Treatment of 90 patients with scapulohumeral periarthritis in different phases by combining therapy centering on Fu's subcutaneous needling

Objective To observe the efficacy of combining therapy in treatment of 90 patients with scapulohumeral periarthritis in different phases. Method Ninety patients with scapulohumeral periarthritis were treated with Fu＇s subcutaneous needling（FSN） combined with physiotherapy in painful phase, acupotomology and massage in adhesion phase, and appropriate functional exercise in rehabilitation phase. Seven days were considered as one course of treatment, and efficacy evaluation was performed after three courses. Function evaluation of shoulder joint was made. Result The total effective rate was 100%（38/38） in acute phase, 93.5%（29/31） in adhesion phase, and 100%（21/21） in rehabilitation phase. After treatment, the range of motion（ROM） of shoulder joint, pain, muscle force, activities of daily living（ADL） and joint local morphology of the patient have been improved obviously. Conclusion Better clinical efficacy is achieved in treatment of scapulohumeral periarthritis in different phases by combining therapy centering on FSN.

浮针治疗早中期膝骨关节炎对软骨厚度的影响

目的观察浮针疗法治疗早中期膝骨关节炎对关节软骨厚度的影响。方法将60例早中期膝骨关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用浮针治疗,对照组采用电针治疗。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、疼痛开始缓解时间、Lysholm膝关节功能评分、平衡功能及股骨内侧和外侧髁软骨厚度的变化。结果治疗组疼痛开始缓解时间短于对照组(P<0.05)。治疗后,两组VAS评分以及平衡功能的横向标准差和前后标准差均较治疗前降低(P<0.05),Lysholm膝关节功能评分、平衡功能的稳定极限均较治疗前升高(P<0.05)。治疗后3个月,两组VAS评分较治疗前降低(P<0.05),Lysholm膝关节功能评分较治疗前升高(P<0.05),膝关节内外侧髁软骨厚度均较治疗前增加(P<0.05)。治疗后和治疗后3个月,治疗组VAS评分均低于对照组(P<0.05),Lysholm膝关节功能评分均高于对照组(P<0.05)。治疗后,治疗组横向标准差低于对照组(P<0.05),稳定极限高于对照组(P<0.05)。结论浮针治疗早中期膝骨关节炎起效速度优于电针治疗,能有效缓解疼痛症状及提高膝关节功能,可改善软骨损伤。

Immediate effect of Fu's subcutaneous needling for low back pain

The traditional Chinese acupuncture has been reported to alleviate pain and is widely accepted as a complement therapy for pain relief in the world.1In 1996, a novel acupuncture strategy, Fu＇s subcutaneous needling （FSN）, was developed from the traditional Chinese acupuncture, but quite different from it.2 In FSN, needles are penetrated and swayed in the subcutaneous layer, but not the muscular layer. The choosing of its insertion points doesn＇t obey the principles of traditional Chinese medicine. To date, FSN has been widely used by clinicians in China for its good job in pain management though the systemic and rigorous studies are still lack.

