肌骨超声引导下针刀联合膏摩治疗胸背肌筋膜炎的临床研究  

Clinical Study on Musculoskeletal Ultrasound-Guided Acupotmoy Combined with Chinese Herbal Ointment Massage in Treatment of TDMS

作　　者：汪英杰 周艳玲 陈源 阳耀 李迎春[2] 聂勇[2] 朱俊琛[2] WANG Yingjie;ZHOU Yanling;CHEN Yuan;YANG Yao;LI Yingchun;NIE Yong;ZHU Junchen(Anhui University of Chinese Medicine,Hefei 230038,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2024年第7期23-28,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省中医药传承创新科研项目,编号:2022CCZC02。

摘　　要：目的:探讨基于肌骨超声引导下针刀联合膏摩治疗胸背肌筋膜炎(TDMS)的临床研究。方法:将2022年10月—2023年7月收入治疗的72例TDMS患者应用数字随机法分为针刀组36例、膏摩组36例。针刀组接受针刀联合中药膏摩治疗,膏摩组接受中药膏摩治疗。比较两组患者的治疗效果、治疗前后视觉模拟量表(VAS)、炎性因子(肿瘤坏死因子TNF-α、白细胞介素-6 IL-6浓度)和匹兹堡睡眠质量指数(PSQI)等指标变化,并观察在治疗中出现的副作用。结果:针刀组治疗总有效率高达97.22%(35/36),而膏摩组只有75.00%(27/36)(χ^(2)=7.432,P<0.01)。治疗后两组视觉模拟评分(VAS)、炎性因子水平均较治疗前降低,且针刀组低于膏摩组,差异有统计学意义(P<0.05),而PSQI评分则有所提高,针刀组高于膏摩组,差异有统计学意义(P<0.05)。针刀组总副作用发生率5.56%(2/36)与膏摩组11.11%(4/36)比较,差异无统计学意义(P>0.05)。结论:基于肌骨超声引导下针刀联合中药膏摩治疗可有效改善TDMS患者的疼痛程度、炎性水平及睡眠质量。Objective:To investigate the clinical efficacy of musculoskeletal ultrasound-guided acupotomy combined with Chinese herbal ointment massage in treatment of thoracic and dorsal myofascitis(TDMS).Methods:72 patients with TDMS were randomly divided into the study group and the control group,with 36 patients in each group.The control group was treated with Chinese herbal ointment massage;on which basis,the study group was also treated with musculoskeletal ultrasound-guided acupotomy.The therapeutic effect was compared between the two groups.The scores of VAS and PSQI,and the levels of TNF-αand IL-6 were recorded before and after the treatment in the two groups.The adverse reactions were observed during the treatment in the two groups.Results:The total effective rate was 97.22%(35/36)in the study group,which was significantly higher than 75.00%(27/36)in the control group(χ^(2)=7.432,P<0.01).The scores of VAS and the levels of TNF-αand IL-6 were decreased after the treatment compared with those before the treatment in the two groups(P<0.05),which were lower in the study group than those in the control group after the treatment(P<0.05).The scores of PSQI were higher after the treatment than those before the treatment in the two groups(P<0.05),and the PSQI score was higher in the study group than that in the control group after the treatment(P<0.05).In terms of the total adverse reaction rate,it was 5.56%(2/26)in the study group and 11.11%(4/36)in the control group,in which there was no statistical difference between the two groups(P>0.05).Conclusion:Musculoskeletal ultrasound-guided acupotomy combined with Chinese herbal ointment massage can effectively alleviate pain,improve inflammation and sleep quality in patients with TDMS.

关 键 词：胸背肌筋膜炎 针刀 肌骨超声 中药膏摩 疼痛 

分 类 号：R246.2[医药卫生—针灸推拿学]