红外热图引导细银质针疗法治疗颈肩综合征的临床研究

Clinical Study of Fine Silver Needle Therapy on the Treatment of Neck Shoulder Syndrome Guided by Infrared Thermography

目的:观察用红外热图引导细银质针疗法治疗颈肩综合征的临床效果。方法:临床诊断为颈肩综合征的患者60例,按随机数字表法分为两组,引导组和对照组各30例。对照组按照传统体格检查经验选取颈肩部的两个压痛明显的部位,分2次行颈肩部骨骼肌附着点细银质针松解治疗,引导组严格按照红外热成像检查结果选取颈肩部患侧与健侧相对温度(患侧温度-健侧温度)ΔT≤-0.2℃的两个部位,分2次行颈肩部骨骼肌附着点细银质针松解治疗。比较两组患者治疗前和治疗后1个月疼痛数字评分法(NRS)评分、Northwick Park颈痛量表(NPQ)评分、美国加州大学洛杉矶分校(UCLA)肩关节评分及症状体征评分的变化。结果:治疗前两组患者的年龄、病程、NRS评分、NPQ评分、UCLA评分、症状体征评分差异无统计学意义(P>0.05)。治疗后两组患者的疼痛症状均改善,NRS评分下降、NPQ评分下降、UCLA评分升高、症状体征评分下降,差异有统计学意义(P<0.05)。与对照组相比,引导组NRS评分低、NPQ评分低、UCLA评分高、症状体征评分低,差异均有统计学意义(P<0.05)。结论:银质针疗法治疗颈肩综合征有较好的临床效果,参照红外热图检查选择细银质针布针位置治疗颈肩综合征的疗效,优于传统的依据临床体格检查经验进行细银质针布针治疗颈肩综合征的疗效。

Objective:To observe the clinical efficacy of fine silver needle therapy guided by infrared thermography on the treatment of neck shoulder syndrome.Methods:60 patients with neck shoulder syndrome clinically diagnosed were divided into 2 groups according to the random number table method, including guidance group and control group in 30 cases respectively. Two parts of neck and shoulder with obvious tenderness according to the experience of traditional physical examination were selected in the control group, and the neck and shoulder skeletal muscle attachment points were treated with fine silver needle lysis twice. The relative temperature between the affected side and the healthy side of the neck and shoulder in strict accordance with the results of infrared thermography(affected side temperature-healthy side temperature ≤-0.2 ℃) was selected in the guidance group, and the neck and shoulder skeletal muscle attachment points were treated with fine silver needle lysis twice. The changes of pain numerical rating score(NRS), Northwick Park neck pain questionnaire(NPQ), University of California, Los Angeles(UCLA) shoulder score and symptom and sign scores before and 1 month after treatment were compared between the two groups.Results:There was no significant difference between the two groups in age, course of disease, NRS score, NPQ score, UCLA score, symptom and sign score before treatment. After treatment, the pain symptoms of patients in both groups were improved;NRS score, NPQ score, UCLA score and symptoms and signs score decreased, and the difference was statistically significant. Compared with the control group, the NRS score, NPQ score and signs score in the guidance group was lower;the UCLA score was higher in the guidance group, and all difference was statistically significant(P<0.05). Conclusion:Silver needle therapy has a good clinical efficacy on the treatment of neck shoulder syndrome, The efficacy of selecting the position of fine silver needle according to infrared thermogram is superior to the efficacy of fine silver needle on neck shoulder syndrome based on traditional clinical physical examination experience.