基于颈后伸肌肌容积及颈椎矢状位参数评价浮针治疗颈型颈椎病的临床疗效

目的基于颈后伸肌肌容积及颈椎矢状位参数评价浮针治疗颈型颈椎病的效果及其与疗效的相关性。方法回顾性选择2023年1—8月收治的50例颈型颈椎病患者。所有患者均采用浮针治疗,治疗前后行颈椎核磁共振成像(MRI)和侧位X线检查。采用影像归档和通信系统(PACS)在颈椎侧位片上测量颈椎矢状位参数序列。采用Image J软件测量MRI轴向图像上C 3~7上终板的浅伸肌面积(SEA)和深伸肌面积(DEA)。测量并分析DEA与相应的颈椎体面积(CBA)之比。比较治疗前后颈椎矢状位参数及颈后伸肌肌容积的差异。采用Pearson相关分析颈后伸肌肌容积与颈椎矢状位参数和颈椎功能(JOA)评分及疗效的关系。结果相比治疗前,治疗后的颈椎矢状位参数的变化差异显著,C 2~7 SVA和C 7 S明显减小,而C 0~2 Cobb角和C 2~7 Cobb角均明显增大。相比治疗前,治疗后患者DEA/CBA比值明显增加,其中,差异最为显著的指标为C 3、C 4、C 5;C 3水平DEA/CBA比值与C 2~7 SVA(r=-0.380)和C 7 S呈弱负相关(r=-0.322),且C 4水平DEA/CBA比值与C 2~7 SVA、C 7 S呈中度负相关(r=-0.489,r=-0.477)。SEA/CBA比值与颈椎矢状位参数呈无或极弱相关。颈后伸肌肌容积及颈椎矢状位参数与JOA评分、疗效均呈正的强或中相关性关系(P<0.05)。结论浮针治疗颈型颈椎病的效果显著,颈后伸肌肌容积及颈椎矢状位参数与JOA评分、疗效均呈正的强或中相关性关系。

Periarthritis of shoulder treated with Fu’s subcutaneous needling and electroacupuncture:A controlled trail

Objective:To observe and compare the therapeutic effect on shoulder periarthritis between Fu’s subcutaneous needling(FSN)and electroacupuncture(EA).Methods:A total of 68 patients with periarthritis of shoulder were divided into a FSN group and an EA group according to the random number table,34 cases in each one.In the FSN group,FSN was adopted,once every two days,totally for 10 times.In the EA group,EA was used once daily,consecutively for 20 times.Shoulder pain score and shoulder function score(Constant-Murley score)before and after treatment were compared between the two groups.The clinical therapeutic effect was analyzed and evaluated statistically.Results:After 20-day treatment,shoulder pain score was reduced obviously as compared with that before treatment in the patients of either group(both P<0.01).After treatment,shoulder pain score in the FSN group was lower significantly than that in the EA group(P<0.01).In 20 days of treatment,CMS was improved obviously as compared with that before treatment in the patients of both groups(both P<0.01)and CMS in the FSN group was higher significantly than that in the EA group after treatment(P<0.01).The effective rate was 94.11%in the FSN group and was 91.17%in the EA group.The remarkably effective rate was 73.52%in the FSN group,significantly higher than 20.58%in the EA group(P<0.01).Conclusion:Both FSN and EA are effective in treatment of periarthritis of shoulder,but FSN obtains a much higher remarkably effective rate in treatment of periarthritis of shoulder and its effects for relieving shoulder pain and improving shoulder function are superior to EA.Because of its effective treatment and simple operation,FSN deserves to be promoted in clinical practice for periarthritis of shoulder.

Therapeutic observation of Fu's subcutaneous needling for scapulohumeral periarthritis

Objective： To observe the therapeutic efficacy of Fu＇s subcutaneous needling（FSN） in treating scapulohumeral periarthritis（SP）.Methods： Eighty patients with SP were randomly divided into an observation group and a control group, 40 cases in each group. Patients in the observation group received FSN treatment while those in the control group received conventional acupuncture treatment. Visual analogue scale（VAS） and range of motion（ROM） were observed before and after the treatment, and the therapeutic efficacy was also evaluated.Results： After the treatment, the VAS scores decreased significantly in the two groups, and the VAS score in the observation group was significantly lower than that in the control group（P〈0.01）. After the treatment, the ROM increased significantly in both groups（both P〈0.01）, and the ROM in the observation group was significantly higher than that in the control group（P〈0.01）. The recovery rate and the total effective rate in the observation group were respectively 40.0% and 95.0%,significantly higher than 12.5% and 77.5% in the control group（P〈0.01, P〈0.05）.Conclusion： FSN can effectively relieve pain and improve the joint motion in treating SP, thus offering a novel option to the treatment of this kind of musculoskeletal disorder.

