浮针治疗项背肌筋膜炎临床研究  

Clinical Study of Fu s Subcutaneous Needling in Treatment of Fasciitis of Nape Muscle

作　　者：刘鹏[1] 薛剑[1] 黄昕[1] 董霏雪[1] LIU Peng;XUE Jian;HUANG Xin;DONG Feixue(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2022年第11期34-38,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省博士后资助基金,编号:LBH-Z18247;黑龙江省卫生健康委科技计划,编号:20210303070174。

摘　　要：目的:对浮针治疗项背肌筋膜炎的临床疗效进行观察与分析。方法:将符合相关标准且纳入研究的60例项背肌筋膜炎患者随机分为针刺对照组(30例)及浮针治疗组(30例)。针刺对照组予以常规针刺治疗,1次/d,连续治疗2周;浮针治疗组行浮针治疗于可疑患肌处,频率为1次/2 d,2周内共治疗7次。在治疗前及治疗2周后分别测评并比较两组患者的压痛点评分、颈部残障指数(NDI)、颈椎活动度(ROM)、血小板聚集率及5-羟色胺水平,继而分析两组的临床疗效。结果:两组项背肌筋膜炎患者压痛点评分、NDI指数、血小板聚集率及5-羟色胺水平测评显示,治疗后两组患者各评分均较治疗前降低,差异具有统计学意义(P<0.05),且浮针治疗组评分下降幅度均大于针刺对照组,差异具有统计学意义(P<0.05);ROM测评显示,两组患者治疗后颈椎前屈后伸、左右侧屈及左右旋转的ROM均较治疗前提升,差异具有统计学意义(P<0.05),且浮针治疗组ROM提升幅度大于针刺对照组,差异具有统计学意义(P<0.05);浮针治疗组总有效率可达86.7%(26/30),显著优于针刺对照组的73.4%(22/30),差异具有统计学意义(P<0.05)。结论:浮针可有效改善项背肌筋膜炎患者局部疼痛、活动受限的症状,减轻炎性反应,改善颈部功能,且临床疗效要优于常规针刺。Objective:To observe and analyze the clinical effect of Fu s subcutaneous needling in treatment of fasciitis of nape muscle.Methods:60 patients with fasciitis of nape muscle,who met relevant standards,were included in this study and were randomly divided into the control group(n=30)and the treatment group(n=30).The control group was treated with conventional acupuncture,once every day for two consecutive two weeks,and the treatment group was treated with Fu s subcutaneous needling affected muscles,once every 2 days,and a total of 7 treatments within 2 weeks.Tenderness scores,neck disability index(NDI),range of movement(ROM)of cervical spine mobility,platelet aggregation rate and 5-HT level were assessed before the treatment and after two weeks of treatment in the two groups.The clinical efficacy was also compared between the two groups.Results:The tenderness score,the NDI score,the platelet aggregation rate and the level of 5-HT were decreased after the treatment compared with those before the treatment in the two groups(P<0.05),and the decreases in the treatment group were more significant(P<0.05).ROM of cervical spine flexion and extension,left and right lateral flexion,as well as left and right rotation were increased after the treatment than those before the treatment(P<0.05),and the increases were more significant in the treatment group than those in the control group(P<0.05).The total effective rate of the treatment group was 86.7%(26/30),which was significantly higher than 73.4%(22/30)of the control group(P<0.05).Conclusion:Fu s subcutaneous needling can effectively relieve local pain,alleviate activity limitation,reduce local inflammatory response,and improve neck function in patients with nape myofasciitis,and the clinical effect is better than conventional acupuncture.

关 键 词：项背肌筋膜炎 浮针 肌筋膜触发点 

分 类 号：R246.2[医药卫生—针灸推拿学]