OBJECTIVE: To observe the clinical efficacy of bloodletting therapy and acupuncture at Jiaji points for treating upper back myofascial pain syndrome(MPS), and compare this with lidocaine block therapy.METHODS: A total...OBJECTIVE: To observe the clinical efficacy of bloodletting therapy and acupuncture at Jiaji points for treating upper back myofascial pain syndrome(MPS), and compare this with lidocaine block therapy.METHODS: A total of 66 upper back MPS patients were randomly assigned to either the treatment group or the control group in a 1∶1 ratio. The treatment group(n = 33) were treated with bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji(EX-B 2) points; one treatment course consisted of five, single 20-min-treatments with a 2-day break between each treatment. The control group(n = 33) were treated with a lidocaine block at trigger points; one treatment course consisted of five sessions of lidocaine block therapy with a 2-day break between each session. The simplified Mc Gill Scale(SF-MPQ) and tenderness threshold determination were used to assess pain before and after a course of treatment.RESULTS: After the third and fifth treatment, the SF-MPQ values were significantly decreased(P <0.01) and the tenderness thresholds were significantly increased(P < 0.01) in both groups compared with before treatment. There were no significant differences in pain assessments between the two groups after three and five treatments(P >0.05). There were five cases with minor adverse reactions reported in the control patients, while no adverse reactions were reported in the treatment group.CONCLUSION: Bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji points was effective in treating upper back MPS.Clinically, bloodletting and acupuncture therapy had the same efficacy as the lidocaine block therapy, with fewer adverse reactions.展开更多
OBJECTIVE:To assess the efficacy of acupoint therapy combined with spine pinching in patients with menopausal syndrome.METHODS:This is a parallel,randomized,controlled,investigator-blinded trial.A total of 132 partici...OBJECTIVE:To assess the efficacy of acupoint therapy combined with spine pinching in patients with menopausal syndrome.METHODS:This is a parallel,randomized,controlled,investigator-blinded trial.A total of 132 participants were randomly assigned to receive either acupoint therapy combined with spine pinching(intervention group)or tibolone therapy alone(control group).The intervention group received acupoint therapy combined with spine pinching three times per week for 4 weeks.The control group received 2.5 mg of tibolone once daily for 4 weeks.The primary outcome was the improved Kupperman score.The WHO quality of life scale was also used.The secondary aim was to identify those who would benefit from acupoint therapy combined with spine pinching based on the levels of follicle stimulating hormone(FSH)and luteinizing hormone(LH).RESULTS:In the intervention group,the improved Kupperman score was significantly decreased after treatment compared with before treatment.However,there were no differences between the intervention and control groups for any outcome.Changes in the physiology score presented negative outcomes in patients with a low FSH level with increasing body mass index(BMI)(P=0.0).In contrast,changes in the physiology score presented positive outcomes in patients with a moderate LH level with increasing BMI(P=0.0).The mean change in the physiology score of patients with a low FSH level and a BMI of≥25.7 kg/m2 was-7.17(range-10.94 to-3.40)after adjustments for age and disease duration.CONCLUSION:Acupoint therapy combined with spine pinching is effective in treating menopausal syndrome,especially in women with a moderate LH level.However,patients with a low FSH level had a negative outcome after acupoint therapy combined with spine pinching.In addition,patients with a BMI of>25.7 kg/m2 had a negative outcome after the intervention,regardless of hormone levels.展开更多
基金Supported by the Science and Technology Plan Project of Social Development of Guangdong Provincial Department of Science and Technology(Project name:Effect of Bloodletting Therapy at Local Myofascial Trigger Points and Acupuncture at Jiaji Points on Upper Back Myofascial Pain Syndrome,No.2011B080701089)
文摘OBJECTIVE: To observe the clinical efficacy of bloodletting therapy and acupuncture at Jiaji points for treating upper back myofascial pain syndrome(MPS), and compare this with lidocaine block therapy.METHODS: A total of 66 upper back MPS patients were randomly assigned to either the treatment group or the control group in a 1∶1 ratio. The treatment group(n = 33) were treated with bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji(EX-B 2) points; one treatment course consisted of five, single 20-min-treatments with a 2-day break between each treatment. The control group(n = 33) were treated with a lidocaine block at trigger points; one treatment course consisted of five sessions of lidocaine block therapy with a 2-day break between each session. The simplified Mc Gill Scale(SF-MPQ) and tenderness threshold determination were used to assess pain before and after a course of treatment.RESULTS: After the third and fifth treatment, the SF-MPQ values were significantly decreased(P <0.01) and the tenderness thresholds were significantly increased(P < 0.01) in both groups compared with before treatment. There were no significant differences in pain assessments between the two groups after three and five treatments(P >0.05). There were five cases with minor adverse reactions reported in the control patients, while no adverse reactions were reported in the treatment group.CONCLUSION: Bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji points was effective in treating upper back MPS.Clinically, bloodletting and acupuncture therapy had the same efficacy as the lidocaine block therapy, with fewer adverse reactions.
基金Supported by the Special Project for Scientific Research and Construction of a National Traditional Chinese Medicine Clinical Research Base of the China State Administration of Traditional Chinese Medicine(No.JD2X2012019)
文摘OBJECTIVE:To assess the efficacy of acupoint therapy combined with spine pinching in patients with menopausal syndrome.METHODS:This is a parallel,randomized,controlled,investigator-blinded trial.A total of 132 participants were randomly assigned to receive either acupoint therapy combined with spine pinching(intervention group)or tibolone therapy alone(control group).The intervention group received acupoint therapy combined with spine pinching three times per week for 4 weeks.The control group received 2.5 mg of tibolone once daily for 4 weeks.The primary outcome was the improved Kupperman score.The WHO quality of life scale was also used.The secondary aim was to identify those who would benefit from acupoint therapy combined with spine pinching based on the levels of follicle stimulating hormone(FSH)and luteinizing hormone(LH).RESULTS:In the intervention group,the improved Kupperman score was significantly decreased after treatment compared with before treatment.However,there were no differences between the intervention and control groups for any outcome.Changes in the physiology score presented negative outcomes in patients with a low FSH level with increasing body mass index(BMI)(P=0.0).In contrast,changes in the physiology score presented positive outcomes in patients with a moderate LH level with increasing BMI(P=0.0).The mean change in the physiology score of patients with a low FSH level and a BMI of≥25.7 kg/m2 was-7.17(range-10.94 to-3.40)after adjustments for age and disease duration.CONCLUSION:Acupoint therapy combined with spine pinching is effective in treating menopausal syndrome,especially in women with a moderate LH level.However,patients with a low FSH level had a negative outcome after acupoint therapy combined with spine pinching.In addition,patients with a BMI of>25.7 kg/m2 had a negative outcome after the intervention,regardless of hormone levels.
