基于激痛点的合谷刺法结合舒筋弹拨法治疗急性胸背肌筋膜炎临床疗效的观察  

Clinical efficacy of hegu needling method combined with tendon-stretching and plucking massage on trigger point in the treatment of acute thoracodorsal myofascitis

作　　者：鲁光宝[1] 梅荣军[2] 史文强[2] 刘海洲[1] 黄敬文[1] 李续博[1] LU Guang-bao;MEI Rong-jun;SHI Wen-qiang;LIU Hai-zhou;HUANG Jing-wen;LI Xue-bo(Jiamusi College,Heilongjiang University of Traditional Chinese Medicine,Jiamusi,Heilongjiang,154000;Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin,Heilongjiang,150001)

机构地区：[1]黑龙江中医药大学佳木斯学院,黑龙江佳木斯154000 [2]黑龙江中医药大学附属二院,黑龙江哈尔滨150001

出　　处：《海南医学院学报》2019年第5期371-374,共4页Journal of Hainan Medical University

基　　金：黑龙江中医药大学科研基金项目(201737);黑龙江省自然科学基金面上项目(H2015023)~~

摘　　要：目的:观察基于激痛点理论的合谷针刺法结合舒筋弹拨法对急性胸背肌筋膜炎的疗效;方法:84例符合诊断及纳入标准的急性胸背肌筋膜炎患者随机分为治疗组和对照组,其中治疗组给予合谷针刺法结合舒筋弹拨推拿法治疗,对照组采用常规电针疗法。两组疗程均为2周,分别比较两组治疗前、第一次治疗后及疗程结束后VAS评分、ODI,并评价其临床疗效;结果:治疗组和对照组总有效率分别为97.62%和80.95%,治疗组明显优于对照组(P<0.05);治疗组第一次治疗及疗程结束后VAS和ODI评分与本组治疗前比较均明显下降(P<0.01),且治疗组明显优于对照组(P<0.05和P<0.01);结论:合谷刺法结合舒筋弹拨推拿法能够减轻急性胸背肌筋膜炎患者的疼痛和改善其肢体功能障碍,疗效显著。Objective:To observe the effect of Heguneediling method combined with tendon-stretching and plucking massage on trigger point in the treatment of acute thoracodorsalmyofascitis.Methods:84 patients with acute thoracodorsalmyofascitis who met the diagnostic and inclusion criteria were assigned into the treatment group and the control grouprandomly,the treatment group was treated with Heguneediling method combined with tendon-stretching and plucking massage,while the control group was treated with conventional electroacupuncture.Two groups of patients were treated for two weeks.VAS score and ODI were compared before treatment,after the first treatment and after the treatment course,and the clinical efficacy was evaluated after treatment.Results:The total effective rates of the treatment group and the control group were 97.62% and 80.95%,respectively.The treatment group was significantly better than the control group(P<0.05).The VAS and ODI scores of the treatment group decreased after the first treatment and the end of the treatment(P<0.01),and the treatment group was significantly better than the control group(P<0.05 and P<0.01).Conclusion:Heguneediling method combined with tendon-stretching and plucking massage can relieve pain and improve limb dysfunction in patients with acute thoracodorsalmyofascitis.

关 键 词：合谷刺法 舒筋弹拨法 急性胸背肌筋膜炎 临床疗效 

分 类 号：R246.9[医药卫生—针灸推拿学]