混元灸和针刺阿是穴治疗项背部肌筋膜疼痛综合征的临床效果研究

A comparative study of mixed-yuan moxibustion and acupuncture at Ashi points in the treatment of back myofascial pain syndrome

目的:探讨混元灸和针刺阿是穴治疗项背部肌筋膜疼痛综合征(MPS)的临床疗效。方法:选取2018年7月—2019年8月接受诊治的90例肌筋膜疼痛综合征患者,按照随机数字表法分为三组,每组30例。针刺组采用针刺阿是穴治疗,混元灸组采用混元灸治疗,综合组采用针刺联合混元灸治疗,比较三组患者治疗前后的视觉模拟评分(VAS)、现有疼痛强度(PPI)评分以及疗效。结果:综合组治疗后的VAS和PPI评分均明显低于混元灸组和针刺组,而混元灸组治疗后的VAS和PPI评分均明显低于针刺组,差异均具有统计学意义(P<0.05);综合组和混元灸组总有效率比较,差异无统计学意义(P>0.05);综合组、混元灸组的总有效率均明显高于针刺组,差异有统计学意义(P<0.05);三组患者均未出现明显不良反应。结论:与单纯采用针刺阿是穴治疗相比,混元灸治疗或混元灸联合针刺综合治疗,能够显著提高肌筋膜疼痛综合征患者的治疗效果,改善患者的疼痛症状,是治疗肌筋膜疼痛综合征的有效治疗方法。

Objective:To investigate the clinical efficacy of mixed-yuan moxibustion and acupuncture at Ashi points in the treatment of back myofascial pain syndrome.Methods:Ninety patients with myofascial pain syndrome who were treated in our hospital from July 20 to August 2019 were randomly divided into three groups,30 in each group.The acupuncture group was treated with acupuncture at Ashi point,the mixed element moxibustion group was treated with mixed moxibustion moxibustion,and the comprehensive group was treated with acupuncture combined with mixed element moxibustion.Compare the visual analogue scale(VAS),current pain intensity(PPI)and efficacy of the three groups of patients before and after treatment.Results:The VAS and PPI scores of the comprehensive group were significantly lower than those of the mixed moxibustion group and the acupuncture group.The VAS and PPI scores of the mixed group moxibustion group were significantly lower than those of the acupuncture group.The difference was statistically significant(P<0.05).There was no significant difference in the total effective rate between the comprehensive group and the mixed moxibustion group(P>0.05).The total effective rate of the comprehensive group and the mixed moxibustion group was significantly higher than that of the acupuncture group(P<0.05).There were no significant adverse reactions in all three groups of patients.Conclusion:Compared with the treatment of acupuncture and acupuncture points alone,mixed moxibustion therapy or mixed moxibustion combined with acupuncture combined therapy can significantly improve the treatment effect of patients with myofascial pain syndrome,improve the pain symptoms of patients,and treat the muscles.An effective non-pharmacological treatment for fascial pain syndrome.