穴位贴敷结合针刺治疗背肌筋膜疼痛综合征的临床研究
发布时间：2018-08-19 07:09
【摘要】：目的:本研究从临床观察的角度,客观评价穴位贴敷结合针刺治疗肌筋膜疼痛综合征的临床疗效,为临床治疗本病寻找有效的方法及提供必要的依据,以寻求更好的推广应用。方法:本实验共选取60例符合纳入标准的患者,随机分成治疗组和对照组各30例,治疗组为穴位贴敷结合针刺治疗,对照组为针刺治疗(取穴参考中国中医药出版社出版,普通高等教育"十一五"国家级规划教材,由石学敏主编的《针灸学》教材和人民卫生出版社,由柴铁劬主编的《靳三针临症配穴法》),隔天1次,每周治疗3次,6次为1个疗程,共连续治疗2个疗程。应用简式McGill疼痛问卷(疼痛分级指数评定(PRI)、视觉模拟疼痛量表(VAS)、现有疼痛强度评定(PPI)),观察临床疗效,并将数据采用SPSS22.0统计软件进行分析。结果:1.基线资料评价:经卡方检验、t检验分析,治疗前两组的病例一般资料(性别、年龄、病程、辨证分型)差异无统计学意义,具有可比性(P0.05)。2.治疗组共30例,治愈3例,显效18例,有效6例,无效3例,总有效率90%。对照组共30例,治愈1例,显效10例,有效14例,无效5例,总有效率83.33%。经秩和检验(P0.05),说明两组具有统计学差异,表明治疗组的疗效优于对照组。结果表明相同疗程,针刺结合穴位贴敷治疗肌筋膜疼痛综合征的临床疗效优于常规针刺组。3.两组McGill积分治疗前比较(P0.05),差异无统计学意义,组间具有可比性。治疗组治疗前后比较(P0.05),差异具有统计学意义,对照组治疗前后比较(P0.05),说明两组对于背部疼痛均有改善。治疗前后差值比较(P0.05),差异具有统计学意义,说明治疗组在改善背部疼痛和性质方面疗效优于对照组。结论:穴位贴敷结合针刺治疗肌筋膜疼痛综合征及针刺均能改善背部疼痛,穴位贴敷结合针刺治疗效果更加显著,值得临床推广。
[Abstract]:Objective: to evaluate the clinical efficacy of acupoint application combined with acupuncture in the treatment of myofascial pain syndrome from the point of view of clinical observation in order to find an effective method and provide necessary basis for clinical treatment of this disease in order to seek better popularization and application. Methods: a total of 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupoint application combined with acupuncture, while the control group was treated with acupuncture. General higher education "11th Five-Year Plan" National Planning textbook, "Acupuncture and moxibustion" textbook edited by Shi Xuemin and people's Health Publishing House, "Jin three Needle temporary Syndrome matching method", edited by Chai Tiequ), once every other day, Three times a week, 6 times a course of treatment, a total of 2 consecutive courses of treatment. A simple McGill pain questionnaire (pain grading index) was used to evaluate the clinical efficacy of (PRI), visual analogue pain scale (VAS), which was used to evaluate the current pain intensity of (PPI),. The data were analyzed by SPSS22.0 software. The result is 1: 1. Baseline data evaluation: by chi-square test / t test analysis, the two groups before the treatment of general data (sex, age, course of disease, syndrome differentiation) differences were not statistically significant, comparable (P0.05). 2. In the treatment group, 30 cases were cured, 3 cases were cured, 18 cases were markedly effective, 6 cases were effective, 3 cases were ineffective, the total effective rate was 90.1%. In the control group, 30 cases were cured, 1 case was cured, 10 cases were markedly effective, 14 cases were effective, 5 cases were ineffective, the total effective rate was 83.33. By rank sum test (P0.05), the two groups have statistical differences, indicating that the curative effect of the treatment group is better than that of the control group. The results showed that the clinical efficacy of acupuncture combined with acupoint application in the treatment of myofascial pain syndrome was better than that of routine acupuncture group. McGill scores of the two groups were compared before treatment (P0.05), the difference was not statistically significant, and there was comparability between the two groups. Treatment group before and after treatment (P0.05), the difference was statistically significant, the control group before and after treatment (P0.05), indicating that the two groups of back pain has improved. The difference before and after treatment (P0.05), the difference was statistically significant, indicating that the treatment group in improving back pain and properties of the curative effect is better than the control group. Conclusion: acupoint application combined with acupuncture can improve the back pain of myofascial pain syndrome and acupuncture, and the effect of acupoint application combined with acupuncture is more obvious, which is worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9
，
本文编号：2191028
[Abstract]:Objective: to evaluate the clinical efficacy of acupoint application combined with acupuncture in the treatment of myofascial pain syndrome from the point of view of clinical observation in order to find an effective method and provide necessary basis for clinical treatment of this disease in order to seek better popularization and application. Methods: a total of 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupoint application combined with acupuncture, while the control group was treated with acupuncture. General higher education "11th Five-Year Plan" National Planning textbook, "Acupuncture and moxibustion" textbook edited by Shi Xuemin and people's Health Publishing House, "Jin three Needle temporary Syndrome matching method", edited by Chai Tiequ), once every other day, Three times a week, 6 times a course of treatment, a total of 2 consecutive courses of treatment. A simple McGill pain questionnaire (pain grading index) was used to evaluate the clinical efficacy of (PRI), visual analogue pain scale (VAS), which was used to evaluate the current pain intensity of (PPI),. The data were analyzed by SPSS22.0 software. The result is 1: 1. Baseline data evaluation: by chi-square test / t test analysis, the two groups before the treatment of general data (sex, age, course of disease, syndrome differentiation) differences were not statistically significant, comparable (P0.05). 2. In the treatment group, 30 cases were cured, 3 cases were cured, 18 cases were markedly effective, 6 cases were effective, 3 cases were ineffective, the total effective rate was 90.1%. In the control group, 30 cases were cured, 1 case was cured, 10 cases were markedly effective, 14 cases were effective, 5 cases were ineffective, the total effective rate was 83.33. By rank sum test (P0.05), the two groups have statistical differences, indicating that the curative effect of the treatment group is better than that of the control group. The results showed that the clinical efficacy of acupuncture combined with acupoint application in the treatment of myofascial pain syndrome was better than that of routine acupuncture group. McGill scores of the two groups were compared before treatment (P0.05), the difference was not statistically significant, and there was comparability between the two groups. Treatment group before and after treatment (P0.05), the difference was statistically significant, the control group before and after treatment (P0.05), indicating that the two groups of back pain has improved. The difference before and after treatment (P0.05), the difference was statistically significant, indicating that the treatment group in improving back pain and properties of the curative effect is better than the control group. Conclusion: acupoint application combined with acupuncture can improve the back pain of myofascial pain syndrome and acupuncture, and the effect of acupoint application combined with acupuncture is more obvious, which is worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9
，
本文编号：2191028
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