Zhang Jun-feng, Wu Yao-Chi, Mi Yi-qun
Department of Acupuncture and Massage, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China.
Zhongguo Zhen Jiu. 2009 Sep;29(9):717-20.
To compare therapeutic effects of acupuncture at pain points and massage combined with medicine on myofascial pain syndrome (MPS).
One hundred and fifty cases were randomly divided into an observation group (n=90) and a control group (n=60). The observation group was treated with needle-sticking method combined with single-finger meditation pushing therapy at pain points, and the control group with local application of Votalin Emulgel combined with Tuina. All the patients were treated for 1 course and followed up after 3 months and their therapeutic effects were compared.
There were significant differences in cumulative scores of symptoms before and after treatment in the two groups (both P < 0.01), and there were no significant differences in the pain and pressure pain between the two groups (P > 0.05), and there were significant differences in the muscle spasm and joint range of motion between the two groups (P < 0.05); after treatment, the markedly effective rate and the total effective rate in the observation group were 57.8% and 94.4% respectively, and were 31.7% and 73.3% respectively in the control group, with a significant difference between the two groups (both P < 0.05).
Needle-sticking method combined with single-finger meditation pushing therapy at pain points can effectively alleviate pain and pressure pain in the patients with MPS and it has better therapeutic effect in the markedly effective rate and the total effective rate as well as improvement of muscle spasm and joint range of motion than local application of Votalin Emulgel combined with Tuina.
比较痛点针刺与推拿联合药物治疗肌筋膜疼痛综合征（MPS）的疗效。
将150例患者随机分为观察组（n = 90）和对照组（n = 60）。观察组采用痛点针刺结合单指禅推法治疗，对照组采用扶他林乳胶剂局部外用联合推拿治疗。所有患者均治疗1个疗程，治疗3个月后随访，比较两组疗效。
两组治疗前后症状累积评分比较差异有统计学意义（均P < 0.01），两组疼痛及压痛比较差异无统计学意义（P > 0.05），两组肌肉痉挛及关节活动度比较差异有统计学意义（P < 0.05）；治疗后，观察组显效率和总有效率分别为57.8%和94.4%，对照组分别为31.7%和73.3%，两组比较差异有统计学意义（均P < 0.05）。
痛点针刺结合单指禅推法能有效缓解MPS患者的疼痛及压痛，在显效率、总有效率以及改善肌肉痉挛和关节活动度方面，较扶他林乳胶剂局部外用联合推拿治疗效果更好。
