摘要
目的:对浮针治疗项背肌筋膜炎的临床疗效进行观察与分析。方法:将符合相关标准且纳入研究的60例项背肌筋膜炎患者随机分为针刺对照组(30例)及浮针治疗组(30例)。针刺对照组予以常规针刺治疗,1次/d,连续治疗2周;浮针治疗组行浮针治疗于可疑患肌处,频率为1次/2 d,2周内共治疗7次。在治疗前及治疗2周后分别测评并比较两组患者的压痛点评分、颈部残障指数(NDI)、颈椎活动度(ROM)、血小板聚集率及5-羟色胺水平,继而分析两组的临床疗效。结果:两组项背肌筋膜炎患者压痛点评分、NDI指数、血小板聚集率及5-羟色胺水平测评显示,治疗后两组患者各评分均较治疗前降低,差异具有统计学意义(P<0.05),且浮针治疗组评分下降幅度均大于针刺对照组,差异具有统计学意义(P<0.05);ROM测评显示,两组患者治疗后颈椎前屈后伸、左右侧屈及左右旋转的ROM均较治疗前提升,差异具有统计学意义(P<0.05),且浮针治疗组ROM提升幅度大于针刺对照组,差异具有统计学意义(P<0.05);浮针治疗组总有效率可达86.7%(26/30),显著优于针刺对照组的73.4%(22/30),差异具有统计学意义(P<0.05)。结论:浮针可有效改善项背肌筋膜炎患者局部疼痛、活动受限的症状,减轻炎性反应,改善颈部功能,且临床疗效要优于常规针刺。
Objective:To observe and analyze the clinical effect of Fu s subcutaneous needling in treatment of fasciitis of nape muscle.Methods:60 patients with fasciitis of nape muscle,who met relevant standards,were included in this study and were randomly divided into the control group(n=30)and the treatment group(n=30).The control group was treated with conventional acupuncture,once every day for two consecutive two weeks,and the treatment group was treated with Fu s subcutaneous needling affected muscles,once every 2 days,and a total of 7 treatments within 2 weeks.Tenderness scores,neck disability index(NDI),range of movement(ROM)of cervical spine mobility,platelet aggregation rate and 5-HT level were assessed before the treatment and after two weeks of treatment in the two groups.The clinical efficacy was also compared between the two groups.Results:The tenderness score,the NDI score,the platelet aggregation rate and the level of 5-HT were decreased after the treatment compared with those before the treatment in the two groups(P<0.05),and the decreases in the treatment group were more significant(P<0.05).ROM of cervical spine flexion and extension,left and right lateral flexion,as well as left and right rotation were increased after the treatment than those before the treatment(P<0.05),and the increases were more significant in the treatment group than those in the control group(P<0.05).The total effective rate of the treatment group was 86.7%(26/30),which was significantly higher than 73.4%(22/30)of the control group(P<0.05).Conclusion:Fu s subcutaneous needling can effectively relieve local pain,alleviate activity limitation,reduce local inflammatory response,and improve neck function in patients with nape myofasciitis,and the clinical effect is better than conventional acupuncture.
作者
刘鹏
薛剑
黄昕
董霏雪
LIU Peng;XUE Jian;HUANG Xin;DONG Feixue(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《针灸临床杂志》
2022年第11期34-38,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
黑龙江省博士后资助基金,编号:LBH-Z18247
黑龙江省卫生健康委科技计划,编号:20210303070174。
关键词
项背肌筋膜炎
浮针
肌筋膜触发点
Fasciitis of nape muscle
Fu s subcutaneous needling
Myofascial trigger point
