基于枢经理论运用滞针术治疗腰臀肌筋膜疼痛综合征疗效观察

Efficacy observation of sticking needling based on theory of axis meridians on waist-hip myofascial pain syndrome

目的:观察枢经理论指导下的滞针术治疗腰臀肌筋膜疼痛综合征的临床疗效。方法:将96例腰臀肌筋膜疼痛综合征患者随机分为两组各48例,治疗组在枢经理论指导下施以滞针疗法,每次30 min;对照组在扳机点施以0.25%利多卡因注射,隔日1次,5次为1个疗程,共干预2个疗程。分别于治疗前、治疗后、随访2个月后运用McGill疼痛量表、压痛积分法评定临床疗效。结果:治疗前两组基线齐同,疗程结束后,治疗组总有效率为87.50%,对照组为89.58%,两组比较,差异无统计学意义(P﹥0.05);治疗结束后2个月,治疗组疗效稳定率为93.75%,对照组为58.33%,两组比较,差异有统计学意义(P﹤0.05);两组在疼痛分级指数(PRI)、现时疼痛强度(PPI)、视觉模拟量表(VAS)评分、压痛积分均较治疗前显著降低(P﹤0.05),治疗组优于对照组(P﹤0.05)。结论:枢经理论指导下运用滞针术治疗腰臀肌筋膜疼痛综合征的短期疗效与扳机点注射利多卡因相当,但远期疗效及镇痛效果优于扳机点注射利多卡因。

Objective:To observe the clinical effect of sticking needling based on theory of axis meridians on waist-hip myofascial pain syndrome.Methods:96 cases of patients with waist-hip myofascial pain syndrome were randomly divided into two groups,48 cases in each group.The treatment group was treated by sticking needling based on theory of axis meridians for 30 minutes each time,while the control group was treated with 0.25% lidocaine injection at the trigger point,1 time every other day,5 times as a course of treatment,in total 2 courses of treatment.Respectively before and after treatment as well as after 3 months of follow-up,the clinical effect was assessed by McGill pain scale and tenderness score.Results:Before treatment,both groups had the same baseline.After the end of treatment,the total effective rate was 87.50% in treatment group and 89.58% in control group(P ﹥ 0.05).In 2 months after the end of treatment,the rate of stabization of curative effect in the observation group was 92.86%, 54.49% in control group(P﹤0.05);pain rating index(PRI),present pain intensity(PPI),visual analogue scale(VAS)score and tenderness score were more significantly lowered than that before treatment in both groups(P﹤0.05),and the treatment group was better than the control group(P﹤0.05).Conclusion:The short-term effect of sticking needling based on theory of axis meridians on waist-hip myofascial pain syndrome is equivalent to that of lidocaine injection at the trigger point,but its long-term effect and analgesic effect are better than those of Lidocaine injection at the trigger point.