首页|针刺激痛点激发气至病所治疗颈肩肌筋膜疼痛综合征的临床疗效观察

针刺激痛点激发气至病所治疗颈肩肌筋膜疼痛综合征的临床疗效观察

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目的:通过观察针刺激痛点激发气至病所治疗颈肩肌筋膜疼痛综合征(MPS)的临床疗效,以探讨激痛点牵涉痛与气至病所的关联及临床意义.方法:选取2019年1月至2022年6月在首都医科大学附属北京世纪坛医院针灸科就诊的颈肩MPS患者92例,随机分为治疗组和对照组,每组46例.对照组取肩胛骨内侧缘筋结点,治疗组取斜角肌激痛点激发气至病所.观察治疗前后患者疼痛视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)的变化.1个月后随访两组患者的复发率.结果:治疗后,治疗组NDI、VAS评分均显著低于对照组(P<0.01).治疗组总有效率[84.8%(39/46)]显著高于对照组[63.0%(29/46)](P<0.05).治疗组复发率[23.9%(11/46)]显著低于对照组[52.2%(22/46)](P<0.05).结论:以牵涉痛为参考的针刺气至病所效应具有操作简易、见效快、疗程短、低复发的优势.气至病所的作用机制可能与解除神经卡压、引发神经冲动有关.
Clinical efficacy observation of neck and shoulder myofascial pain syndrome by acupuncture trigger points to stimulate qi extending affected parts
Objective:To observe the clinical efficacy of neck and shoulder myofascial pain syndrome by acupuncture trigger points to stimulate qi extending affected parts.Methods:Ninety-two samples were collected from patients treated at Department of Acupuncture,Beijing Shijitan Hosipital,Capital Medical University from Jan 2019 to Jun 2022.The patients were separated evenly into the treatment group and control group,46 cases in each group.The control group acupunctured at sinew bind points on the scapula,and the treatment group took the trigger points of the scalenus muscle.'Affect parts'refered to the area of the pain,and the'qi extending'was the needle sensation transmitted to that area.VAS and NDI were utilised to analyse and indicate the curative effects.After 1 month follow-up,the recurrence rate of the two groups was compared.Results:After the treatment,NDI and VAS in the treatment group were significantly lower than those in the control group(P<0.0l).The total effective rate of the treatment group[84.8%(39/46)]was significantly higher than that of the control group[63.0%(29/46)](P<0.05).The recurrence rate of the treatment group[23.9%(11/46)]was significantly lower than that of control group[52.2%(22/46)].Conclusion:Utilisation of the referred pain of the trigger point has the advantages of ease of operation,fast therapeutic effect,low recurrence rate,and a short acupuncture period on treating qi extending affected parts.The possible mechanism of qi extending affected parts is related to the nerve impulse trigger and nerve impingement release.

Qi extending affected partsReferred painTrigger pointNeck and shouldersMyofascial pain syndrome(MPS)Acupuncture

苗瑞恒、刘晓梦、姜敏

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首都医科大学附属北京世纪坛医院,北京 100038

北京四季青医院,北京 100097

气至病所 牵涉痛 激痛点 颈肩 肌筋膜疼痛综合征 针刺

国家中医药管理局"基本中医药循证能力建设项目"北京市医院管理中心培育计划首都医科大学附属北京世纪坛医院青年科研基金

2019XZZX-JB004PZ20190072017-q34

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(9)