李林智,张薇,郭建芳,等.经皮穴位电刺激联合温灸刮痧疗法治疗腰背肌筋膜疼痛综合征的疗效观察[J].中华物理医学与康复杂志,2025,47(6):534-538
扫码阅读全文
|
| 经皮穴位电刺激联合温灸刮痧疗法治疗腰背肌筋膜疼痛综合征的疗效观察 |
|
| |
| DOI：10.3760/cma.j.cn421666-20240606-00436 |
| 中文关键词: 经皮穴位电刺激疗法 温灸刮痧疗法 腰背肌筋膜疼痛综合征 |
| 英文关键词: Transcutaneous stimulation Acupoint stimulation Moxibustion Myofascial pain |
| 基金项目:全国中医临床特色技术传承骨干人才培训项目［国中医药(2019)36号］；全国名老中医药专家传承工作室建设项目［国中医药人教函(2022)75号］ |
|
| 摘要点击次数: 116 |
| 全文下载次数: 136 |
| 中文摘要: |
| 目的 观察经皮穴位电刺激联合温灸刮痧疗法治疗腰背肌筋膜疼痛综合征（MPS）的疗效。 方法 采用随机数字表法将112例腰背肌MPS患者分为对照组和联合组，每组56例。2组患者均给予经皮穴位电刺激，联合组在此基础上辅以温灸刮痧疗法治疗，2周为1个疗程，连续治疗3个疗程，每个疗程之间休息1 d。治疗前和治疗3个疗程后（治疗后），采用中医证候评分、疼痛视觉模拟评分法(VAS)、疼痛分级指数（PRI）、现时疼痛强度(PPI)、Oswestry功能障碍指数（ODI）、匹兹堡睡眠质量指数量表（PSQI）对2组患者开展疗效评定。 结果 与组内治疗前比较，2组患者治疗后的中医证候评分、疼痛VAS评分、PRI评分、PPI评分、ODI评分、PSQI评分均降低（P＜0.05）。与对照组比较，联合组治疗后的中医证候评分、疼痛VAS评分［(2.34±0.83)分］、PRI评分［(5.54±1.35)分］、PPI评分［(1.29±0.76)分］、ODI评分［(21.39±3.10)分］、PSQI评分［(5.84±0.96)分］较低（P＜0.05）。治疗后，联合组的治疗总有效率（92.9%）显著高于对照组的治疗总有效率（62.5%），差异有统计学意义（P＜0.05）。 结论 经皮穴位电刺激联合温灸刮痧疗法能有效缓解腰背肌MPS患者的腰背部疼痛及功能障碍，提高睡眠质量。 |
| 英文摘要: |
| Objective To observe the efficacy of transcutaneous electrical acupoint stimulation (TEAS) when it is combined with warm moxibustion scraping therapy (WMST) in the treatment of myofascial pain syndrome (MPS) in the lumbodorsal region. Methods A total of 112 patients with lumbodorsal MPS were randomly divided into a control group and a combination group, each of 56. All of the patients received TEAS, but those in the combined group additionally received warm moxibustion scraping therapy. The treatment consisted of 3 consecutive courses, with each course lasting 2 weeks and a 1-day rest interval between courses. Before the treatment and after completing 3 courses (post-treatment), the therapeutic effects were evaluated using traditional Chinese medicine (TCM) syndrome scores, visual analogue scale (VAS) ratings for pain, a pain rating index (PRI), present pain intensity (PPI), the Oswestry Disability Index (ODI), and the Pittsburgh Sleep Quality Index (PSQI). Results After the treatment, significant decreases were observed in the average TCM syndrome, VAS pain, PRI, PPI, ODI and PSQI scores of both groups, but the combination group′s averages were all significantly lower than those of the control group. Efficacy among the combination group (92.9%) was significantly higher than among the controls (62.5%). Conclusions Supplementing TEAS with warm moxibustion scraping can more effectively relieve lumbodorsal pain and dysfunction among patients with lumbodorsal MPS, and improve their sleep quality. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
