手法结合运动针法治疗腰背肌筋膜疼痛综合征30例临床观察

Clinical Observation on 30 Cases of Myofascial Pain Syndrome Treated by Manipulation Combined with Motion Acupuncture1

目的:观察手法结合运动针法治疗腰背肌筋膜疼痛综合征的临床疗效。方法:将60例患者按腰背肌筋膜疼痛综合征纳入标准随机分为对照组和观察组(各30例),对照组予单纯手法治疗;观察组在对照组的基础上行针刺结合运动治疗,治疗2个疗程。比较两组VAS评分、ODI评分、疗效及随访。结果:治疗2疗程后,两组VAS评分、ODI评分均较干预前降低,且对照组均高于观察组(P<0.05);对照组疗效低于观察组(P<0.05)。结论:运用手法结合运动针刺疗法治疗腰背肌筋膜疼痛综合征临床疗效显著,值得临床推广应用与研究。

Objective To observe the clinical effect of manipulation combined with motion acupuncture in the treatment of lumbar myofascial pain syndrome.Methods 60 patients were randomly divided into control group and observation group(30 cases each)according to the inclusion standard of lumbar MPS.The control group was treated with manipulation alone,and the observation group was treated with acupuncture combined with exercise on the basis of the control gro1up for 2 courses.VAS score,ODI score,clinical 2efficacy and follow-up were compared between the two groups.Results After 2 courses of treatment,VAS score and ODI score in 2 groups were lower than before intervention,and the control group was higher than the observation group(P<0.05).The total effective rate in control group was lower than that in observation group(P<0.05).Conclusion Manipulation combined with exercise acupuncture therapy in the treatment of lumboback myofascia pain syndrome has a significant clinical effect,and is worthy of promotion and application and research.