Objective: To observe the clinical effect of extracorporeal shock wave plus electroacupuncture(EA) on myofascial pain syndrome(MPS) and to investigate its treatment mechanism. Methods: Ninety cases who met the inclusi...Objective: To observe the clinical effect of extracorporeal shock wave plus electroacupuncture(EA) on myofascial pain syndrome(MPS) and to investigate its treatment mechanism. Methods: Ninety cases who met the inclusion criteria were randomly allocated into an EA group, an extracorporeal shock wave therapy(ESWT) group and a combined therapy group, 30 in each group. EA was employed in the EA group, extracorporeal shock wave therapy in the ESWT group and EA plus extracorporeal shock wave therapy in the combined therapy group. The VAS, tenderness threshold and therapeutic efficacy were evaluated after three months of treatment. Results: After 2 weeks, 4 weeks and 3 months of treatment, the VAS scores in all three groups were significantly reduced and the tenderness threshold significantly elevated. The recovery rate and total effective rate were 23.3% and 83.3% respectively in the EA group, versus 40.0% and 90.0% in the ESWT group and 63.3% and 96.7% in the combined therapy group, showing statistical differences(P<0.05). Conclusion: EA combined with EWST works remarkably well for MPS.展开更多
Objective： To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method： A hundred and fifty cases were randomized into a treatment group and a control group by the order ...Objective： To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method： A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with ＂Stuck Needle＂ method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results： Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P〈0.01, indicating a significantly better effect in the treatment group. In addition, ＂Stuck Needle＂ method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion： This therapy is safe, reliable and effective, and therefore worth spreading for clinical application.展开更多
目的:观察中药塌渍结合穴位温针灸治疗颈肩腰腿痛的效果。方法:选取2020年3月至2021年9月期间本院收治的82例颈肩腰腿痛患者作为研究对象。随机将患者分为对照组和治疗组,每组各41例。对照组采取西药治疗;治疗组在对照组基础上结合中药...目的:观察中药塌渍结合穴位温针灸治疗颈肩腰腿痛的效果。方法:选取2020年3月至2021年9月期间本院收治的82例颈肩腰腿痛患者作为研究对象。随机将患者分为对照组和治疗组,每组各41例。对照组采取西药治疗;治疗组在对照组基础上结合中药塌渍及穴位温针灸治疗。分析对比两组的疗效、疼痛程度、腰椎功能、肩关节功能、日常生活能力以及不良反应。结果:治疗组的治疗总有效率明显高于对照组(P<0.05)。治疗后,两组的视觉模拟评分法(Visual analogue scale,VAS)、日本骨科协会评估治疗(Japanese Orthopaedic Association scores,JOA)评分、欧美肩关节评分(Constant-Murley,C-M)评分、日常生活活动能力量表(Activity of Daily Living Scale,ADL)评分均比治疗前显著改善,且治疗组的各项评分均明显优于对照组(P<0.05)。两组的不良反应率无显著差异。结论:中药塌渍结合穴位温针灸治疗颈肩腰腿痛,能提高治疗效果,缓解疼痛,改善腰椎功能、肩关节功能及日常生活能力,且不良反应少。展开更多
基金supported by Project of Hubei Provincial Health Department(No.JX4C08)
文摘Objective: To observe the clinical effect of extracorporeal shock wave plus electroacupuncture(EA) on myofascial pain syndrome(MPS) and to investigate its treatment mechanism. Methods: Ninety cases who met the inclusion criteria were randomly allocated into an EA group, an extracorporeal shock wave therapy(ESWT) group and a combined therapy group, 30 in each group. EA was employed in the EA group, extracorporeal shock wave therapy in the ESWT group and EA plus extracorporeal shock wave therapy in the combined therapy group. The VAS, tenderness threshold and therapeutic efficacy were evaluated after three months of treatment. Results: After 2 weeks, 4 weeks and 3 months of treatment, the VAS scores in all three groups were significantly reduced and the tenderness threshold significantly elevated. The recovery rate and total effective rate were 23.3% and 83.3% respectively in the EA group, versus 40.0% and 90.0% in the ESWT group and 63.3% and 96.7% in the combined therapy group, showing statistical differences(P<0.05). Conclusion: EA combined with EWST works remarkably well for MPS.
文摘Objective： To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method： A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with ＂Stuck Needle＂ method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results： Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P〈0.01, indicating a significantly better effect in the treatment group. In addition, ＂Stuck Needle＂ method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion： This therapy is safe, reliable and effective, and therefore worth spreading for clinical application.
文摘目的:观察中药塌渍结合穴位温针灸治疗颈肩腰腿痛的效果。方法:选取2020年3月至2021年9月期间本院收治的82例颈肩腰腿痛患者作为研究对象。随机将患者分为对照组和治疗组,每组各41例。对照组采取西药治疗;治疗组在对照组基础上结合中药塌渍及穴位温针灸治疗。分析对比两组的疗效、疼痛程度、腰椎功能、肩关节功能、日常生活能力以及不良反应。结果:治疗组的治疗总有效率明显高于对照组(P<0.05)。治疗后,两组的视觉模拟评分法(Visual analogue scale,VAS)、日本骨科协会评估治疗(Japanese Orthopaedic Association scores,JOA)评分、欧美肩关节评分(Constant-Murley,C-M)评分、日常生活活动能力量表(Activity of Daily Living Scale,ADL)评分均比治疗前显著改善,且治疗组的各项评分均明显优于对照组(P<0.05)。两组的不良反应率无显著差异。结论:中药塌渍结合穴位温针灸治疗颈肩腰腿痛,能提高治疗效果,缓解疼痛,改善腰椎功能、肩关节功能及日常生活能力,且不良反应少。
