针刺荥穴治疗肌骨疼痛的效果及对疼痛介质的影响研究  

Study on the Effect of Acupuncture at Xingyang Point in Treating Musculoskeletal Pain and Its Influence on Pain mediators

作　　者：尤培锦 YOU Peijin(Department of Rehabilitation,Quanzhou Fengze District Donghai Street Community Health Service Center,Quanzhou 362000,China)

机构地区：[1]泉州市丰泽区东海街道社区卫生服务中心康复科,泉州362000

出　　处：《中国医药指南》2024年第36期140-142,共3页Guide of China Medicine

摘　　要：目的探讨针刺荥穴治疗肌骨疼痛的有效性及对疼痛的影响。方法将2021年1月至2023年12月我中心诊治的220例肌骨疼痛患者基于随机数字法分成研究组和对照组,每组110例;对照组以常规药物治疗,研究组同时行针刺荥穴,均治疗2周。应用视觉模拟评分(VAS)、健康状况调查简表(SF-36)评测治疗前后患者的疼痛、生活质量,并测定神经递质P物质(SP)、β-内啡肽(β-EP)及前列腺素E2(PGE2)等疼痛介质的表达水平,比较总有效率。结果两组治疗后VAS评分降低,SF-36评分增高,且研究组均优于对照组(P<0.05)。通过测定,研究组治疗后血清SP、PGE2水平均显著低于对照组(P<0.05),而β-EP显著高于对照组(P<0.05),治疗前组间无统计学意义(P>0.05)。通过评估,研究组的总有效率为90.91%,显著高于对照组的80.00%(P<0.05)。结论在肌骨疼痛治疗中采取针刺荥穴可促进症状改善,减少疼痛介质产生,提高疗效,改善患者生活质量。Objective To explore the effectiveness of acupuncture at Xingyang point in treating musculoskeletal pain and its influence on pain mediator.Methods A total of 220 patients with musculoskeletal pain diagnosed and treated from January 2021 to December 2023 were divided into study group and control group based on random number method,with 110 cases in each group.The control group was treated with conventional drugs,and the study group was treated with acupuncture at Xingyang point for 2 weeks.Visual analogue scale(VAS)and health status Survey Summary Form(SF-36)were used to evaluate the pain and quality of life of patients before and after treatment,and the expression levels of neurotransmitter substance P(SP),β-endorphin(β-EP)and prostaglandin E2(PGE2)were measured to compare the overall effective rate.Results After treatment,VAS score of the study group was lower than that of the control group,and SF-36 score was higher than that of the control group(P<0.05).After treatment,serum SP and PGE2 levels in the study group were significantly lower than those in the control group(P<0.05),andβ-EP levels were significantly higher than those in the control group(P<0.05).The total effective rate of the study group was 90.91%,which was higher than that of the control group 80.00%(P<0.05).Conclusions Acupuncture Xingyang point in the treatment of musculoskeletal pain can promote the improvement of symptoms,reduce the production of pain mediators,improve the curative effect and improve the quality of life of patients.

关 键 词：针刺 荥穴 肌骨疼痛 疼痛度 疼痛介质 

分 类 号：R246.9[医药卫生—针灸推拿学]