中医外治法干预激痛点对肌筋膜疼痛综合征的影响实验研究进展  

Effect of Intervention on Trigger Points by Traditional Chinese Medicine External Therapies on Myofascial Pain Syndrome:A Review

作　　者：李之豪 范兴良[2] 盛晓华[1] 李艳[1] LI Zhihao;FAN Xingliang;SHENG Xiaohua;LI Yan(Department of Acupuncture-Moxibustion,Tuina and Traumatology,Shanghai Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 201203,China;Department of Hepatology,Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海交通大学医学院附属第六人医院针推伤科,上海201203 [2]上海中医药大学附属市中医医院肝病科,上海200071

出　　处：《世界中医药》2024年第23期3718-3721,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(82205145);上海市卫生健康委员会科研项目(202140006);上海市中西医结合旗舰医院建设项目[ZY(2021-2023)-0205-04]。

摘　　要：肌筋膜疼痛综合征(MPS)是原发于肌肉、筋膜等结缔组织且以颈肩腰背痛为临床表现的综合征,伴有一个或多个激痛点(Trps),目前普遍认为肌筋膜Trps(MTrPs)是“阿是穴”的一种特定形式。近年来,中医外治法在治疗MPS中应用广泛,疗效显著,见效快,不良反应少。目前相关的实验研究主要从MTrPs病理形态、肌肉电生理、中枢和外周神经病理改变以及能量代谢产物堆积等方面来探讨中医外治法治疗MPS的作用机制。Myofascial pain syndrome(MPS)is a condition originating in muscles,fascia,and other connective tissues,characterized by neck,shoulder,and lower back pain,along with one or more trigger points(TrPs).It is widely recognized that myofascial trigger points(MTrPs)represent a specific form of the Ashi point in traditional Chinese medicine(TCM).In recent years,external TCM therapies have been widely used in the treatment of MPS,showing significant efficacy,fast results,and fewer adverse reactions.Current experimental studies mainly explore the mechanisms of TCM external therapies in treating MPS by investigating the pathological morphology of MTrPs,muscle electrophysiology,central and peripheral nerve pathology,and the accumulation of energy metabolism products.

关 键 词：肌筋膜疼痛综合征 激痛点 肌筋膜激痛点 中医外治法 针灸 推拿 作用机制 实验研究 

分 类 号：R244[医药卫生—针灸推拿学] R255.6[医药卫生—中医临床基础]