小针刀联合穴位注射鹿瓜多肽治疗项背肌筋膜炎患者的临床效果  

Clinical Effect on the Treatment of Patients with Nuchal and Dorsal Myofasciitis by Small Needle Scalpel Combined with Acupoint Injection of Cervus and Cucumis Polypeptide

作　　者：陈仲伟 CHEN Zhongwei(Department of Rehabilitation Medicine,Dongguan Hengli Hospital,Dongguan 523460,China)

机构地区：[1]东莞市横沥医院康复医学科,广东东莞523460

出　　处：《反射疗法与康复医学》2024年第21期5-9,共5页Reflexology And Rehabilitation Medicine

基　　金：东莞市社会发展科技项目(20221800904132)。

摘　　要：目的分析项背肌筋膜炎患者应用小针刀联合穴位注射鹿瓜多肽治疗的临床效果。方法回顾性分析2022年5月—2023年5月东莞市横沥医院收治的60例项背肌筋膜炎患者的临床资料,根据治疗方案的不同将其分为A组、B组、C组三组,每组20例。A组采用小针刀治疗,B组采用小针刀联合穴位注射生理盐水治疗,C组采用小针刀联合穴位注射鹿瓜多肽治疗。比较三组患者的临床疗效、中医证候积分、疼痛程度、生活质量。结果A组、B组、C组的治疗总有效率比较,组间差异无统计学意义(P>0.05);但C组的临床疗效为95.00%,高于A组、B组的75.00%、70.00%,组间差异有统计学意义(P<0.05)。治疗后,C组中医证候积分均低于A组、B组,组间差异有统计学意义(P<0.05);A组与B组中医证候积分评分比较,差异无统计学意义(P>0.05);C组疼痛视觉模拟评分均低于A组、B组,组间差异有统计学意义(P<0.05),A组与B组疼痛视觉模拟评分比较,差异无统计学意义(P>0.05),C组健康状况调查简表-36各个维度评分均高于A组、B组,组间差异有统计学意义(P<0.05),A组与B组健康状况调查简表-36各个维度评分比较,差异无统计学意义(P>0.05)。结论对于项背肌筋膜炎的患者,采用纯小针刀、小针刀联合穴位注射生理盐水、小针刀联合穴位注射鹿瓜多肽的综合治疗均表现出显著的疗效,其中小针刀联合穴位注射鹿瓜多肽治疗在缓解疼痛、改善患者症状和体征、提升生活质量方面优于单纯小针刀治疗和小针刀联合穴位注射生理盐水治疗。Objective Analyze the clinical efficacy of the treatment of patients with nuchal and dorsal myofasciitis by using small needle scalpel combined with acupoint injection of cervus and cucumis polypeptide.Methods A retrospective analysis was conducted on the clinical data of 60 patients with nuchal and dorsal myofasciitis who were admitted to Dongguan Hengli Hospital from May 2022 to May 2023.According to different treatment regimens,they were divided into three groups:Group A,Group B,and Group C,with 20 cases in each group.Group A was treated with small needle scalpel.Group B was treated with small needle scalpel combined with acupoint injection of normal saline.Group C was treated with small needle scalpel combined with acupoint injection of cervus and cucumis polypeptide,both groups received continuous treatment for 4 times.The clinical efficacy,TCM syndrome scores,pain levels,and quality of life of the patients in the three groups were compared.Results There were not statistically significant differences in the total effective rate among Group A,Group B and Group C(P>0.05);however,the total effective rate of Group C was 95.00%,which were higher than 75.00%of Group A and 70.00%of Group B,and the differences were statistically significant(P<0.05).After treatment,the Traditional Chinese Medicine syndrome scores of Group C were all lower than those of Group A and Group B,and the differences were statistically significant(P<0.05);there were not statistically significant difference in the comparison of Traditional Chinese Medicine syndrome scores between Group A and Group B(P>0.05);the Visual Analogue Scale scores for pain in Group C were all lower than those in Group A and Group B,and the differences were statistically significant(P<0.05).There were not statistically significant differences in the comparison of the Visual Analogue Scale scores for pain between Group A and Group B(P>0.05);the scores of each dimension in the 36-Item Short Form Health Survey of Group C were all higher than those of Group A and Group B,a

关 键 词：项背肌筋膜炎 小针刀 穴位注射 鹿瓜多肽 

分 类 号：R686.3[医药卫生—骨科学]