基于肌筋膜理论探讨不同类型针灸治疗非特异性腰痛的机制
Exploring Mechanisms of Different Types of Acupuncture in Treating NSLBP Based on Myofascial Theory
陈绪娟 1武家竹 1杜元灏1
作者信息
- 1. 天津中医药大学第一附属医院,天津 300193;国家中医针灸临床医学研究中心,天津 300193
- 折叠
摘要
腰痛成为困扰大约2/3人群健康的一大疾病,而非特异性腰痛又大约占85％.腰背肌筋膜中存在的肌筋膜触发点(MTrPs)是患者疼痛的主要来源,甚至逐渐纤维化发展为条索、硬结,成为"结筋病灶点",这与肌筋膜中肌成纤维细胞、细胞外基质(ECM)和透明质酸(HA)密不可分.而针刺可有效作用于肌筋膜,破坏粘连纤维的同时促进组织细胞修复,从而发挥解结作用,改善患者症状.本研究主要采用非普通毫针刺法(包括浮针、针刀、干针、滞针、新九针及埋线),作用于肌筋膜来治疗非特异性腰痛的机制,以期扩展临床治疗方法,并提供理论依据.
Abstract
Low back pain affects approximately two-thirds of the population and is a major health concern.Among these cases,about 85％are classified as no-specific low back pain(NSLBP).Myofascial trigger points(MTrPs)in the lumbar and back muscles are the primary source of pain for many patients,and over time,these areas can gradually develop into fibrotic bands and nodules,forming what is known as'knot-like lesions'.These lesions are closely associated with myofibroblasts,extracellular matrix(ECM)and hyaluronic acid(HA)in the myofascia.Acupuncture has been shown to effectively target the myofascia,breaking down adhesive fivers while promoting tissue repair,thus'resolving knot'and improving patients symptoms.This study primarily investigate the mechanisms by which non-conventional acupuncture techniques,including floating needling,acupotomy,dry needling,retention needling,new nine needles and catgut embedding,affect the myofasica in treatment of NSLBP.The aim is to explore new clinical treatment methods and provide a theoretical basis for their application.
关键词
非特异性腰痛/肌筋膜/肌筋膜触发点/结筋病灶点/针灸Key words
Non-specific low back pain/Myofascia/Myofascial trigger points/Nodular focal point/Acu-puncture引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据