830nm半导体微激光治疗背肌筋膜炎的临床研究

发布时间：2018-03-14 09:44

本文选题：半导体激光　切入点：背肌筋膜炎　出处：《红外与激光工程》2017年02期 　论文类型：期刊论文

【摘要】：探讨了830 nm半导体微激光光灸穴位和肌筋膜扳机点(MTr Ps)治疗背肌筋膜炎患者的疗效。预实验收集背肌筋膜炎患者,分为光灸1组4例、光灸2组6例、光灸3组7例和针灸组6例,光灸组采用自主研发的半导体激光光灸仪治疗(中心波长为830 nm,功率密度0.335 W/cm2),时间分别为每次1、2和4 min对患者的养老穴、承山穴背部MTr Ps进行照射;针刺组选用毫针对养老穴、承山穴常规针刺,MTr Ps处斜刺进针贯穿结节得气后留针20 min,中间行针1次。光灸组和针刺组每周治疗3次,一周1个疗程,共治疗4个疗程。正式试验背肌筋膜炎患者38人,治疗方法如预实验光灸3组。采用视觉模糊量表评分(VAS)和简易麦吉尔量表-2(SFMPQ-2)对患者主观症状进行评定,手持式压力测痛仪测定MTr Ps的压力疼痛阈值(PPT)。预实验VAS评分结果表明,除光灸1 min外,其他三组治疗后均有显著减低(P0.05),组间比较显示,针刺组疗效最好,其次为光灸3组;SFMPQ-评分显示,只有针刺组治疗后有显著减低(P0.05)。光灸组可显著提高MTr Ps的PPT数值。正式试验结果发现,830 nm微激光可显著降低患者的VAS评分和SFMPQ-2评分,改善患者酸痛、轻压痛和疲惫无力感症状,且可提高肌筋膜扳机点的压力疼痛阈值。该课题组自主研发的半导体激光光灸仪对背肌筋膜炎患者无论从主观评分和半客观的压痛阈值改善方面均有良好的疗效,可被广泛应用于临床。
[Abstract]:The therapeutic effect of 830nm semiconductor micro-laser moxibustion on acupoints and muscle fascia trigger on patients with dorsal myofascitis was studied. The patients were divided into light moxibustion group (n = 4) and light moxibustion group (n = 6). Light moxibustion group (n = 7) and acupuncture group (n = 6) were treated with self-developed semiconductor laser moxibustion instrument (central wavelength 830 nm, power density 0.335 W / cm ~ (2)). MTr Ps on the back of Chengshan acupoint were irradiated, the acupuncture group was treated with neo-acupuncture for the aged, and the normal acupuncture at Chengshan point was used for 20 mins after oblique needling through the nodule, and the needle was kept in the middle for 20 minutes. The light moxibustion group and the acupuncture group were treated three times a week for one course of treatment once a week. A total of 4 courses of treatment were performed. 38 patients with fasciitis dorsalis were formally tested. The subjective symptoms were evaluated by visual fuzzy scale (VASS) and simple McGill scale (SFMPQ-2). The pressure-pain threshold of MTr Ps was measured by hand-held pressure pain measuring instrument. The VAS score of pre-experiment showed that all the other three groups, except for 1 min of light moxibustion, significantly reduced P0.05N after treatment. The comparison between the groups showed that the acupuncture group had the best curative effect. Secondly, the SFMPQ- score of light moxibustion group 3 showed that only the acupuncture group had a significant decrease in P0.05g after treatment, and the PPT value of MTr Ps was significantly increased in the light moxibustion group. The results of the formal experiment showed that the VAS score and SFMPQ-2 score of the patients were significantly decreased by micro-laser at 830nm. To improve the symptoms of soreness, tenderness and fatigue in patients, The semiconductor laser moxibustion instrument developed by the research group has a good effect on the improvement of subjective score and semi-objective tenderness threshold in patients with dorsal myofascitis. It can be widely used in clinic.
【作者单位】：华南师范大学生物光子学研究院国家中医药管理局中医药与光子技术三级实验室;无限极(中国)有限公司;广州华侨医院针灸科;
【基金】：国家自然科学基金(61335011,31300691,61275187,11404116) 教育部高等学校博士学科点专项科研基金(20114407110001,20134407120003) 广东省自然科学基金(2014A030311024) 广东省重大科技专项项目(2012A080203008) 广东省教育厅科技创新项目(2013KJCX0052) 无限极(中国)有限公司委托重大技术开发项目(HPG/2013/11/1596)
【分类号】：R686.3

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