摘要
目的:观察水筋针松解疗法治疗肌筋膜疼痛综合征(MPS)的疗效。方法:100例MPS患者随机分为水筋针组和针刺组,每组50例。水筋针组采用水筋针松解疗法治疗经筋结点,共治疗1次,针刺组采用毫针针刺激痛点,每日1次,连续治疗2周。治疗结束后采用简化麦吉尔疼痛量表(McGill)和健康调查简表(SF-36)对疗效进行评估,观察两组患者治疗前后疼痛分级指数(PRI)、现时疼痛强度(PPI)、视觉模拟评分(VAS)和SF-36评分的变化,并进行疗效分析。结果:两组治疗后PRI、PPI、VAS评分较治疗前均显著下降(P<0.05),SF-36评分较治疗前显著升高(P<0.05)。治疗后,水筋针组PRI、PPI、VAS评分较针刺组显著下降(P<0.05),水筋针组SF-36评分中总体健康(GH)、生理功能(PF)、躯体疼痛(BP)、生理职能(RP)、精力(VT)、精神健康(MH)评分较针刺组显著升高(P<0.05)。水筋针组愈显率44.0%(22/50),有效率为90.0%(45/50),针刺组的愈显率为14.0%(7/50),有效率为80.0%(40/50),水筋针组愈显率显著高于针刺组(P<0.05)。结论:水筋针松解疗法治疗MPS疗效显著,并且优于传统针刺,值得推广应用。
Objective:To observe the therapeutic effect of water tendon needle releasing therapy on myofascial pain syndrome(MPS).Methods:One hundred patients with MPS were randomly divided into two groups:water water tendon acupuncture group and acupuncture group,50 cases in each group.The water tendon acupuncture group was treated with water tendon acupuncture release therapy one time.The acupuncture group was treated with the filiform needle at stimulating pain points once a day for 2 weeks.After treatment,the patients were evaluated with the internationally recognized simplified McGill pain scale(McGill)and the health survey scale(SF-36).Pain rating index(PRI),present pain intensity(PPI),visual analogue score(VAS),and SF-36 score were evaluated,the efficacy was analyzed before and after treatment.Results:The scores of PRI,PPI,VAS in the two groups were significantly lower than those before treatment(P<0.05),the scores of SF-36 were significantly higher than those before treatment(P<0.05).After treatment,the scores of PRI,PPI and VAS in the water tendon acupuncture group were significantly lower than those in the acupuncture group(P<0.05),and the scores of GH,PF,BP,RP,VT and MH of SF-36 in the water tendon acupuncture group were significantly higher than those in the acupuncture group(P<0.05).The healing rate of the water tendon acupuncture group was 44.0%(22/50),the effective rate was 90.0%(45/50),the healing rate of the acupuncture group was 14.0%(7/50),and the effective rate was 80.0%(40/50).The healing rate of the water tendon acupuncture group was significantly higher than that in the acupuncture group(P<0.05).Conclusion:The therapeutic effect of water tendon acupuncture on MPS is significant and better than that of traditional acupuncture,which is worthy of popularization and application.
作者
侯春福
陈志煌
李晓昊
李慧
郭晶
韦嵩
HOU Chun-fu;CHEN Zhi-huang;LI Xiao-hao;LI Hui;GUO Jing;WEI Song(Department of TCM,General Hospital of Southern War Zone,Guangzhou 510010,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第7期3754-3757,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金项目(No.81573883)
军队后勤科研计划(No.CGZ16C007)
广东省科技计划项目(No.2015B020233011)
广州市科技项目(No.201605091814018)。
关键词
肌筋膜疼痛综合征
水筋针
经筋
松解
针刺
Myofascial pain syndrome
Water tendon needle
Meridian tendon
Relaxation
Acupuncture
