生物陶瓷火罐结合刺络放血疗法治疗背肌筋膜炎的疗效观察

Clinical Observation of Biological Ceramic Cupping Jar Combined with Bloodletting Therapy on Back Myofascitis

目的观察生物陶瓷火罐结合刺络放血疗法治疗背肌筋膜炎患者临床疗效。方法将62例确诊为背肌筋膜炎门诊患者随机分为2组,每组31人,一组选取阿是穴2处刺络放血、痛点肌肉起止点及膀胱经吸拔生物陶瓷火罐共10枚,留置10 min,隔天1次,共15次,30 d;另一组予口服非甾体抗炎药塞来昔布200 mg,日1次,共30 d。结果疗程结束后及3月后随访两组患者VAS评分较治疗前显著降低(P<0.05),治疗组疗效优于对照组(P<0.05)。两组患者治疗前后Batthel指数及SF-36、PCS及MCS评分之间均无显著性差异(P>0.05),但数值有上升趋势。两组总有效率相当(P>0.05),但治疗组缓解率高于对照组(P<0.05)。结论生物陶瓷火罐结合刺络放血可有效改善背肌筋膜炎症状,减少复发率,有一定的临床应用价值。

Objective To observe the clinical efficacy of biological ceramic cupping jar combined with Bloodletting ther-apy in the treatment of back myofascitis. Methods 62 cases of back myofascitis were randomly divided into two groups, 31 cases in each group. One group was selected A-shi points for bloodletting,a total of 10 bio ceramic cupping at pain points and bladder muscle insertion cupping,for 10 minutes,every other day,a total of 15 times, 30 days; the other group was re-ceived oral nonsteroidal anti -inflammatory drug, celecoxib 200 mg,once a day,a total of 30 days. Results After the end of treatment and 3 months after the follow-up results showed that the VAS score of the two groups were significantly lower than that before treatment,the difference was statistically significant （P〈0.05）,the treatment group was better than the control group （P〈0.05）. The Batthel index, the SF-36PCS and MCS scores between the two groups before and after treatment showed no significant difference （P〉0.05）, but numerical value showed rising trend. The total efficiency of two groups was roughly same （P〉0.05）,but the remission rate of treatment group was higher than the control group （P〈0.05）. Conclusion Biological ceramic cupping combined with bloodletting can effectively improve myofascitis symptoms, reduce the recurrence rate, has certain clini-cal application value.