辨位循经取穴针刺结合痛点重灸治疗纤维肌痛综合征:随机对照研究  

Fibromyalgia syndrome treated with acupuncture at the acupoints of the affected meridians and heavy moxibustion at painful points:a randomized controlled trial

作　　者：李德华[1] 杨玲[1] 李季[1] 

机构地区：[1]成都中医药大学附属医院针灸科,四川成都610072

出　　处：《中国针灸》2016年第2期147-151,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:通过与药物治疗进行随机对照研究,观察辨位循行取穴针刺结合痛点重灸治疗纤维肌痛综合征的临床疗效。方法:将32例纤维肌痛综合征患者随机分为针灸组和药物组,每组16例。针灸组进行辨位循经取穴针刺结合痛点重灸,隔日1次,每周治疗3次,治疗4周;药物组给予曲马多缓释片和阿米替林口服,每日1次,服用4周。两组均随访4周,于治疗前、治疗后、随访时采用修订版纤维肌痛综合征影响问卷调查表(FIQR)和视觉模拟评分法(VAS)量表进行评分,并比较两组疗效。结果:两组治疗后与随访时FIQR评分、VAS评分均比治疗前明显改善(均P<0.05),且治疗结束时组间差异无统计学意义(均P>0.05),但在随访时,组间差异有统计学意义(均P<0.05),针灸组评分有持续改善而药物组有反弹趋势。结论:辨位循经取穴针刺结合痛点重灸治疗纤维肌痛综合征安全有效,与曲马多缓释片配合阿米替林治疗相比有更好的持续性效应。Objective To observe the clinical efficacy on fibromyalgia syndrome treated with acupuncture at the acupoints selected from the affected meridians based on the location differentiation and the heavy moxibustion at painful points by the randomized controlled trial with medication.Methods Thirty-two patients of fibromyalgia were randomized into an acupuncture-moxibustion group and a medication group,16 cases in each one.In the acupuncture-moxibustion group,acupuncture at the acupoints selected from the affected meridians based on the location differentiation and the heavy moxibustion at painful points were applied,once every two days,three times a week,for 4 weeks totally.In the medication group,tramadol sustained release tablets and amitriptyline were prescribed for oral administration,once a day,for 4 weeks.The follow-up visit was conducted for 4 weeks in the two groups.Before and after treatment and in follow-up visit,the revised version of the fibromyalgia impact questionnaire（FIQR）and visual analogue scale（VAS）were adopted for assessment and comparison of the efficacy between the two groups.Results After treatment and in follow-up visit,FIQR score and VAS score were improved apparently as compared with those before treatment in the two groups（all P〈0.05）.At the end of treatment,the differences were not significant statistically between the two groups（all P〉0.05）.But the differences were significant in follow-up visit（all P〈0.05）.The scores in the acupuncture-moxibustion group were improved persistently,but those in the medication group were rebound.Conclusion The acupuncture at the acupoints selected from the affected meridians based on the location differentiation and the heavy moxibustion at painful points are safe and effective in the treatment of fibromyalgia syndrome and present the better persistent effect as compared with the combined medication of tramadol sustained release tablets and amitriptyline.

关 键 词：纤维肌痛综合征 针刺 艾灸 修定版纤维肌痛综合征影响问卷表 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]