针刺疗法联合耳穴贴压加肌肉牵张及艾灸对颈肌筋膜疼痛综合征患者疗效及负性情绪的影响  

Effect of acupuncture therapy combined with auricular point sticking,muscle stretch and moxibustion on the efficacy and negative emotion of patients with cervical myofascial pain syndrome

作　　者：覃华 杨西宁[1] 何琳 张红色 黄红红 Qin Hua;Yang Xining;He Lin;Zhang Hongse;Huang Honghong(Guangxi Zhuang Autonomous Region National Hospital,Nanning Guangxi 530001)

机构地区：[1]广西壮族自治区民族医院,广西南宁530001

出　　处：《山西中医药大学学报》2023年第10期1093-1098,共6页Journal of Shanxi University of Chinese Medicine

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210470)。

摘　　要：目的:探讨针刺疗法联合耳穴贴压加肌肉牵张及艾灸在颈肌筋膜疼痛综合征患者中的应用疗效及对负性情绪的影响。方法:选取广西壮族自治区民族医院康复医学科2021年6月—2022年12月收治的颈肌筋膜疼痛综合征患者80例,按信封法分为对照组和观察组,每组各40例。对照组给予针刺疗法及常规护理,观察组在对照组的基础上给予耳穴贴压联合肌肉牵张加艾灸;分别于干预前、干预24 h、干预第3天、干预第7天采用数字评定量表(NRS)对两组患者的疼痛情况进行评估,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)分别于干预前和干预后评估两组患者的负性情绪,干预前后评定两组患者颈部活动度情况,出院后6个月电话随访两组患者颈部肌筋膜疼痛复发情况。结果:两组患者疼痛评分在时间效应、组间效应与交互效应上比较,差异有统计学意义(P<0.001);干预后观察组负性情绪、颈部活动度明显优于对照组,差异有统计学意义(P<0.001);两组患者出院后6个月内颈肌筋膜疼痛复发率比较,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论:针刺疗法联合耳穴贴压加肌肉牵张及艾灸可以有效减轻患者疼痛,改善负性情绪,提高颈部活动度,降低复发率,有利于提高颈肌筋膜疼痛综合征患者的临床疗效。Objective:To explore the effect of acupuncture therapy combined with auricular point sticking,muscle stretch and moxibustion on the efficacy and negative emotion of patients with cervical myofascial pain syndrome.Methods:A total of 80 patients with cervical myofascial pain syndrome admitted to the Department of Rehabilitation Medicine,National Hospital of Guangxi Zhuang Autonomous Region from June 2021 to December 2022 were selected and divided into control group and observation group according to envelope method,with 40 cases in each group.The patients in the control group were given acupuncture therapy and routine nursing,and the patients in the observation group were given auricular point sticking combined with muscle stretch and moxibustion on the treatment basis of the control group.Numerical rating scale(NRS)was used to evaluate the pain of the patients in two groups before intervention,at 24 h,the third and seventh day of intervention,respectively.The negative emotions of the patients in two groups were assessed by self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)before and after intervention,respectively.Neck motion was assessed before and after intervention,and the recurrence of cervical myofascial pain in the patients in two groups was followed up by telephone 6 months after discharge.Results:The pain scores of patients in the two groups were compared in time effect,intergroup effect and interaction effect,and the differences were statistically significant(P<0.001);after intervention,the negative emotion and range of neck motion in the observation group were significantly better than those in the control group,and the difference was statistically significant(P<0.001);the recurrence rate of medial neck myofascial pain in the observation group was significantly lower than that in the control group 6 months after discharge,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture therapy combined with auricular point sticking,muscle stretching and moxibustion can eff

关 键 词：肌筋膜疼痛综合征 针刺疗法 肌肉牵张 耳穴贴压 艾灸 

分 类 号：R246.9[医药卫生—针灸推拿学]