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[激痛点雀啄灸治疗肌筋膜疼痛综合征:一项随机对照试验]

[Myofascial pain syndrome treated with sparrow-pecking moxibustion at trigger points: a randomized controlled trial].

作者信息

Ma Yao, Bu He, Jia Ji-rong, Liu Zheng

出版信息

Zhongguo Zhen Jiu. 2014 Nov;34(11):1073-5.

Abstract

OBJECTIVE

To compare the efficacy difference in treatment of myofasical pain syndrome between sparrow-pecking moxibustion and acupuncture at trigger points so as to provide the reference of the effective therapeutic method for myofascial pain syndrome.

METHODS

Ninety patients were randomized into a sparrow-pecking moxibustion group and an acupuncture group, 45 cases in each one. The trigger points were selected in pain areas in the two groups. In the sparrow-pecking moxibustion group, the sparrow-pecking moxibustion was applied, 30 min in each time. In the acupuncture group, the filiform needles were inserted obliquely at 45 degrees and retained for 40 min in each treatment. The treatment was given once a day and 10 treatments made one session in the two groups. The short-form McGill pain questionnaire was used as the observation index, and the changes in pain rating index (PRI), present pain intensity (PPI) and visual analogue scale (VAS) before and after treatment were used for efficacy assessment.

RESULTS

The results of PRI, PPI and VAS after treatment were reduced apparently as compared with those before treatment in the sparrow-pecking moxibustion group and the acupuncture group (all P<0.001). The differences in PRI, PPI and VAS after treatment were not significant in comparison of the two groups (both P>0.05). The curative and remarkably effective rate was 80.0% (36/45) in the sparrow-pecking moxibustion group, which was better than 40.0% (18/45, P<0.001) in the acupuncture group.

CONCLUSION

Sparrow-pecking moxibustion at trigger points achieves the superior efficacy on myofascial pain syndrome as compared with acupuncture at trigger points. This therapy is simpler in operation additionally.

摘要

目的

比较雀啄灸与触发点针刺治疗肌筋膜疼痛综合征的疗效差异,为肌筋膜疼痛综合征提供有效的治疗方法参考。

方法

将90例患者随机分为雀啄灸组和针刺组,每组45例。两组均在疼痛区域选取触发点。雀啄灸组采用雀啄灸,每次30分钟。针刺组采用毫针以45度角斜刺,每次留针40分钟。两组均每日治疗1次,10次为1个疗程。采用简化McGill疼痛问卷作为观察指标,以治疗前后疼痛评分指数(PRI)、现时疼痛强度(PPI)及视觉模拟评分法(VAS)的变化进行疗效评价。

结果

雀啄灸组和针刺组治疗后PRI、PPI及VAS结果较治疗前均明显降低(均P<0.001)。两组治疗后PRI、PPI及VAS差异无统计学意义(均P>0.05)。雀啄灸组治愈率和显效率为80.0%(36/45),优于针刺组的40.0%(18/45,P<0.001)。

结论

与触发点针刺相比,触发点雀啄灸治疗肌筋膜疼痛综合征疗效更佳。此外,该疗法操作更简便。

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