【摘要】：目的:本研究從臨床觀察的角度,客觀評價穴位貼敷結合針刺治療肌筋膜疼痛綜合征的臨床療效,為臨床治療本病尋找有效的方法及提供必要的依據,以尋求更好的推廣應用。方法:本實驗共選取60例符合納入標準的患者,隨機分成治療組和對照組各30例,治療組為穴位貼敷結合針刺治療,對照組為針刺治療(取穴參考中國中醫(yī)藥出版社出版,普通高等教育"十一五"國家級規(guī)劃教材,由石學敏主編的《針灸學》教材和人民衛(wèi)生出版社,由柴鐵劬主編的《靳三針臨癥配穴法》),隔天1次,每周治療3次,6次為1個療程,共連續(xù)治療2個療程。應用簡式McGill疼痛問卷(疼痛分級指數評定(PRI)、視覺模擬疼痛量表(VAS)、現有疼痛強度評定(PPI)),觀察臨床療效,并將數據采用SPSS22.0統(tǒng)計軟件進行分析。結果:1.基線資料評價:經卡方檢驗、t檢驗分析,治療前兩組的病例一般資料(性別、年齡、病程、辨證分型)差異無統(tǒng)計學意義,具有可比性(P0.05)。2.治療組共30例,治愈3例,顯效18例,有效6例,無效3例,總有效率90%。對照組共30例,治愈1例,顯效10例,有效14例,無效5例,總有效率83.33%。經秩和檢驗(P0.05),說明兩組具有統(tǒng)計學差異,表明治療組的療效優(yōu)于對照組。結果表明相同療程,針刺結合穴位貼敷治療肌筋膜疼痛綜合征的臨床療效優(yōu)于常規(guī)針刺組。3.兩組McGill積分治療前比較(P0.05),差異無統(tǒng)計學意義,組間具有可比性。治療組治療前后比較(P0.05),差異具有統(tǒng)計學意義,對照組治療前后比較(P0.05),說明兩組對于背部疼痛均有改善。治療前后差值比較(P0.05),差異具有統(tǒng)計學意義,說明治療組在改善背部疼痛和性質方面療效優(yōu)于對照組。結論:穴位貼敷結合針刺治療肌筋膜疼痛綜合征及針刺均能改善背部疼痛,穴位貼敷結合針刺治療效果更加顯著,值得臨床推廣。
[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.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.9
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本文編號：2191028