针刺与利多卡因阻滞治疗腰部肌筋膜疼痛综合征比较研究  

Comparative study on effect of acupuncture and lidocaine block for lumbar myofascial pain syndrome

作　　者：姜桂美[1] 林谋德[2] 王路英[1] 

机构地区：[1]广东省中医院理疗科,广州510120 [2]广州中医药大学

出　　处：《中国针灸》2013年第3期223-226,共4页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药管理局科研课题面上项目:2010142

摘　　要：目的:观察针刺夹脊穴为主治疗腰背部肌筋膜疼痛综合征(MPS)的临床疗效。方法:将符合腰背部MPS诊断的患者66例随机分为针刺组与利多卡因组各33例。针刺组采用针刺腰背部夹脊穴为主,配合肌筋膜触发点局部针刺;利多卡因组采用利多卡因触发点局部阻滞治疗。两组均每3天治疗1次,治疗3次和5次后应用简化McGill量表、Oswestry功能障碍指数问卷表和压痛阈测定来观察两组对腰背部MPS疼痛的影响。结果:针刺组与利多卡因组治疗3次和5次后均较治疗前在简化的McGill量表评分和Oswestry功能障碍评分方面显著下降,压痛阈测定显著升高(均P<0.01)。并且在治疗3次和5次后两组之间3项评分均差异无统计学意义(均P>0.05)。结论:针刺夹脊穴是治疗MPS的一种有效方法,其疗效与利多卡因局部阻滞法相当。Objective To observe the clinical efficacy of acupuncture at Jiaji（EX-B 2） points mainly for lumbar myofascial pain syndrome （MPS）. Methods Sixty-six cases of MPS were randomized into an acupuncture group and a lidocaine group, 33 cases in each group. The acupuncture group was treated with acupuncture at Jiaji （EX- B 2） points combined with needling local myofascial trigger points （MTrP）, and the lidocaine group was treated with local block at trigger points with lidocaine injection. The treatment was given once every 2 days. After three and five times of the treatment, the simplified McGill scale, Oswestry disability index （ODD and pressure-pain threshold were assessed to compare the therapeutic effects between the two groups. Results After treatment, the scores of simplified McGill and ODI of two groups were obviously reduced while the score of pressure-pain thre- shold was obviously increased （all P^0.01）. After three and five times of the treatment, there were no significant differences in above scores between the two groups（all P〉0.05）. Conclusion Acupuncture at Jiaji （EX-B 2） points combined with needling MTrP is an effective and safe therapy for lumbar MPS, the therapeutic effect is equal to lidocaine block.

关 键 词：肌筋膜疼痛综合征 针刺疗法 穴 夹脊 利多卡因 

分 类 号：R246.2[医药卫生—针灸推拿学]