Clinical effect on knee osteoarthritis treated with Fu’s subcutaneous needling therapy

Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a FSN group(40 cases)and a conventional acupuncture group(40 cases)according to random number table.Within 1 week of treatment,FSN was used once every two days in the FSN group.The needle tip of Fu’s subcutaneous needle was inserted toward the affected muscle,about 5 mm in depth,at the angle of 15 to 25°.After the needle body lifted slightly,the needle went forward subcutaneously for 25 to 35 mm in depth and was swiped side to side horizontally with even exertion for about 1 min.According to the distribution of affected muscle,the reperfusion approach was repeated for 3 times consecutively.In the conventional acupuncture group conventional acupuncture was given,once a day,for 6 times totally.The scores of Western Ontario and McMaster universities osteoarthritis index(WOMAC)and Lysholm knee scoring scale(Lysholm)were compared between the two groups before and after 1-week treatment.The clinical effect of the two groups was analyzed statistically and evaluated.Results:After 1-week treatment with FSN,in the FSN group,the score of WOMACpain was reduced to be7.7±1.9 from 18.5±3.2,the score of WOMACstiffnessto be 1.5±0.7 from 4.5±1.8,WOMACfunction to be22.7±3.9 from 45.7±2.7 and the score of WOMACoverall to be 31.9±5.3 from 69.7±6.5.The differences were significant in comparison before and after treatment(all P<0.05).In the conventional acupuncture group,after 1-week treatment with conventional acupuncture,the score of WOMACpain was reduced to be11.3±2.8 from 18.2±3.0,the score of WOMACstiffness to be 3.0±1.6 from 5.6±1.7,WOMACfunction to be29.8±5.1 from 44.3±2.9 and the score of WOMACoverall to be 44.1±7.8 from 69.1±7.3.The differences were significant in comparison before and after treatment(all P<0.05).WOMAC score of every item in the FSN group was lower obviously than that in the conventional acupuncture group(P<0.01).After 1-week treatment,Lysholm score was increased to be 78.52±18.4 from 59.64±18.3 in the FSN group and it was to be 69.27±11.9 from 58.17±12.5 in the conventional acupuncture group.The differences were significant in comparison before and after treatment in either group(both P<0.05).Lysholm score in the FSN group was higher than that in the conventional acupuncture group(P<0.05).The total effective rate was 92.5%in the FSN group,higher than 77.5%in the conventional acupuncture group(P<0.05).Conclusion:Fu’s subcutaneous needling therapy effectively relieves the clinical symptoms of KOA and improves knee joint function.The therapeutic effect is better than that of the regular acupuncture.

Clinical Study on Fu's Subcutaneous Needling with Laser for Postherpetic Neuralgia

Objective: To observe the therapeutic efficacy of Fu's subcutaneous needling(FSN) with laser for postherpetic neuralgia and analyze its action mechanism. Methods: A total of 102 cases with postherpetic neuralgia were randomly allocated into a treatment group and a control group, 51 in each group. FSN with laser was used for patients in the treatment group, whereas electroacupuncture was used for patients in the control group. After 6 months of treatment, the total effective rates, action time and cure courses in recovery cases were compared between the two groups. Three months after the treatment was completed, a follow-up was done to compare relapse rates between the two groups. Results: The recovery and total effective rates in the treatment group were 56.9% and 94.1% respectively, versus 35.3% and 68.6% in the control group, showing statistical differences(P<0.05); the action time and cure courses in the observation group were significantly shorter than those in the control group(P<0.05); the relapse rate in the treatment group was 6.9%, versus 44.4% in the control group, showing a statistical difference(P<0.05). Conclusion: FSN with laser can obtain better effect for postherpetic neuralgia than electroacupuncture and pose lower relapse risks.

