针刀疗法治疗腰肌筋膜疼痛综合征的临床研究

Clinical Study on Lumbar Myofascial Pain Syndrome by Acupotomy Therapy

目的：观察针刀疗法治疗腰肌筋膜疼痛综合征的临床疗效及安全性。方法：将62例符合腰肌筋膜疼痛综合征诊断、纳入、排除标准的患者随机分为治疗组（针刀治疗）和对照组（电针治疗）各31例,治疗组按需选择4~6点进行针刀治疗1次进行疗效评定,对照组隔天电针治疗1次,3次结束后对结果进行疗效分析。结果：通过1次治疗,治疗组总疗效为90.32%,两周后总有效率达96.77%,优于对照组的74.19%,差异有统计学意义（P〈0.05）,并且治疗组治疗两周后在总体疗效上优于对照组（P〈0.05）,在简化Mc Gill疼痛评分上也优于对照组（P〈0.05）。结论：针刀疗法治疗腰肌筋膜疼痛综合征效果更显著,安全可靠,短期疗效优于传统电针治疗,值得在临床上推广应用。

Objective： To investigate the efficacy and safety of lumbar myofascial pain syndrome by acupotomy therapy. Methods： 62 cases that met the diagnostic criteria of lumbar myofascial pain syndrome were randomly divided into a treatment group（ treated by acupotomy therapy,31cases） and a control group（ treated by electro- acupuncture therapy,31cases）. The efficacy of treatment group was evaluated after acupotomy therapy with4- 6 points. The efficacy of control group was evaluated after three times of electro- acupuncture therapy in once every other day. Results： After the treatment,the total effect of the treatment group was 90. 32%. The total effect of the treatment group（ 96. 77%） was better than that of the control group（ 74. 19%） after two weeks.The difference was statistically significant（ P〈0. 05）. The difference was statistically significant between two groups in the total effect and the Mc Gill pain score after two weeks（ P〈0. 05）. Conclusion： Acupotomy therapy can improve the symptoms and physical signs in lumbar myofascial pain syndrome and is safe. It is an effective treatment for lumbar myofascial pain syndrome and is worthy of clinical use.