Jang Zhen-Ya, Li Chang-Du, Qiu Ling, Guo Jun-Hua, He Ling-Na, Yue Yang, Li Fang-Ze, Qin Wen-Yi
Department of Acupuncture and Moxibustion, Affiliated Hospital of Chengdu University of TCM, Chengdu 610072, China.
Zhongguo Zhen Jiu. 2010 Apr;30(4):265-9.
To evaluate the clinical effect of combination of acupuncture, cupping and medicine for treatment of fibromyalgia syndrome.
By using multi-central randomized controlled method, 186 cases were randomly divided into an acupuncture combined with cupping and western medicine group (group A), an acupuncture combined with cupping group (group B) and a western medicine group (group C) and treated continuously for 4 weeks. The treatment of acupuncture combined with cupping was produced by acupuncture at five mental points and moving cupping on the Hechelu of the back, once evrey other day, thrice each week, and the western medicine therapy by oral administration of Amitriptyline, once each day. The scores of McGill Pain Questionnaire (MPQ), the amount of tenderness point and the time of producing effect were compared and the therapeutic effects were assessed with the Hamilton Depression Scale (HAMD).
The cured and markedly effective rate was 65.0% (39/60) in the group A, which was superior to 15.9% (10/63) in the group B and 16.1% (9/56) in the group C (both P < 0.001). After treatment, the scores of MPQ and HAMD and the amount of tenderness point all decreased in the three groups, group A being significantly better than group B and group C, and the time of producing effect in the group A was more earlier than those in the group B and the group C.
The therapeutic effect of combination of acupuncture, cupping and medicine on fibromyalgia syndrome is superior to that of the simple acupuncture combined with cupping or the simple medicine.
评价针刺、拔罐与药物联合治疗纤维肌痛综合征的临床疗效。
采用多中心随机对照方法，将186例患者随机分为针刺拔罐结合西药组（A组）、针刺拔罐组（B组）和西药组（C组），连续治疗4周。针刺拔罐治疗采用针刺五心穴并在背部膀胱经走罐，隔日1次，每周3次；西药治疗采用口服阿米替林，每日1次。比较三组患者的麦吉尔疼痛问卷（MPQ）评分、压痛点数量及起效时间，并采用汉密尔顿抑郁量表（HAMD）评估疗效。
A组治愈率和显效率为65.0%（39/60），优于B组的15.9%（10/63）和C组的16.1%（9/56）（P均<0.001）。治疗后，三组患者的MPQ评分、HAMD评分及压痛点数量均降低，A组明显优于B组和C组，且A组起效时间早于B组和C组。
针刺、拔罐与药物联合治疗纤维肌痛综合征的疗效优于单纯针刺拔罐或单纯药物治疗。
