摘要
目的:观察"以痛为腧"治疗与药物按摩治疗肌筋膜疼痛综合征(MPS)的临床疗效差异。方法:将150例MPS患者随机分为观察组(90例)和对照组(60例)。观察组"以痛为腧",用"滞针法"针刺后配合"一指禅"手法治疗;对照组予以扶他林乳剂局部涂抹按摩治疗。两组均治疗1个疗程,3个月后随访,进行疗效比较。结果:两组治疗前后症状积分比较差异均有统计学意义(P<0.01),疼痛和压痛评分的组间比较差异均无统计学意义(P>0.05),肌肉痉挛和关节活动受限程度评分的组间比较差异有统计学意义(P<0.05);观察组治疗后愈显率、总有效率分别为57.8%、94.4%,对照组分别为31.7%、73.3%,组间比较差异均有统计学意义(均P<0.05)。结论:"以痛为腧",应用"滞针法"针刺后配合"一指禅"手法治疗MPS可有效缓解疼痛和压痛等临床症状,在愈显率、总有效率以及对肌肉痉挛、关节活动的改善方面优于扶他林乳剂局部涂抹按摩治疗。
Objective To compare therapeutic effects of acupuncture at pain points and massage combined with medicine on myofascial pain syndrome （MPS）. Methods One hundred and fifty cases were randomly divided into an observation group （n=90） and a control group （n= 60）. The observation group was treated with needle-sticking method combined with single-finger meditation pushing therapy at pain points, and the control group with local application of Votalin Emulgel combined with Tuina. All the patients were treated for 1 course and followed up after 3 months and their therapeutic effects were compared. Results There were significant differences in cumulative scores of symptoms before and after treatment in the two groups （both P〈0.01）, and there were no significant differences in the pain and pressure pain between the two groups （P^0.05）, and there were significant differences in the mus- cle spasm and joint range of motion between the two groups （P^0.05） ; after treatment, the markedly effective rate and the total effective rate in the observation group were 57. 8% and 94. 4% respectively, and were 31.7% and 73.3% respectively in the control group, with a significant difference between the two groups （both P〈0.05）. Conclusion Needle-sticking method combined with single-finger meditation pushing therapy at pain points can effectively alleviate pain and pressure pain in the patients with MPS and it has better therapeutic effect in the markedly effective rate and the total effective rate as well as improvement of muscle spasm and joint range of motion than local application of Votalin Emulgel combined with Tuina.
出处
《中国针灸》
CAS
CSCD
北大核心
2009年第9期717-720,共4页
Chinese Acupuncture & Moxibustion
关键词
肌筋膜疼痛综合征
穴
阿是
针刺疗法
推拿
Myofascial Pain Syndromes
Points, Ashi
Acupuncture Therapy
Tuina
