浮针疗法治疗腰背肌筋膜疼痛综合征中长期疗效观察  

Observations on the Medium- and Long-term Efficacies of Superficial Needling Therapy for Lumbodorsal Myofacial Pain Syndrome

作　　者：郑泉国 王海 朱银维 郑聪聪 

机构地区：[1]宁波市鄞州区钱湖医院,宁波315000

出　　处：《上海针灸杂志》2017年第2期202-206,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察浮针疗法治疗腰背肌筋膜疼痛综合征的中长期临床疗效。方法将3251例腰背肌筋膜疼痛综合征患者随机分为浮针组和针灸组,浮针组1753例,针灸组1498例。治疗过程中浮针组有73例、针灸组有105例未按要求完成治疗及失访,两组其余均按要求完成疗程治疗及随访,经过3个疗程治疗后进行疗效比较,对疗程治疗结束时、3个月、6个月、1年疼痛评分及临床疗效进行对比,并对再次复诊率给予比较。结果疗程治疗结束时两组疼痛评分(NRS评分)差异显著(P<0.01),浮针组明显低于针灸组(P<0.01),3个月时两组亦有差异(P<0.05),6个月时两组疼痛评分差异不显著(P>0.05),而在1年时两组无差异(P>0.05)。6个月及1年时两组临床疗效及复诊率无差异(P>0.05)。结论大样本临床观察显示浮针治疗腰背肌筋膜疼痛综合征具有良好的短期疗效,是一种安全有效的方法,但中长期疗效欠佳。Objective To investigate the medium- and long-term clinical efficacies of superficial needling therapy for lumbodorsal myofacial pain syndrome. Method Three thousand two hundred and fifty-one patients with lumbodorsal myofacial pain syndrome were randomly allocated to a superficial needling group of 1753 cases and an acupuncture group of 1498 cases. Seventy-three patients in the superficial needling group and 105 patients in the acupuncture group did not complete the required courses of treatment and were lost to follow-up. The others in the two groups completed the required courses of treatment and were followed up. After three courses of treatment, the clinical therapeutic effects were compared using the pain score at the end of treatment and at three and six months and one year after. The return visit rates were also compared. Result There was a significant difference in the pain score （NRS score） between the two groups at the end of treatment （P〈0.01）, which was significantly lower in the superficial needling group than in the acupuncture group, and a difference between the two groups at three months after. There was no significant difference in the pain score between the two groups at six months after and no difference between the two groups at one year after. There were no differences in clinical therapeutic effect and the return visit rate between the two groups at six months and one year after. Conclusion A clinical observation with a large sample shows that superficial needling has a good short-term therapeutic effect on lumbodorsal myofacial pain syndrome and is a safe and effective method, but its medium- and long-term therapeutic effects are not good enough.

关 键 词：针刺 电针 肌筋膜疼痛综合征 疼痛 NRS评分 浮针 

分 类 号：R246.2[医药卫生—针灸推拿学]