【摘要】：目的:本研究從臨床觀察的角度,客觀評(píng)價(jià)穴位貼敷結(jié)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(jù),以尋求更好的推廣應(yīng)用。方法:本實(shí)驗(yàn)共選取60例符合納入標(biāo)準(zhǔn)的患者,隨機(jī)分成治療組和對(duì)照組各30例,治療組為穴位貼敷結(jié)合針刺治療,對(duì)照組為針刺治療(取穴參考中國(guó)中醫(yī)藥出版社出版,普通高等教育"十一五"國(guó)家級(jí)規(guī)劃教材,由石學(xué)敏主編的《針灸學(xué)》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(gè)療程,共連續(xù)治療2個(gè)療程。應(yīng)用簡(jiǎn)式McGill疼痛問卷(疼痛分級(jí)指數(shù)評(píng)定(PRI)、視覺模擬疼痛量表(VAS)、現(xiàn)有疼痛強(qiáng)度評(píng)定(PPI)),觀察臨床療效,并將數(shù)據(jù)采用SPSS22.0統(tǒng)計(jì)軟件進(jìn)行分析。結(jié)果:1.基線資料評(píng)價(jià):經(jīng)卡方檢驗(yàn)、t檢驗(yàn)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(jì)學(xué)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(duì)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(jīng)秩和檢驗(yàn)(P0.05),說明兩組具有統(tǒng)計(jì)學(xué)差異,表明治療組的療效優(yōu)于對(duì)照組。結(jié)果表明相同療程,針刺結(jié)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(jì)學(xué)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(jì)學(xué)意義,對(duì)照組治療前后比較(P0.05),說明兩組對(duì)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(jì)學(xué)意義,說明治療組在改善背部疼痛和性質(zhì)方面療效優(yōu)于對(duì)照組。結(jié)論:穴位貼敷結(jié)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(jié)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(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.9
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本文編號(hào)：2191028