踩跷调衡法推拿治疗纤维肌痛综合征患者的临床疗效观察  

Clinical Observation of Trampling-Balancing Manipulation for the Treatment of Patients with Fibromyalgia Syndrome

作　　者：姜传捷 张静[2] JIANG Chuan-Jie;ZHANG Jing(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept.of Tuina,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院推拿科,广东广州510405

出　　处：《广州中医药大学学报》2023年第1期136-141,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20191124)。

摘　　要：【目的】观察踩跷调衡法推拿治疗纤维肌痛综合征患者的临床疗效及对躯体疼痛和抑郁状态的改善作用。【方法】将60例原发性纤维肌痛综合征患者随机分为治疗组(踩跷组)和对照组(电针组),每组各30例。治疗组于患者身后督脉及膀胱经循行处施以踩跷调衡法推拿治疗,对照组给予电针疗法治疗(穴位取肩井、肩髃、曲垣、C4夹脊、C6夹脊、曲池、阳陵泉、阴陵泉、L5夹脊、秩边、环跳,均双侧取穴)。2组均3 d治疗1次,10次为1个疗程,共治疗1个疗程(共1个月)。观察2组患者治疗前后躯体疼痛视觉模拟量表(VAS)评分及抑郁自评量表(SDS)评分的变化情况,并评价2组患者的临床疗效。【结果】(1)研究过程中,治疗组脱落1例,剔除1例,最终纳入统计28例;对照组脱落2例,无剔除病例,最终纳入统计28例。(2)经治疗1个月后,治疗组的总有效率为96.4%(27/28),对照组为78.6%(22/28),组间比较,治疗组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的躯体疼痛VAS评分及SDS评分均较治疗前明显降低(P<0.05),且治疗组对躯体疼痛VAS评分及SDS评分的降低作用均明显优于对照组,组间治疗后及治疗前后差值比较,差异均有统计学意义(P<0.05)。【结论】踩跷调衡法及电针疗法均可有效改善纤维肌痛综合征患者的躯体疼痛和抑郁状态,但踩跷调衡法推拿治疗的疗效优于电针疗法。Objective To investigate the clinical efficacy of trampling-balancing manipulation in treating patients with fibromyalgia syndrome and to observe its effect on improving the bodily pain and depressive state. Methods Sixty patients with primary fibromyalgia syndrome were randomly divided into treatment group(trampling group)and control group(electro-acupuncture group), with 30 patients in each group. In the treatment group, the patients were treated with trampling-balancing manipulation at the region along the governor vessel and bladder meridian on the back. In the control group, the patients were treated with electro-acupuncture on bilateral acupoints of Jianjing(GB21), Jianyu(LI15), Quyuan(SI13), Jiaji(EX-B2)of the fourth cervical vertebra(C4),Jiaji(EX-B2)of C6,Quchi(LI11),Yanglingquan(GB34),Yinlingquan(SP9),Jiaji(EX-B2)of the fifth lumbar vertebra(L5),Zhibian(BL54),and Huantiao(GB30). Both groups were treated once every 3 days,10 times as a course and lasting for one course of treatment(a total of one month). The changes in the visual analogue scale(VAS)scores for bodily pain and self-rating depression scale(SDS)scores in the two groups were observed before and after treatment,and the clinical efficacy of the two groups of patients was evaluated. Results(1)During the trial,one case dropped out and one case excluded from the treatment group,and a total of 28 cases eventually completed the trial;in the control group,2 cases dropped out and none case excluded,and also a total of 28 cases eventually completed the trial.(2)After one month of treatment, the overall effective rate of the treatment group was 96.4%(27/28)and that of the control group was 78.6%(22/28). The intergroup comparison showed that the efficacy of the treatment group was significantly superior to that of the control group, and the difference was statistically significant(P<0.05).(3)After treatment, the VAS scores of bodily pain and SDS scores in both groups were significantly decreased compared with those before treatment(P<0.05),and the effect

关 键 词：踩跷调衡法 纤维肌痛综合征 推拿 电针 躯体疼痛 抑郁状态 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]