摘要
目的观察浮针疗法治疗项背肌筋膜炎的临床疗效。方法将70例患者随机分为浮针组和西药组,每组35例。浮针组采用浮针疗法,隔日治疗1次,每星期治疗3次,2星期为1个疗程;西药组口服塞来昔布(西乐葆),每次200 mg,每日2次,连续服用2星期为1个疗程。观察两组患者治疗前后疼痛视觉模拟评分(visual analogue score,VAS)、压痛评分、颈部残障指数(neck disability index,NDI)的变化。结果与治疗前相比,两组患者VAS、压痛评分、NDI均降低(P<0.05,P<0.01);与西药组相比,浮针组患者治疗后这3项指标下降更显著(P<0.05);浮针组愈显率和总有效率分别为57.1%和94.3%,均优于西药组的31.4%和77.1%(P<0.05)。结论浮针疗法能够更好地缓解项背肌筋膜炎症状,疗效优于口服塞来昔布。
Objective To investigate the clinical efficacy of superficial needling therapy for nape myofascitis.Method Seventy patients were randomly allocated to superficial needling and Western medicine groups,35 cases each.The superficial needling group received superficial needling therapy once every other day,three times a week,two weeks as a course.The Western medicine group took celecoxib（Celebrex） 200 mg twice daily,two weeks as a course.The Pain Visual Analogue Scale（VAS） score,the tenderness score and the Neck Disability Index（NDI） score were recorded in the two groups of patients before and after treatment.Result The VAS score,the tenderness score and the NDI score decreased in the two groups of patients after treatment compared with before（P〈0.05,P〈0.01） and decreased more in the superficial needling group than in the Western medicine group（P〈0.05）.The cure and marked efficacy rate and the total efficacy rate were 57.1% and 94.3%,respectively,in the superficial needling group,which were higher than 31.4% and 77.1% in the Western medicine group（P〈0.05）.Conclusion Superficial needling therapy can better relieve the symptoms and is more effective than oral celecoxib in treating nape myofascitis.
作者
李新伟
杜嘉
谭克平
沈亚芳
LI Xin-wei DU Jia TAN Ke-pin SHEN Ya-fang(Zhejiang Provincial Tongde Hospital, Hangzhou 310012,China)
出处
《上海针灸杂志》
2016年第10期1242-1244,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药科学研究项目(2014ZB014)
关键词
针刺
浮针疗法
肌筋膜炎
Acupuncture
Superficial needling therapy
Myofascitis
