常规针刺联合远端取穴与局部阿是穴埋线治疗肩背肌筋膜炎的疗效对比观察  

Therapeutic Comparison of Distal Points Catgut Embedding and Local Ashi Points Catgut Embedding in Treating Shoulder and Back Myofasciitis

作　　者：王政研[1] 鲜琦琦 张巍[1] 张楠[2] 潘超然 WANG Zhengyan;XIAN Qiqi;ZHANG Wei;ZHANG Nan;PAN Chaoran(Sichuan Integrative Medicine Hospital,Chengdu 610041,China;Chengdu University of TCM,Chengdu 610075,China)

机构地区：[1]四川省中西医结合医院,四川成都610041 [2]成都中医药大学,四川成都610075

出　　处：《中医药信息》2021年第8期47-51,共5页Information on Traditional Chinese Medicine

基　　金：国家自然科学基金青年基金项目(81503670);四川省中医药管理局科研专项(2021MS324);四川省中医药管理局科研专项(2018LC001)。

摘　　要：目的:对比观察常规针刺联合远端取穴与局部阿是穴埋线治疗肩背肌筋膜炎的疗效差异。方法:用简单随机数字法,将符合纳入标准的70例肩背肌筋膜炎患者分为治疗组及对照组各35例。在常规针刺基础上,治疗组给予远端取穴(手三里、肩痛穴)埋线治疗,对照组给予局部阿是穴埋线治疗。在治疗前、治疗后、随访时(治疗后1个月)分别比较两组患者的简易McGill疼痛问卷评分(SF-MPQ)和临床软组织损伤症状体征评分的变化情况。结果:治疗后,治疗组和对照组总有效率分别为93.94%(31/33)和87.1%(27/31),愈显率分别为69.7%(23/33)和38.71%(12/31),两组比较愈显率差异有统计学意义(P<0.05)。两组的SF-MPQ评分和软组织损伤症状体征评分较治疗前均改善(P<0.05),且治疗组改善情况优于对照组(P<0.05),差异具有统计学意义。随访时,治疗组上述评分均较治疗后有改善(P<0.05),且优于对照组(P<0.05);而对照组自身随访和治疗后比较,差异无统计学意义(P>0.05)。结论:常规针刺联合手三里、肩痛穴远端取穴埋线与常规针刺联合局部阿是穴埋线治疗肩背肌筋膜炎均有效,常规针刺联合远端取穴埋线优于联合局部阿是穴埋线,在改善患者疼痛症状及软组织损伤症状体征方面优势明显,且远期疗效维持较好。Objective:To observe and compare the difference in curative effect between distal points catgut embedding and local Ashi points catgut embedding in the treatment of myofasciitis of shoulder and back.Methods:70 cases of shoulder and back myofasciitis,which met the inclusion criteria,were randomly divided into the treatment group and the control group,with 35 cases in each group.On the treatment basis of conventional acupuncture,the treatment group was treated with catgut embedding at Shousanli(LI13)and Jiantong points,and the control group was treated with local Ashi points catgut embedding.The scores of short-form McGill pain questionnaire(SF-MPQ)and the scores of clinical symptoms and signs of soft tissue injuries were compared between the two groups before the treatment,after the treatment and during the one-month follow-up.Results:The total effective rate of the treatment group was 93.94%(31/33),which was significantly higher than 87.1%(27/31)of the control group(P<0.05).The markedly effective rate of the treatment group was 69.7%(23/33),which was significantly higher than 38.71%(12/31)of the control group(P<0.05).The SF-MPQ scores and the symptoms and signs scores of the soft tissue injuries were significantly improved after the treatment compared to those before the treatment in the two groups(P<0.05);of which the improvements in the treatment group were more significant(P<0.05).During the follow-up,the above scores improved significantly compared to those after the treatment in the treatment group(P<0.05);the scores were significantly improved in the treatment group than those in the control group(P<0.05).There were no statistical differences in the SF-MPQ scores and the symptoms and signs scores of soft tissue injuries between during the follow-up and after the treatment in the control group(P>0.05).Conclusion:Both conventional acupuncture combined with catgut embedding at LI13 and Jiantong points and conventional acupuncture combined with local Ashi points catgut embedding are effective for shoulder and b

关 键 词：肩背肌筋膜炎 埋线 针刺 远端取穴 阿是穴 

分 类 号：R246.1[医药卫生—针灸推拿学]