改良圆利针疗法治疗腰部肌筋膜疼痛综合征对疼痛介质及腰部功能的影响  

Effect of modified round sharp needle therapy on pain mediators and lumbar function in the treatment of lumbar myofascial pain syndrome

作　　者：秦小怡 颜思思 洪涛 QIN Xiaoyi;YAN Sisi;HONG Tao(Department of Traditional Chinese Medicine Rehabilitation,the First People's Hospital of Linping District,Hangzhou,Zhejiang 311100,China;不详)

机构地区：[1]杭州市临平区第一人民医院中医康复科,浙江杭州311100

出　　处：《中华全科医学》2025年第3期490-493,共4页Chinese Journal of General Practice

基　　金：浙江省中医药科技计划项目(2018ZB112,2022ZB302)。

摘　　要：目的探讨改良圆利针疗法治疗腰部肌筋膜疼痛综合征(LMPS)的疗效,以及对患者疼痛介质及腰部功能的影响,为临床制定治疗方案提供借鉴。方法将2021年1月-2023年12月杭州市临平区第一人民医院门诊收治的112例LMPS患者采用随机数表法分成A组与B组,每组56例,A组给予常规西医治疗,B组给予改良圆利针疗法治疗。观察2组的临床疗效、疼痛程度(VAS评分)、疼痛介质[前列腺素E2(PGE2)、5-羟色胺(5-HT)]、炎症因子[白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)]、腰椎功能[Oswestry功能障碍指数(ODI)]。结果B组的总有效率为96.43%(54/56),高于A组的82.14%(46/56),差异有统计学意义(χ^(2)=5.973,P=0.015)。2组治疗后的VAS评分均降低(P<0.05),且B组治疗后的VAS评分低于A组(P<0.05)。2组治疗后的PGE2、5-HT均降低(P<0.05),且B组治疗后的PGE2、5-HT低于A组(P<0.05)。2组治疗后的IL-1β、TNF-α均降低(P<0.05),且B组治疗后的IL-1β、TNF-α低于A组(P<0.05)。2组治疗后的ODI评分均降低(P<0.05),且B组治疗后的ODI评分低于A组(P<0.05)。结论采用改良圆利针疗法治疗LMPS,不仅能够减轻患者疼痛症状,改善其腰椎活动度,还能够促进腰骶部肌肉张力的恢复与平衡,加速受损组织的修复进程,值得应用。Objective To explore the efficacy of modified round needle therapy in the treatment of lumbar myofascial pain syndrome(LMPS)and its impact on pain mediators and lumbar function,providing evidence for optimizing clinical treatment strategies.Methods A total of 112 LMPS patients admitted to the outpatient department of the First People's Hospital of Linping District,Hangzhou,from January 2021 to December 2023,were randomly divided into group A and group B.Group A(56 patients)received conventional Western medicine treatment,while group B(56 patients)received modified round needle therapy.Clinical efficacy,pain severity(VAS score),levels of pain mediators[prostaglandin E2(PGE2)and 5-hydroxytryptamine(5-HT)],inflammatory factors[interleukin-1β(IL-1β)and tumor necrosis factor-α(TNF-α)],and lumbar function[Oswestry disability index(ODI)score]were compared between the two groups.Results The total effective rate in the group B was 96.43%(54/56),significantly higher than the 82.14%(46/56)in the group A(χ^(2)=5.973,P=0.015).The VAS scores of the two groups after treatment were decreased(P<0.05),with group B exhibiting significantly lower scores than group A(P<0.05).The levels of PGE2 and 5-HT of the two groups after treatment were decreased(P<0.05),with group B showing greater reductions compared to group A(P<0.05).The IL-1βand TNF-αlevels of the two groups after treatment were both decreased(P<0.05),with group B demonstrating lower levels than group A(P<0.05).The ODI scores of the two groups after treatment were also decreased(P<0.05),with group B showing lower scores than group A(P<0.05).Conclusion Modified round needle therapy is an effective treatment for LMPS,significantly alleviating pain symptoms,improving their lumbar mobility,and promoting the recovery of lumbosacral muscle tension.It also accelerates the repair process of damaged tissues and is highly beneficial for application.

关 键 词：改良圆利针疗法 腰部肌筋膜疼痛综合征 疼痛介质 炎症因子 腰部功能 

分 类 号：R245.3[医药卫生—针灸推拿学] R441.1[医药卫生—中医临床基础]