浮针联合穴位敷贴对中晚期肝癌癌性疼痛(气滞血瘀型)患者疼痛程度、疼痛应激介质的影响

目的:探究浮针联合穴位敷贴对中晚期肝癌癌性疼痛(气滞血瘀型)患者疼痛程度、疼痛应激介质的影响。方法:将96例在本院接受治疗的中晚期肝癌癌性疼痛(气滞血瘀型)患者按照随机数字表法随机分为观察组和对照组,每组48例。对照组采用三阶梯镇痛法,观察组在对照组的基础上使用浮针联合中药穴位贴敷,每疗程7 d,治疗两个疗程共14 d。观察两组患者疼痛程度和疼痛相关血清学因子变化。结果:观察组总有效率为81.25%(39/48),较对照组62.50%(30/48)更高,差异有统计学意义(P<0.05);治疗后,观察组与对照组疼痛数字评分(NRS)和描述性疼痛程度分级(VRS)较治疗前均降低,且观察组NRS评分和VRS分级较对照组更低,差异有统计学意义(P<0.05);治疗后两组血清中5-羟色胺(5-HT)和前列腺素E2(PGE2)水平均降低,且观察组5HT和PGE2水平较对照组更低,差异有统计学意义(P<0.05);观察组治疗后血清缺氧诱导因子-1(HIF-1)和血管内皮生长因子(VEGF)水平较治疗前降低,差异有统计学意义(P<0.05),而对照组HIF-1和VEGF水平较治疗前差异无统计学意义(P>0.05);治疗后,两组KPS评分均高于治疗前,差异有统计学意义(P<0.05),且观察组较对照组KPS评分更高,差异有统计学意义(P<0.05);观察组不良反应总发生率为35.42%(17/48),较对照组68.75%(33/48)更低,差异有统计学意义(P<0.05)。结论:使用浮针联合穴位敷贴治疗中晚期肝癌气滞血瘀型癌性疼痛,可有效缓解患者疼痛程度,降低疼痛介质水平,提升患者生活质量,并减少不良反应的发生,具有较高的临床推广价值。

阿是穴理论初探

阿是穴理论是以阿是穴为核心的中医经典理论,临床上重视阿是穴的应用却常忽视其理论内涵。通过梳理古代文献及现代理论,总结阿是穴理论作为腧穴定位方法及针灸治疗选穴原则的内涵。比较阿是穴理论与激痛点理论、浮针医学理论、针刀医学理论,发现这些理论与阿是穴理论本同末异,是对阿是穴理论的继承与发展。认为阿是穴是阿是穴理论的核心,阿是穴具有动态取治的性质,并提出阿是穴治未病的思考。

Experience of professor JIA Chun-sheng in rapid analgesia by subcutaneous penetration needling of auricular acupuncture

To introduce the experience of professor JIA Chun-sheng in rapid analgesia and motor function rehabilitation by subcutaneous penetration needling of auricular acupuncture.Subcutaneous penetration needling of auricular acupuncture plays a role in rapid analgesia and motor function rehabilitation in treatment of pain in limbs and trunk and/or limb dysfunction caused by migraine,cervical spondylosis,acute lumbar sprain,soft tissue injury,scapulohumeral periarthritis,lumbar disc herniation,sciatica,stroke or cerebral trauma,and it is worthy of being widely promoted and applied clinically.

