针刺扳机点结合筋膜松解术治疗慢性腰部肌筋膜疼痛综合征的疗效及对TNF-α、IL-1β水平的影响

Effect of Acupuncture at Trigger Point Combined with Fascia Release on Chronic Lumbar Myofascial Pain Syndrome and Its Effect on TNF-α and IL-1β

目的观察针刺扳机点结合筋膜松解术治疗慢性腰部肌筋膜疼痛综合征的疗效及对肿瘤坏死因子-α(TNF-α)、白介素-1β(IL-1β)水平的影响。方法选取医院2019年2月—2020年1月治疗的慢性腰部肌筋膜疼痛综合征患者106例,按照随机数字表法分为两组,各53例,对照组采用常规针刺法治疗,观察组采用针刺扳机点结合筋膜松解术治疗。比较两组患者的临床疗效,视觉模拟评分(VAS),Oswestry功能障碍指数问卷表(ODI),炎症细胞因子TNF-α及IL-1β水平。结果治疗后,观察组、对照组的愈显率分别为83.0%(44/53)、64.2%(34/53),前者显著高于后者(P<0.05)。治疗前两组患者的VAS评分差异均无统计学意义(P>0.05),治疗后均显著降低(P<0.05),并且观察组显著低于对照组(P<0.05)。治疗前两组患者的ODI评分差异均无统计学意义(P>0.05),治疗后均显著降低(P<0.05),并且观察组显著低于对照组(P<0.05)。治疗前两组患者的血清TNF-α及IL-1β水平差异均无统计学意义(P>0.05),治疗后均显著降低(P<0.05),并且观察组显著低于对照组(P<0.05)。结论针刺扳机点结合筋膜松解术治疗慢性腰部肌筋膜疼痛综合征的疗效满意,能够有效缓解疼痛症状、改善腰部功能、控制炎症反应,促进患者的康复。

Objective To observe the effect of acupuncture at trigger point combined with fascia release on chronic lumbar myofascial pain syndrome and its effect on levels of TNF-α and IL-1β. Methods A total of 106 patients with chronic lumbar myofascial pain syndrome treated in our hospital from February 2019 to January 2020 were selected and divided into two groups according to the random number table method, 53 patients in each group. The control group was treated with conventional acupuncture and the observation group was treated with acupuncture at trigger point combined with fascia release. The clinical efficacy, visual analogue scale(VAS),Oswestry Dysfunction Index Questionnaire(ODI) and levels of inflammatory cytokines TNF-α and IL-1β were compared between two groups. Results After treatment, the cured and markedly effective rates of the observation group and the control group were 83.0%(44/53) and 64.2%(34/53),respectively. The former was significantly higher than the latter(P<0.05). There was no statistically significant difference in VAS scores between two groups before treatment(P>0.05) and they were significantly decreased after treatment(P<0.05). The observation group’s score was significantly lower than that of the control group(P<0.05). There was no statistically significant difference in the ODI score between two groups before treatment(P>0.05),and they were all significantly reduced after treatment(P<0.05). The observation group’s ODI score was significantly lower than that of the control group(P<0.05). The levels of serum TNF-α and IL-1β in two groups before treatment were not statistically significant(P>0.05),and they were all significantly reduced after treatment(P<0.05). The observation group’s levels were significantly lower than those of the control group(P<0.05). Conclusion Acupuncture at trigger point combined with fascia release has satisfactory effect on chronic lumbar myofascial pain syndrome and can effectively relieve pain symptoms, improve waist function, control inflammation and promote patient recovery.