针刀结合热敏灸治疗腰背肌筋膜炎的临床效果

Clinical effect of needle-knife combined with heat-sensitive moxibustion on waist and back muscle fasciitis

目的观察针刀结合热敏灸治疗腰背肌筋膜炎的临床效果。方法选取2018年1~12月于江苏省中西医结合医院门诊就诊并确诊为腰背肌筋膜炎的40例患者为研究对象,采用随机数表法将其分为观察组和对照组,每组各20例。观察组采用针刀松解腰背部筋膜及热敏灸治疗,对照组采用单纯热敏灸治疗。每周1次,两组疗程均为4周。观察两组治疗前后疼痛分级指数(PRI)、视觉模拟评分法(VAS)评分、现时疼痛强度(PPI)评分,核磁共振成像下病变组织显影面积以及热敏点数量。结果治疗后两组PRI、VAS评分、PPI评分均明显低于治疗前(均P<0.01),且观察组治疗后PRI、VAS评分、PPI评分明显低于对照组,差异均有高度统计学意义(均P<0.01)。两组治疗后热敏点均较治疗前显著减少(均P<0.01),且观察组治疗后热敏点数量明显少于对照组,差异有高度统计学意义(P<0.01)。两组治疗后核磁共振成像下病变组织面积均较治疗前显著缩小(均P<0.01),且观察组治疗后病变组织面积明显小于对照组,差异有高度统计学意义(P<0.01)。观察组总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论针刀结合热敏灸治疗腰背肌筋膜炎的临床效果优于单纯热敏灸治疗,具有临床推广价值。

Objective To observe the clinical effect of needle-knife combined with heat-sensitive moxibustion on waist and back muscle fasciitis. Methods Forty patients diagnosed as waist and back muscle fasciitis admitted to outpatient Department of Jiangsu Province Hospital on Integration of Chinese and Western Medicine from January to December 2018 were divided into the observation group and the control group by random number table method, with 20 patients in each group. The observation group received needle-knife loosening of waist and back fascia and heat-sensitive moxibustion, while the control group received heat-sensitive moxibustion only. Once a week, both groups were treated for 4 weeks. Before and after treatment, pain scale index (PRI), visual analogue scale (VAS) score, current pain intensity (PPI) score, lesion tissue development area under magnetic resonance imaging and the number of heat sensitive points were observed. Results After treatment, the PRI, VAS score and PPI score of the two groups were significantly lower than those before treatment (all P < 0.01), and PRI, VAS score and PPI score of the observation group were significantly lower than those of the control group after treatment, the differences were highly statistically significant (all P < 0.01). The number of heat sensitive points in the two groups after treatment was significantly reduced (all P < 0.01), and the number of heat sensitive points in the observation group after treatment was significantly less than that in the control group, the difference was highly statistically significant (P < 0.01). The lesion tissue development area under magnetic resonance imaging of the two groups decreased significantly after treatment (all P < 0.01), and the lesion tissue development area in the observation group was significantly smaller than that in the control group after treatment, the difference was highly statistically significant (P < 0.01). The total effective rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion The clinical effect of needle-knife combined with heat-sensitive moxibustion in treating waist and back muscle fasciitis is better than heat-sensitive moxibustion only, which has the value of clinical promotion.