浮针联合西药治疗肠易激综合征的临床观察

【目的】观察浮针联合西药治疗肠易激综合征(IBS)的临床疗效。【方法】将112例肠易激综合征患者随机分为观察组和对照组,每组各56例,对照组给予常规西药治疗,观察组在对照组治疗的基础上联合中医浮针治疗。连续治疗4周。治疗1个月后,评价2组临床疗效,观察2组患者治疗前后肠易激综合征严重程度评测(IBS-SSS)量表评分的变化情况,以及治疗后2组患者腹痛、腹胀与腹泻症状消退的时间,比较2组患者治疗前后排便阈值、疼痛阈值、感觉阈值的变化情况,以及双歧杆菌、乳杆菌、肠杆菌、拟杆菌等肠道菌群数量的变化情况。观察2组患者血管活性肠肽、胃动素、P物质水平的变化情况。并评价2组的安全性及不良反应的发生情况。【结果】(1)观察组总有效率为96.43%(54/56),对照组为83.93%(47/56)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)观察组患者腹痛、腹胀与腹泻症状消退时间明显短于对照组,与对照组比较,差异有统计学意义(P<0.05)。(3)治疗后,2组患者排便阈值、疼痛阈值、感觉阈值均明显改善(P<0.05),且观察组改善排便阈值、疼痛阈值、感觉阈值方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者双歧杆菌、乳杆菌、肠杆菌、拟杆菌数量均明显改善(P<0.05),且观察组改善双歧杆菌、乳杆菌、肠杆菌、拟杆菌数量方面明显优于对照组,差异有统计学意义(P<0.05)。(5)治疗后,2组患者血管活性肠肽、胃动素、P物质水平均明显改善(P<0.05),且观察组在改善血管活性肠肽、胃动素、P物质水平方面明显优于对照组,差异均有统计学意义(P<0.05)。(6)2组不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】浮针联合西药治疗肠易激综合征,可明显缩短患者临床症状的缓解时间,强化患者的胃肠道功能,调节肠道菌群数量并改善胃肠黏膜屏障的功能,疗效显著。

基于CONSORT和STRICTA对浮针疗法随机对照研究的报告质量评价

目的:采用CONSORT声明和STRICTA标准评价浮针疗法随机对照研究文献的报告质量,从而为提升浮针临床研究的报告质量提供建议。方法:系统检索中国知网(CNKI)、万方数据库、中国生物医学文献数据库(CBM)和PubMed数据库中有关浮针疗法的随机对照研究,检索时限为建库至2018年1月。两名研究者独立筛选文献以及提取信息,采用CONSORT声明和STRICTA标准中的子项目对纳入文献的报告质量进行评价。结果:共纳入253篇随机对照研究。基于CONSORT声明的评价结果显示多数浮针研究文献未按照要求对样本量、随机化、盲法、分配隐藏、不良事件等进行规范报道,并且所有的研究均未进行临床注册;基于STRICTA标准的评价结果显示多数浮针研究文献未按要求对治疗方案依据、治疗的细节、其他方法、医师背景、对照组的合理性等方面进行规范报道。结论:虽然浮针疗法随机对照研究的数量日益增多,但多数临床研究报告质量不佳,表明多数的浮针研究者未能重视对临床研究的规范报道,未来的研究者应重视研究方案细节的设计,并严格按照国际通用的报告规范进行报道。其次,浮针疗法的操作流程与传统针刺并不完全相同,因此STRICTA标准似乎并不完全适用于描述浮针疗法,研究者应在未来思考如何对浮针操作进行客观描述。

针灸治疗膀胱过度活动症研究进展

近年来,膀胱过度活动症(OAB)的发病率呈持续升高趋势。目前关于OAB的病因及发病机制尚不清楚,导致许多患者对该病不够重视,加上患者之间的个体差异,治疗效果并不明显。近年,针灸治疗方法逐渐得到大家认可,现代医家通过单纯针刺、电针、温针灸、浮针等治疗OAB也取得了肯定的疗效。这种方法不仅安全、无副作用,而且疗效显著、成本低廉,因此受到患者的广泛欢迎。未来对针灸治疗OAB的机制进行深入探讨,可为OAB的治疗提供新方法、新思路。

