针刺激痛点对肌筋膜疼痛综合征患者生活质量的影响  

Effect of Acupuncture at Myofascial Trigger Points on the Quality of Life in Patients with Myofascial Pain Syndrome

作　　者：薛开禄 柳围堤[1] 田苗[1] 张芳[1] 

机构地区：[1]西安交通大学医学院附属3201医院,汉中723000

出　　处：《上海针灸杂志》2017年第8期991-994,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的评估及对比激痛点针刺和体外冲击波治疗肌筋膜疼痛综合征患者的临床疗效及对患者生活质量的影响。方法采用随机数字表法将78例肌筋膜疼痛综合征患者分为针刺组和冲击波组,每组39例,两组患者分别给予激痛点针刺治疗和体外冲击波治疗,比较两组患者连续治疗20 d的临床疗效差异,并观察两组患者治疗1个月后的生活质量评分变化情况。结果治疗后针刺组的VAS评分[(1.57±0.83)分]、PRI[(1.87±1.06)分]、PPI[(0.94±0.72)分]均显著低于冲击波组的VAS评分[(2.16±0.95)分]、PRI[(2.68±1.14)分]、PPI[(1.53±0.81)分],差异均具有统计学意义(P<0.05);两组患者治疗后VAS、PRI、PPI评分较治疗前均显著降低(P<0.05)。治疗后两组患者生理功能、生理职能、躯体疼痛、社会功能、精力、一般健康状况、情感职能、精神健康8个维度的评分均较治疗前显著提高(P<0.05),针刺组提高更加显著(P<0.05)。针刺组显效率为84.6%,显著高于冲击波组的61.5%(P<0.05)。结论针刺和体外冲击波疗法治疗肌筋膜疼痛综合征患者均具有显著的临床疗效,能够进一步改善患者的生活质量。Objective To investigate and compare the clinical efficacies of acupuncture at myofascial trigger points and extracorporeal shock wave and their effects on the quality of life in patients with myofascial pain syndrome. Method Seventy-eight patients with myofascial pain syndrome were allocated, using a random number table, to acupuncture and shock wave groups, 39 cases each. The two groups received acupuncture at myofascial trigger points and extracorporeal shock wave, respectively. The clinical therapeutic effects were compared between the two groups of patients after 20 consecutive days of treatment. The quality of life score was recorded in the two groups of patients before and after one month of treatment. Result The VAS score（1.57±0.83）, the PRI score（1.87±1.06） and the PPI score（0.94±0.72） in the acupuncture group were lower than the VAS score（2.16±0.95）,the PRI score（2.68±1.14） and the PPI score（1.53±0.81） in the shock wave group. All had a statistically significant difference（P〈0.05）. The VAS score, the PRI score and the PPI score decreased significantly in the two groups of patients after treatment compared with before. Eight scaled scores： physical functioning, physical role functioning, bodily pain, social role functioning, vitality, general health perceptions, emotional role functioning and mental health increased significantly in the two groups of patients after treatment compared with before（P〈0.05） and increased more in the acupuncture group（P〈0.05）. The marked efficacy rate was 84.6% in the acupuncture group, which was significantly higher than 61.5% in the shock wave group（P〈0.05）. Conclusion Both acupuncture and extracorporeal shock wave therapy have a marked clinical effect on myofascial pain syndrome. It can further improve the quality of life in the patients.

关 键 词：针刺 体外冲击波 激痛点 肌筋膜疼痛综合征 生活质量评分 

分 类 号：R246.2[医药卫生—针灸推拿学]