结合红外热成像评价员针治疗颈肩肌筋膜炎疗效  

Evaluating the efficacy of round-point needle therapy for neck-shoulder myofascitis using infrared thermography

作　　者：李子勇[1,2] 邓文斐 蓝丹纯 余琛 罗沐霖 彭鑫 常如春 LI Ziyong;DENG Wenfei;LAN Danchun;YU Chen;LUO Mulin;PENG Xin;CHANG Ruchun(Department of Acupuncture and Moxibustion,Foshan Hospital of Traditional Chinese Medicine,Foshan,Guangdong 528000,China;The Eighth Clinical Medical School of Guangzhou University of Chinese Medicine,Foshan,Guangdong 528000,China;Graduate School of Jiangxi University of Chinese Medicine,Nanchang,Jiangxi 330004,China)

机构地区：[1]佛山市中医院针灸科,广东佛山528000 [2]广州中医药大学第八临床医学院,广东佛山528000 [3]江西中医药大学研究生院,江西南昌330004

出　　处：《湖南中医药大学学报》2025年第2期288-293,共6页Journal of Hunan University of Chinese Medicine

基　　金：国家中医优势专科建设项目(粤中医办函[2024]2号)。

摘　　要：目的从疼痛程度方面评价员针结合常规针刺治疗颈肩肌筋膜炎的临床疗效,并借助红外热成像观察患侧颈肩温度,探讨员针治疗可能的作用途径。方法将2022年2月至2023年2月于佛山市中医院针灸科门诊就诊的60例颈肩肌筋膜炎患者随机分为观察组(员针结合常规针刺治疗)和对照组(常规针刺治疗),每组30例。两组均每周治疗3次,隔日治疗1次,共6次,其中员针治疗仅在首次使用。比较两组治疗前后简化的McGill疼痛问卷(SF-MPQ)[疼痛分级指数(PRI)评分、视觉模拟疼痛量表(VAS)评分、现有疼痛强度(PPI)评分],运用红外热成像测量患侧颈肩区域温度变化。结果与治疗前比较,治疗后两组SF-MPQ总评分及PRI、VAS、PPI评分均下降(P<0.05),且观察组低于对照组(P<0.05);治疗后,观察17名患者(观察组9名、对照组8名)患侧颈肩部红外热成像温度,均较治疗前上升(P<0.05),两组间温度差异无统计学意义(P>0.05)。结论针刺治疗颈肩肌筋膜炎疗效较好,且员针干预所病肌层,对疼痛程度的改善作用更为突出。Objective To evaluate the clinical efficacy of round-point needle combined with therapy combined with conventional acupuncture(filiform needle)in treating neck-shoulder myofascitis in terms of pain reduction,and to explore the potential mechanisms of action of round-point needle therapy by observing the temperature of the affected neck and shoulder regions using infrared thermography.Methods A total of 60 patients with neck-shoulder myofascitis who visited the Acupuncture Department of Foshan Hospital of Traditional Chinese Medicine from February 2022 to February 2023,were randomly divided into observation group(round-point needle+filiform needle)and control group(filiform needle),with 30 patients in each group.Both groups received treatment three times a week,on alternate days,for a total of six sessions,with round-point needle therapy administered only during the first session.The Simplified McGill Pain Questionnaire(SF-MPQ)[Pain Rating Index(PRI),Visual Analog Scale(VAS),and Present Pain Intensity(PPI)]were compared between the two groups before and after treatment,and infrared thermography was used to measure the temperature changes in the affected neck and shoulder regions.Results Compared with pre-treatment levels,the total SF-MPQ scores as well as PRI,VAS,and PPI scores decreased in both groups after treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,infrared thermography showed that the temperature of the affected neck and shoulder regions increased in 17 patients(nine in the observation group and eight in the control group)compared with before treatment(P<0.05),with no significant difference in temperature difference between the two groups(P>0.05).Conclusion Acupuncture is effective in treating neck-shoulder myofascitis,and the application of round-point needle therapy to the affected muscle layer demonstrates a more prominent effect on reducing pain levels.

关 键 词：颈肩肌筋膜炎 针刺 员针 红外热成像 辨病定位 

分 类 号：R242[医药卫生—中医临床基础]