浮针对骨骼肌挫伤小鼠肌肉恢复的影响

目的探讨浮针对骨骼肌挫伤的治疗效果和相关机制。方法所有C57/BL6雄性小鼠随机分为4组:对照组(control group,C组),模型组(model group,M组),浮针组(Fu’s subcutaneous needling group,FSN组)和针灸组(acupuncture group,ACP组)。除了对照组,其他小鼠的左侧腓肠肌被挫伤损伤。FSN组每2 d治疗1次,配合再灌注方法,一共6次,分别为第1、3、5、7、9、11天。ACP组的治疗时间与FSN组相同。通过von Fery和Hargreaves实验评估痛觉过敏的改变,通过测量两侧腓肠肌湿重和周长评估肌肉水肿程度,通过组织学和RT-qPCR评估炎症和纤维化,使用流式细胞术评估巨噬细胞亚群。结果FSN组和ACP组的热痛反射潜伏期明显延长。浮针干预明显减轻损伤肌肉的水肿程度,针灸治疗无明显影响。FSN治疗在第3天降低了炎症因子和浸润白细胞的基因表达。同时,在第7天和第14天,它减少了受损肌肉的纤维化面积。FSN组在第7天,M1巨噬细胞的数量减少,而M2巨噬细胞的数量增加。ACP组巨噬细胞亚群变化不明显。结论骨骼肌挫伤后FSN治疗不仅可以缓解热痛觉过敏,减轻肌肉损伤中的早期炎症水平和肌肉水肿,还可以减少纤维化。这些可以通过促进M2巨噬细胞极化来实现。

原络通经针法联合浮针治疗脾胃虚寒型慢性萎缩性胃炎的临床研究

目的:探讨原络通经针法联合浮针治疗慢性萎缩性胃炎(CAG)的疗效。方法:选取本院治疗的CAG患者106例,采用区组随机法分为对照组56例和观察组50例,对照组给予浮针疗法,观察组在此基础联合原络通经针法,对比两组治疗后临床疗效、治疗前后中医症候积分、GSRS评分、胃黏膜评分、PCS评分及血清GAS、MTL和SS水平变化。结果:治疗后,观察组临床疗效明显高于对照组,差异具有统计学意义(P<0.05);治疗后两组中医症候积分、GSRS评分、胃黏膜评分及血清GAS、MTL和SS水平较治疗前均明显降低,差异具有统计学意义(P<0.05),且观察组降低更显著(P<0.05);治疗后两组PCS评分明显升高,差异具有统计学意义(P<0.05),且观察组升高更明显,差异具有统计学意义(P<0.05)。结论:采用原络通经针法联合浮针治疗CAG具有较好的疗效,能够改善临床症状。

浮针治疗神经根型颈椎病的研究进展

神经根型颈椎病(CR)是骨科临床常见的颈椎病类型,近年来,发病率逐年升高,严重影响患者的正常工作与生活。中医保守治疗能够有效减轻或改善其临床症状,其中,浮针疗法作为一种简单、安全、起效快的疗法,得到较为广泛的应用。该文针对浮针治疗CR的研究近况进行阐述与分析,以期为提高临床CR治疗效果提供参考依据。

浮针治疗咽异感症的临床观察

目的:观察浮针治疗咽异感症的临床疗效。方法:选取符合纳入标准的咽异感症患者84例(脱落3例,完成81例),随机分为浮针组(40例)和针刺组(41例)。浮针组施以浮针疗法,针刺组施以普通针刺,每次30min,均治疗2个疗程。观察两组治疗前后格拉斯哥爱丁堡咽喉症状评价量表(GETS)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分的变化并评价疗效。结果:2个疗程治疗后,两组患者GETS、HAMA和HAMD评分均明显低于治疗前,且浮针组患者各评分均明显低于针刺组(P<0.05);浮针组和针刺组总有效率分别为92.5%和85.4%,浮针组疗效明显优于针刺组(P<0.05)。结论:浮针疗法能有效缓解患者咽部异物感症状,改善焦虑抑郁情绪,临床疗效好于普通针刺治疗。

