肌筋膜疼痛功能紊乱综合征的手针治疗研究

A study on the clinical curative effect by acupuncture for myofascial pain dysfunction syndrome

目的应用红外热像与微循环技术研究手针治疗肌筋膜疼痛功能紊乱综合征（ｍｙｏｆａｓｃｉａｌｐａｉｎｄｙｓｆｕｎｃｔｉｏｎｓｙｎｄｒｏｍｅ，ＭＰＤ）疗效及制订疗效标准。方法应用红外热像与微循环观测手针合谷穴、面咽止痛穴与对照组比较治疗ＭＰＤ后患者颞下颌关节区温度变化、甲襞微循环变化、疼痛与开口度变化。结果手针组的ＴＭＪ升温效应、甲襞微循环的扩管增速效应、疼痛程度、开口度均优于对照组。评定本组手针治疗４７７例ＭＰＤ的总有效率为９３．１％。结论推荐手针合谷穴。

Objective To study the acupuncture treatment for myofascial pain dysfunction (MPD) using infrared thermography and microcirculation. Methods The temperature of the skin on the TMJ regions, the blood vessels and the blood flow of the Nail Fold capillary loops, were observed in the group of the acupuncture He Gu and Min Yin point and the control group. Results There were high temperature of the skin on the TMJ regions, and enlarged blood vessels and increased blood flow of the Nail Fold capillary loops in the treatment group, with elimination of, pain and increase of mouth opening as compared with the control group. The effective rate of the acupuncture treatment of 477 cases of MPD is 93.1%. Conclusion The He Gu and Min Yin points are sensitive point for the treatment of MPD.