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[隔药灸治疗纤维肌痛综合征的疗效观察]

[Observation on therapeutic effect of herb-partitioned moxibustion on fibromyalgia syndrome].

作者信息

Zhao Rong-hong, Zhu Yu-bao

机构信息

Department of Acupuncture, Workers Hospital of Jihua 3502 Occupational Apparel Ltd, Shijiazhuang, Hebei 050000, China.

出版信息

Zhongguo Zhen Jiu. 2009 Mar;29(3):200-2.

Abstract

OBJECTIVE

To observe the clinical therapeutic effect of herb-partitioned moxibustion combined with medication on fibromyalgia syndrome.

METHODS

Sixty cases were randomly divided into a treatment group and an observation group, 30 cases in each group. The observation group was treated with oral administration of amitriptyline, and the treatment group with oral administration of amitriptyline and herb-partitioned moxibustion at Dazhui (GV 14), Zhiyang (GV 9), Mingmen (GV 4), Shenshu (BL 23), Guanyuan (CV 4), Shenque (CV 8), and direct moxibustion at Baihui (GV 20). After treatment of one month, their clinical therapeutic effect, and changes of the number of pain points and the scores of VAS and the HAMD depression rating scale were observed.

RESULTS

The total effective rate was 93.3% in the treatment group and 56.7% in the observation group, the former being better than the latter (P<0.01). The scores of VAS and HAMD and the number of pain points after treatment in the treatment group were better than those before treatment (P<0.01); the score of HAMD and the number of pain points after treatment in the observation group were superior to those before treatment (P<0.01), and there was no significant difference in the score of VAS before and after treatment (P>0.05). After treatment, the score of HAMD and the number of pain points in the treatment group were significantly better than those in the observation group (P<0.01), and there was no significant difference between the two groups in the score of VAS (P>0.05).

CONCLUSION

The herb-partitioned moxibustion combined with medication is an effective therapy for fibromyalgia syndrome.

摘要

目的

观察隔药饼灸联合药物治疗纤维肌痛综合征的临床疗效。

方法

将60例患者随机分为治疗组和观察组,每组30例。观察组口服阿米替林治疗,治疗组口服阿米替林并在大椎(GV 14)、至阳(GV 9)、命门(GV 4)、肾俞(BL 23)、关元(CV 4)、神阙(CV 8)行隔药饼灸,百会(GV 20)行直接灸。治疗1个月后,观察两组临床疗效、痛点数目变化及视觉模拟评分法(VAS)和汉密尔顿抑郁量表(HAMD)评分变化。

结果

治疗组总有效率为93.3%,观察组为56.7%,治疗组疗效优于观察组(P<0.01)。治疗组治疗后VAS、HAMD评分及痛点数目均优于治疗前(P<0.01);观察组治疗后HAMD评分及痛点数目优于治疗前(P<0.01),治疗前后VAS评分差异无统计学意义(P>0.05)。治疗后治疗组HAMD评分及痛点数目明显优于观察组(P<0.01),两组VAS评分差异无统计学意义(P>0.05)。

结论

隔药饼灸联合药物治疗纤维肌痛综合征疗效显著。

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