压灸点穴治疗肩胛提肌损伤疼痛疗效观察

Efficacy of Using Acupuncture Point with Pressure and Moxibustion on Levator Scapula Injury

目的观察和评价压灸点穴治疗肩胛提肌损伤的疗效。方法 88例肩胛提肌损伤患者随机分为压灸组和针刺组,各44例,针刺组和压灸组操作部位均为肩胛提肌起止点阿是穴。压灸组采用压灸点穴法,针刺组采用普通针刺法加红外线局部照射,均每日治疗1次,5次为1疗程,共治疗1疗程,治疗前后采用视觉模拟量表(VAS)和LENT-SOMA评分细则作为疗效评判标准。结果两组组内治疗前后比较,VAS评分和LENT-SOMA总评分差异均具有显著统计学意义(P<0.01),治疗后两组间比较,VAS评分差异均无统计学意义(P>0.05),LENT-SOMA总评分差异无统计学意义(P>0.05),但压灸组LENT-SOMA中"压痛"项的评分优于针刺组,差异具有显著统计学意义(P<0.01)。结论压灸点穴与针刺均能显著缓解肩胛提肌损伤疼痛,压灸点穴在缓解压痛方面具有一定的优势。

Objective： To observe the efficacy of using acupuncture point with pressure and moxibustion on levator scapula injury. Methods： 88 patients with levator scapula injury were randomly divided into the pressure and moxibustion group and acupuncture group with 44 cases in each group. The clinical effect was evaluated with Visual Analogue Scale VAS and LENT-SOMA scales. The operating position was ashi acupuncture point in both groups. The pressure and moxibustion group was treated with acupoint pressure and moxibustion while the acupuncture group was treated with general acupuncture and infrared local irradiation. The treatment was applied one time a day,and totally one treatment course was applied which consisted of 5 times. All the data were analyzed with the SPSS16.0 software. Results： After treatment,the VAS scores were significantly reduced in two groups,and the VAS scores and LENT-SOMA scores differences were both statistically significant（P 0.01） before and after treatment,but the difference between the two groups was not statistically significant（P 0.05）.There was no statistically significant difference between the two groups（P 0.05）,except the score of tenderness in LENT-SOMA since the effect of the pressure and moxibustion group was better than that of the acupuncture group（P 0.01）. Conclusion： The effect of using pressure and moxibustion group is similar with acupuncture,but pressure and moxibustion group has some advantages in curing tenderness.