫生厅中医药科研基金(No.赣卫(2002)22号)
关键词
项背肌筋膜疼痛综合征
热敏灸
针刺
TDP照射
阿是穴
Neck-back myofascial pain syndrome
Heat-sensitive moxibustion
Acupuncture
TDP irradiation
Ashi-points
