痛点深浅刺治疗颈肩肌筋膜炎66例临床疗效对比观察  

The observation of clinical efficacy about different acupuncture depth for the treatment of cervical-shoulder myofascitis in 66cases

作　　者：张巍 潘超然 谢松承 王超[1] 王政研[4] ZHANG Wei;PAN Chaoran;XIE Songcheng(Sichuan Academy of Chinese Medicine Science,Chengdu 610041,China;Guang’an men Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Chengdu Wen Jiang District Chinese Medicine Hospital,Chengdu 611100,China)

机构地区：[1]四川省中医药科学院,四川成都610041 [2]中国中医科学院广安门医院,北京100053 [3]成都市温江区中医医院,四川成都611100 [4]四川省中西医结合医院,四川成都610041

出　　处：《四川中医》2025年第2期181-185,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中央引导地方科技发展专项项目(编号:2021ZYD0109);四川省中医药管理局科研专项(编号:2021MS324);四川省自然科学基金项目(编号:22NSFSC0148)。

摘　　要：目的:观察不同深度针刺治疗颈肩肌筋膜炎的疗效差异,找出针刺治疗的最佳深度,以指导临床治疗。方法:将纳入的66例患者以随机数字表法分为试验组(深刺)和对照组(浅刺),每组各33例,疗程2周。治疗前、治疗1周后及治疗2周后,应用简易版McGill疼痛评测问卷、颈椎功能障碍指数评分检测量表和肩关节功能指数测试量表观察,比较两种针刺方法对颈肩肌筋膜炎的影响。治疗结束后第2周随访,了解其复发率。结果:总有效率:深刺组和浅刺组分别为96.9%、83.3%,两组间的差别具有统计学意义(P<0.05)。两组简易版McGill疼痛评测问卷、NDI颈痛量表、以及Constant-Murley肩关节功能评测量表,在治疗1周、治疗2周后两组的组内比较均有改善,差异具有统计学意义(P<0.05)。1周治疗后深刺组简易版McGill疼痛评分明显低于浅刺组,差别具有统计学意义(P<0.05)。结论:痛点深刺疗法与浅刺疗法均可改善颈肩肌筋膜炎患者的临床症状,深刺在起效时间以及有效率方面优于浅刺治疗,为针刺治疗本病的适宜深度,值得推广与应用。Objective:This study objectively evaluated the difference in the efficacy of deep needling compared with shallow needling in the treatment of cervical-shoulder myofascitis,and explored the appropriate depth of acupuncture for leading the clinical treatment.Method:66patients who met the inclusion requirements were divided into experimental group(deep needling)and control group(shallow needling),33in each group.Intervention was performed 2weeks in both groups.Before treatment,1week after treatment and 2weeks after treatment,the effects of two acupuncture methods on neck and shoulder myofascitis were compared by using the simple version of McGill Pain Assessment Questionnaire,Cervical Dysfunction Index Score Test Scale and Shoulder Function Index Test Scale.Follow-up in the second week after treatment to find out the recurrence rate.Result:Total effective rate:after treatment,the total effective rate of the deep needling group and shallow needling group was 96.9%and 83.3%,respectively,the difference was statistically significant(P<0.05).After 1week of treatment and 2weeks of treatment,the comparison scores of the McGill,NDI and Constant-Murley form of the two groups decreased,and the difference was statistically significant(P<0.05).After 1weeks of treatment,the score of deep needling group was better than that of shallow needling group,and the difference was statistically significant(P<0.05).Conclusion:Both deep needling therapy and shallow needling therapy can improve the clinical symptoms of patients with cervical-shoulder myofascitis,deep needling is superior to shallow needling in terms of onset time and effective rate,which is the appropriate depth for the treatment of this disease,and is worth popularizing and applying.

关 键 词：颈肩肌筋膜炎 针至病所 针刺深度 临床观察 

分 类 号：R245[医药卫生—针灸推拿学]