密集型银质针温针灸治疗腰背肌筋膜疼痛综合征临床观察  

Clinical Observation on Intensive Acupuncture-moxibustion with Silver Needles for Lumbodorsal Myofascial Pain Syndrome

作　　者：王海丹 

机构地区：[1]云南省新平县中医院,云南653400

出　　处：《上海针灸杂志》2013年第8期664-665,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察密集型银质针温针灸治疗腰背肌筋膜疼痛综合征的临床疗效。方法将60例患者按随机数字表法分为治疗组30例、对照组30例。治疗组采用密集型银质针温针灸,对照组采用常规针灸疗法,观察临床疗效及远期疗效。结果治疗组总有效率和愈显率分别为90.0%和70.0%,对照组分别为83.3%和36.7%,两组比较差异有统计学意义(P<0.01),提示治疗组疗效优于对照组。治疗组在1星期至6个月后NRS评分均保持在较低水平,表明治疗组近期和远期疗效稳定。对照组在1星期后NRS评分虽在较低水平,但仍高于同期治疗组(P<0.05);而在1个月至6个月NRS评分逐月增高,表明对照组近期疗效不如治疗组,远期疗效明显下降。结论在临床疗效及远期疗效方面,密集型银质针温针灸明显优于传统针灸治疗。Objective To observe the clinical efficacy of intensive acupuncture-moxibustion with silver needles in treating lumbodorsal myofascial pain syndrome. Method Sixty patients with lumbodorsal myofascial pain syndrome were randomized into a treatment group and a control group by the random number table, 30 each. The treatment group was intervened by intensive acupuncture-moxibustion treatment with silver needles, and the control group was by conventional acupuncture-moxibustion treatment. Clinical efficacy and long-term therapeutic efficacy were observed. Result The total effective rate, and recovery and markedly effective rate were respective 90.0% and 70.0% in the treatment group, versus 83.3% and 36.7% in the control group. The difference was statistically significant in comparing therapeutic efficacy between the two groups （P〈0.01）, indicating that the treatment group had a better therapeutic efficacy than the control group. The Numeric Rating Scale （NRS） score was kept on a comparatively low level in the treatment group during the 6 months since one week after treatment, indicating that the treatment group had a content therapeutic efficacy and stable short-term and long-term therapeutic efficacies. Although the control group had a comparatively low level of NRS score in one week after treatment, it＇s still higher than the corresponding level in the treatment group （P〈0.05）. During the post-treatment 6 months, the NRS score increased gradually month by month in the control group, indicating that the short-term therapeutic efficacy of the control group was worse than that of the treatment group, and the long-term therapeutic efficacy decreased significantly in the control group. Conclusion The intensive acupuncture-moxibustion treatment with silver needles is obviously superior to the conventional acupuncture-moxibustion treatment regarding clinical efficacy and long-term therapeutic efficacy.

关 键 词：针刺 温针疗法 银质针 肌筋膜疼痛综合征 

分 类 号：R246.2[医药卫生—针灸推拿学]