温针灸治疗颈背部肌筋膜疼痛综合征疗效观察  

Therapeutic Observation of Warm Needling for Neck-back Myofascial Pain Syndrome

作　　者：苏彩霞 林枫[2] 江钟立[2] 

机构地区：[1]江苏盛泽医院,苏州215228 [2]南京医科大学第一附属医院,南京210000

出　　处：《上海针灸杂志》2015年第11期1102-1105,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察温针灸治疗颈背部肌筋膜疼痛综合征的临床疗效。方法将60例颈背部肌筋膜疼痛综合征患者随机分为治疗组和对照组,每组30例。治疗组采用温针治疗,对照组采用电针治疗。采用简化麦吉尔疼痛量表及日本physion MD肌电阻测量仪器来测定痛点(红点、黄点)的数量,观察两组治疗前后疼痛评定指数(PRI)、视觉模拟评分(VAS)和现时疼痛强度(PPI)以及红点、黄点变化情况,并比较两组临床疗效。结果治疗组总有效率为83.3%,对照组为66.7%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后简式Mc Gill疼痛量表各项评分(PRI、VAS及PPI)与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后VAS及PPI评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后简式Mc Gill疼痛量表各项评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗后红点和黄点痛点数量与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后红点痛点数量与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗后红点和黄点痛点数量与对照组比较,差异均具有统计学意义(P<0.05)。结论温针灸是一种治疗颈背部肌筋膜疼痛综合征的有效方法。Objective To observe the clinical efficacy of warm needling in treating neck-back myofasical pain syndrome. Method Sixty patients with neck-back myofasical pain syndrome were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by warm needling therapy, while the control group was by electroacupuncture. The short-form McGill Pain Questionnaire （SF-MPQ） and Physion MD muscle resistance detector （Japan） were adopted to measure the count of tender points （red points and yellow points）, Pain Rating Index （PRI）, Visual Analogue Scale （VAS）, and Present Pain Intensity （PPI） before and after the treatment, and the clinical efficacies were also compared.Result The total effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant （P〈0.05）. The SF-MPQ scores （PRI, VAS, and PPI scores） were significantly changed in the treatment group after the intervention （P〈0.05）. In the control group, VAS and PPI scores were significantly changed after the treatment （P〈0.05）. After treatment, there were significant differences in comparing the SF-MPQ scores between the two groups （P〈0.05）. The counts of red and yellow tender points were significantly changed in the treatment group after the intervention （P〈0.05）. The count of red tender points was significantly changed in the control group after the intervention （P〈0.05）. After the treatment, there were significant differences in comparing the number of red and yellow tender points between the two groups （P〈0.05）.Conclusion Warm needling is an effective approach in treating neck-back myofascial pain syndrome.

关 键 词：针灸疗法 温针疗法 电针 肌筋膜疼痛综合征 疼痛评定指数 视觉模拟评分 现时疼痛强度 

分 类 号：R246.2[医药卫生—针灸推拿学]