Sprott H, Jeschonneck M, Grohmann G, Hein G
Rheumaklinik und Institut für Physikalische Medizin, Universitätsspital Zürich, Schweiz.
Wien Klin Wochenschr. 2000 Jul 7;112(13):580-6.
Apart from widespread pain which is the main symptom of fibromyalgia, a great variety of functional and vegetative changes occur in the presence of this disease. Such changes include alterations in microcirculation, which may cause pain. A preliminary study demonstrated a reduction in regional blood flow above "tender points" in fibromyalgia patients compared with healthy controls. A consensus statement of the National Institutes of Health (NIH) states that acupuncture is a sufficient adjuvant method to treat patients with fibromyalgia. The aim of the present study was to determine parameters to measure the effectiveness of a specific treatment modality (such as acupuncture) in addition to the patient's subjective assessment of acupuncture treatment. Twenty patients with fibromyalgia according to the ACR and the Müller/Lautenschläger criteria were included in the study. Acupuncture was performed and adapted to individual needs in accordance with a specific protocol. Five representative "tender points" were examined before and after therapy by laser flowmetry, and the data were compared with temperature measurement and dolorimetry. Increased blood flow was registered above all "tender points" after acupuncture. Skin temperature had increased in 10/12 tender points by a mean of 0.45 degree C. The number of "tender points" were reduced from 16.1 to 13.8 after therapy. The pain threshold increased in 10/12 "tender points". These data suggest that acupuncture is a useful method to treat patients with fibromyalgia. Besides normalisation of clinical parameters, the improvement in microcirculation above "tender points" may alleviate pain.
除了广泛疼痛这一纤维肌痛的主要症状外，在这种疾病存在的情况下还会出现各种各样的功能和植物神经变化。这些变化包括微循环改变，这可能会引起疼痛。一项初步研究表明，与健康对照组相比，纤维肌痛患者“压痛点”上方的局部血流减少。美国国立卫生研究院（NIH）的一份共识声明指出，针灸是治疗纤维肌痛患者的一种有效辅助方法。本研究的目的是确定除患者对针灸治疗的主观评估外，衡量特定治疗方式（如针灸）有效性的参数。根据美国风湿病学会（ACR）和米勒/劳滕施拉格标准，20名纤维肌痛患者被纳入研究。按照特定方案进行针灸并根据个体需求进行调整。在治疗前后，通过激光血流仪对五个有代表性的“压痛点”进行检查，并将数据与温度测量和痛觉测量结果进行比较。针灸后，所有“压痛点”上方均记录到血流增加。12个压痛点中有10个的皮肤温度平均升高了0.45摄氏度。治疗后，“压痛点”的数量从16.1个减少到13.8个。12个“压痛点”中有10个的疼痛阈值提高。这些数据表明，针灸是治疗纤维肌痛患者的一种有用方法。除了临床参数正常化外，“压痛点”上方微循环的改善可能会减轻疼痛。
