基于动态平衡失调理论治疗菱形肌损伤  

Treatment of Rhomboid Muscle Injury Based on Dynamic Equilibrium Theory

作　　者：郑秀霞 杨卫远 卢旭晖 陈挺霖 曹罗元 林佳玲 黄雯晖 林应华 黄宝英 ZHENG Xiuxia;YANG Weiyuan;LU Xuhui;CHEN Tinglin;CAO Luoyuan;LIN Jialing;HUANG Wenhui;LIN Yinghua;HUANG Baoying(Department of Rehabilitation Medicine,Ningde City Hospital attached to Ningde Normal College,Ningde 352000,China;Department of Traditional Chinese Medicine,Ningde City Hospital Affiliated to Ningde Normal University,Ningde 352000,China;Department of Orthopedics,Ningde City Hospital Affiliated to Ningde Normal University,Ningde 352000,China;Center Laboratory,Ningde Hospital,Ningde Normal University,Ningde 352000,China)

机构地区：[1]宁德师范学院附属宁德市医院康复医学科,宁德352000 [2]宁德师范学院附属宁德市医院中医科,宁德352000 [3]宁德师范学院附属宁德市医院骨科,宁德352000 [4]宁德师范学院附属宁德市医院中心实验室,宁德352000

出　　处：《中国医药指南》2024年第13期8-11,共4页Guide of China Medicine

基　　金：福建省中医老年病重点专科建设项目(闽卫中医函[2019]262号)。

摘　　要：目的 基于动态平衡失调理论应用以小针刀为主、中药内服为辅的方法治疗菱形肌损伤并对比观察治疗效果及炎症指标变化。方法 将2018年10月至2020年10月就诊我院中医科、康复科、骨科门诊并住院的71例菱形肌损伤患者分为对照组(小针刀组)、观察组(小针刀加中药内服组),治疗5 d后对患者进行中医症状疗效判定、疼痛缓解的视觉模拟评分法(VAP)评定,治疗前及治疗5 d后对患者进行数字疼痛评分法(NPRS)评定、测定血清5-羟色胺(5-HT)和前列腺素E2(PGE2)水平。结果 观察组中医症状疗效优于对照组(P <0.05)。治疗前,两组患者NPRS评分、血清5-HT、血清PGE2差异无统计学意义(P> 0.05);治疗后,观察组NPRS评分优于对照组,观察组血清5-HT、血清PGE2均低于对照组(均P <0.05)。结论 基于动态平衡失调理论应用小针刀配合中药内服治疗菱形肌损伤疗效确切,比单独应用小针刀治疗效果好。Objective Based on the theory of dynamic equilibrium disorders,we applied the method of treating rhomboid muscle injury mainly with little needle knife and supplemented by internal administration of traditional Chinese medicine,and compared the therapeutic effects and the changes of inflammatory indexes.Methods A total of 71 patients with rhomboid muscle injury who visited the outpatient clinics of the Department of Traditional Chinese Medicine,Department of Rehabilitation and Department of Orthopaedics of our hospital and were hospitalized from October 2018 to October 2020 were divided into the control group of little-needle knife group and the observation group of little-needle knife plus traditional Chinese medicine internal medicine group,and the efficacy of traditional Chinese medicine symptoms was determined,the Visual Analog Scoring for Pain Relief(VAP) was evaluated,and the patients were evaluated with the numerical pain scoring(NPRS) before and 5 days after treatment also serum 5-hydroxytryptamine(5-HT) and prostaglandin E2(PGE2) levels were measured.Results The efficacy of TCM symptoms in the observation group was better than that in the control group(P<0.05).Before treatment,there was no statistically significant difference in NPRS score,serum 5-HT and serum PGE2 between the two groups(P>0.05);after treatment,the NPRS score of the observation group was better than that of the control group,and the serum 5-HT and serum PGE2 of the observation group were lower than that of the control group(all P <0.05).Conclusions Based on the theory of dynamic equilibrium disorders,the treatment of rhomboid muscle injury by applying little-needle knife together with internal administration of traditional Chinese medicine is effective and better than applying little-needle knife alone.

关 键 词：菱形肌损伤 小针刀 中药内服 动态平衡失调 

分 类 号：R285.5[医药卫生—中药学] R246.2[医药卫生—中医学]