浮针结合悬吊训练对腰背肌筋膜炎疗效及血清IL-1β、NLRP3及β-EP表达的影响

目的:明确浮针结合悬吊训练(SET)技术对腰背肌筋膜炎的临床疗效,并分析其对患者血清中IL-1β、NLRP3及β内啡肽(β-EP)含量的影响。方法:选取在东营市人民医院康复医学科门诊治疗的90例腰背肌筋膜炎患者,对患者采用随机数字表法随机分组,分为浮针组、SET组和浮针联合SET组(简称联合组),各30例。浮针组给予浮针治疗,1次/2 d,SET组给予SET治疗,1次/d,联合组给予浮针联合SET治疗,频率与浮针组及SET组相同。3组治疗以6 d为1个疗程,共治疗2个疗程。在治疗前及治疗后采用VAS量表评分、Oswestry功能障碍评分对患者进行评定,并检测血清中IL-1β、NLRP3及β-EP的含量,进行临床疗效分析。在治疗结束后1个月时采用VAS量表进行随访。结果:经2周治疗后,3组患者VAS及Oswestry评分均较治疗前有明显改善,差异有统计学意义(P<0.05),联合组VAS及Oswestry评分低于浮针组和SET组,差异有统计学意义(P<0.05);联合组总有效率为96.7%(29/30),浮针组为73.3%(22/30),悬吊训练组为80.0%(24/30),联合组高于浮针组和悬吊训练组,差异有统计学意义(P<0.05)。治疗后3组患者血清IL-1β、NLRP3均低于治疗前,差异有统计学意义(P<0.01),β-EP水平高于治疗前,差异有统计学意义(P<0.01),且联合组血清IL-1β、NLRP3含量低于浮针组和SET组,血清β-EP表达高于浮针组和SET组,差异有统计学意义(P<0.01)。3组患者在治疗结束后1个月时VAS评分较治疗结束时均未见明显变化,联合组VAS评分仍低于浮针组和SET组,差异有统计学意义(P<0.05)。结论:浮针结合SET技术对腰背肌筋膜炎疗效确切,可显著改善患者的疼痛及腰椎活动功能,且远期疗效较好,其机制可能与降低血清中IL-1β、NLRP3等炎症因子表达和提高β-EP的表达有关。

腰痹通胶囊联合浮针对腰椎间盘突出症患者腰椎活动度及腰背肌表面肌电信号的影响

【目的】探讨腰痹通胶囊联合浮针针刺治疗对腰椎间盘突出症(LDH)患者腰椎活动度及腰背肌表面肌电信号的影响。【方法】将80例LDH血瘀证患者随机分为研究组和对照组,每组各40例。对照组给予服用腰痹通胶囊治疗,研究组在对照组基础上给予浮针针刺治疗,疗程为2周。观察2组患者治疗前后腰椎活动度、疼痛程度视觉模拟量表(VAS)评分、改进汉化的Oswestry功能障碍指数(ODI)评分、Roland-Morris腰椎功能障碍问卷(RMDQ)评分及腰背肌表面肌电信号的变化情况,并评价2组患者的临床疗效。【结果】(1)疗效方面,治疗2周后,研究组的总有效率为97.50%(39/40),对照组为80.00%(32/40),组间比较(χ^(2)检验),研究组的临床疗效明显优于对照组(P<0.05)。(2)腰椎活动度方面,治疗后,2组患者的腰椎屈伸、旋转活动度均较治疗前明显改善(P<0.05),且研究组对腰椎屈伸、旋转活动度的改善幅度均明显优于对照组(P<0.05或P<0.01)。(3)腰椎功能评分方面,治疗后,2组患者的ODI评分和RMDQ评分均较治疗前明显下降(P<0.05),且研究组对ODI评分和RMDQ评分的下降幅度均明显优于对照组(P<0.01)。(4)疼痛程度评分方面,研究组治疗1周、2周和1个月后及对照组治疗2周和1个月后的疼痛程度VAS评分均较治疗前明显下降(P<0.05),且研究组在治疗1周、2周和1个月后对疼痛程度VAS评分的下降幅度均明显优于对照组(P<0.01)。(5)腰背肌表面肌电参数方面,治疗后,2组患者的腰背肌表面肌电信号积分肌电值(IEMG)和平均功率频率(MPF)均较治疗前明显升高(P<0.05),且研究组对腰背肌表面肌电信号MPF和IEMG的升高幅度均明显优于对照组(P<0.01)。【结论】腰痹通胶囊联合浮针针刺治疗可显著提升LDH患者的疗效,改善患者腰椎活动度,提高腰背肌群表面肌电信号,缓解肌肉疲劳和疼痛症状。