目的:观察基于经筋理论针刀联合中药膏摩治疗胸背肌筋膜炎(TDMS)的临床疗效.方法:将2022年10月—2023年9月安徽中医药大学第二附属医院收住院的80例TDMS患者随机分为经筋组、西药组,每组各40例.经筋组接受针刀联合中药膏摩治疗,经筋理论指导下行针刀松解,1次/周.膏摩方药物组成包括大黄粉、炒黄柏、炒黄芩、炒黄连、独活、羌活、威灵仙、制玄胡,中药膏摩治疗1次/d,5次/周.3周为1个疗程.西药组口服双氯芬酸钠缓释胶囊(50 mg/次,2次/d,3周为1个疗程)治疗.比较两组患者的疗效、治疗前后视觉模拟量表评分(visual analog scales,VAS)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分及血清炎性因子肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)水平,并观察在治疗中出现的不良反应.结果:经筋组总有效率(97.50%)高于西药组(67.50%),差异有统计学意义(P<0.01).治疗后,两组患者VAS评分、TNF-α和IL-1β水平均较治疗前降低,且经筋组低于西药组,差异均有统计学意义(P<0.05,P<0.01);两组PQSI评分较治疗前提高,经筋组高于西药组,差异均有统计学意义(P<0.05,P<0.01).不良反应发生率经筋组(5.00%)与西药组(12.50%)比较,差异无统计学意义(P>0.05).结论:基于经筋理论针刀联合中药膏摩治疗可有效改善TDMS患者的疼痛程度,减轻炎症情况,提高患者生活质量.
Clinical study on the treatment of thoracic and dorsal myofascitis with acupotomy and Chinese herbal ointment based on Jingjin theory
Objective:To observe the clinical efficacy of treatment of thoracic and dorsal myofascitis(TDMS)with acupotomy and Chinese herbal ointment based on Jingjin theory.Methods:A total of 80 patients with TDMS admitted to the Second Affiliated Hospital of Anhui University of Chinese Medicine from October 2022 to September 2023 were randomly divided into the Jingjin group and the western medicine group,with 40 cases in each group.Patients in the Jingjin group were treated with acupotomy combined with Chinese herbal ointment,and acupotomy was released under the guidance of Jingjin theory,once a week.The composition of the ointment consisted of Dahuang powder,stir-fried Huangbai,stir-fried Huangqin,stir-fried Huanglian,Duhuo,Qianghuo,Weilingxian,and Zhixuanhu.The patients were treated with Chinese herbal ointment once a day,5 times a week.One course of treatment was 3 weeks.Patients in the western medicine group were treated with diclofenac sodium sustained-release capsules(50 mg/one time,twice a day,3 weeks as a course of treat-ment).The curative effect,visual analog scales(VAS),Pittsburgh sleep quality index(PSQI)before and after treatment,serum inflammatory factors tumor necrosis factor(TNF-α)and interleukin-1β(IL-1β)levels were compared between the two groups,and adverse reactions during treatment were observed.Results:The total effective rate of the Jingjin group(97.50%)was higher than that of the western medicine group(67.50%),and the difference was statistically significant(P<0.01).After treatment,the VAS score,TNF-α and IL-1β levels of the two groups were lower than those before treat-ment,and those of the Jingjin group were lower than those of the western medicine group.The differences were statistically significant(P<0.05,P<0.01).The PQSI score was higher than that before treatment,and the PQSI score of the Jingjin group was higher than that of the western medicine group.The differences were statistically significant(P<0.05,P<0.01).There was no statistical significance in the incidence of adverse reactions between the Jingjin group(5.00%)and the west-ern medicine group(12.50%)(P>0.05).Conclusion:Based on Jingjin theory,acupotomy combined with Chinese herbal ointment can effectively improve the pain degree of patients with TDMS,reduce inflammation,and improve the quality of life of patients.
NETL
NSTL
万方数据
维普
