苍龟探穴针法治疗腰背肌筋膜炎的疗效观察及对激痛点温度的影响  

Observation on the efficacy of Cang Gui Tan Xue method acupuncture for lumbodorsal myofascitis and its effect on trigger point temperature

作　　者：李芳琴[1] 刘柱 赵阳 LI Fangqin;LIU Zhu;ZHAO Yang(The Second Affiliated Hospital of Xi’an Medical University,Xi’an 710038,China;Xi’an No.9 Hospital,Xi’an 710054,China)

机构地区：[1]西安医学院第二附属医院,西安710038 [2]西安市第九医院,西安710054

出　　处：《上海针灸杂志》2024年第12期1348-1352,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：陕西省科技厅-陕西省科技惠民专项(2013K14-02-21)。

摘　　要：目的观察苍龟探穴针法治疗腰背肌筋膜炎的临床疗效及对激痛点温度的影响。方法将符合要求的72例患者采用随机数字表法分为观察组和对照组,每组36例。观察组采用苍龟探穴针法针刺激痛点治疗,对照组用常规针刺法治疗。观察两组治疗前和治疗后激痛点红外热成像温度、疼痛视觉模拟量表(visual analog scale,VAS)评分和Oswestry功能障碍指数(Oswestry disability index,ODI)的变化,比较两组临床疗效。结果两组激痛点红外热成像最高温度和最低温度治疗前后组内比较,差异均具有统计学意义(P<0.05);且观察组治疗后激痛点最高温度低于对照组(P<0.05),激痛点最低温度高于对照组(P<0.05)。两组治疗后疼痛VAS评分和ODI均较治疗前降低(P<0.05),且观察组治疗后均低于对照组(P<0.05)。观察组痊愈率和总有效率均高于对照组(P<0.05)。结论苍龟探穴针法可明显降低腰背肌筋膜炎患者激痛点的最高温度,升高其最低温度,缓解疼痛,改善功能,临床疗效优于常规针刺法。Objective To observate the clinical efficacy of Cang Gui Tan Xue method acupuncture for lumbodorsal myofascitis and its effect on trigger point temperature.Method Seventy-two patients meeting the requirements were allocated,using a random number table,to an observation group and a control group,with 36 cases in each group.The observation group received Cang Gui Tan Xue method acupuncture at the trigger point and the control group received the conventional acupuncture.Infrared thermographic trigger point temperature,the pain visual analog scale(VAS)score and the Oswestry disability index(ODI)were observed in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result There were statistically significant within-group pre-and post-treatment differences in the highest and lowest infrared thermographic trigger point temperatures in the two groups(P<0.05);after treatment,the highest trigger point temperature was lower and the lowest trigger point temperature was higher in the observation than in the control group(P<0.05).After treatment,the pain VAS score and the ODI decreased in the two groups compared with before(P<0.05)and were lower in the observation group than in the control group(P<0.05).The cure rate and the total efficacy rate were higher in the observation than in the control group(P<0.05).Conclusion Cang Gui Tan Xue method acupuncture can markedly reduce the highest trigger point temperature,raise the lowest trigger point temperature,relieve the pain and improve the function in patients with lumbodorsal myofascitis.Its clinical therapeutic effect is better than that of conventional acupuncture.

关 键 词：针刺疗法 苍龟探穴 筋膜炎 疼痛 温度 

分 类 号：R246.2[医药卫生—针灸推拿学]