热敏穴灸治疗肌筋膜疼痛综合征：多中心随机对照研究

Moxibustion on heat-sensitive acupoints for treatment of myofascial pain syndrome:a multi-central randomized controlled trial

目的:观察热敏穴灸治疗肌筋膜疼痛综合征(MPS)的临床疗效,以期肯定该项新疗法治疗MPS的高效性。方法:采用3个中心、单盲、随机、对照研究方法,将107例患者随机分为观察组(57例)和对照组(50例)。观察组给予热敏穴灸治疗,对照组给予针刺加拔罐加TDP常规治疗。采用简化麦吉尔疼痛量表为观察指标,以治疗前后疼痛评定指数(PRI)、视觉模拟评分(VAS)和现时疼痛强度(PPI)的变化来评价疗效。结果:观察组的愈显率为86.0%,优于对照组的24.0%(P<0.001)。2组PRI、VAS、PPI积分较治疗前有极显著改善(P<0.001),且观察组优于对照组(P<0.001)。结论:热敏穴灸疗法对MPS具有高效性。

Objective To observe the clinical therapeutic effect of moxibustion on heat-sensitive acupoints on myofascial pain syndrome （MPS）. Methods Three-centre, single blind, randomized controlled trial method was adopted, One hundred and seven cases were randomly divided into an observation group （n = 57）, and a control group （n=50）. The observation group were treated by moxibustion on the heat-sensitive acupoints and the control group by acupuncture, cupping and TDP, The therapeutic effects were assessed according to changes of the score of the short-form of McGill pain questionnaire composing of pain rating index （PRI）, visual analogue sdale （VAS） and present pain intensity （PPI） before and after treatment. Results The cured rate of 86.0% in the observation group was better than 24. 0 % in the control group, After treatment, the score of PRI, VAS, PPI indexes significantly improved in the observation group （P〈 0. 001）, and were significantly better than those in the control group （P〈0.001）, Conclusion Moxibustion on the heat-sensitive acupoints has a high therapeutic effect on MPS.