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[1]顧鈞青,郭艷明,梁永瑛.針刀淺刺法治療項背筋膜炎的臨床研究[J].中醫(yī)正骨,2014,26(02):22-24.
　Gu Junqing*,Guo Yanming,Liang Yongying.Observation on the clinical curative effect of shallow acupuncture with small knife needle in the treatment of fasciitis of nape muscle[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(02):22-24.
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針刀淺刺法治療項背筋膜炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年02期
頁碼:
22-24
欄目:
臨床研究
出版日期:
2014-02-20

文章信息/Info

Title:
Observation on the clinical curative effect of shallow acupuncture with small knife needle in the treatment of fasciitis of nape muscle
作者:
顧鈞青; 郭艷明; 梁永瑛
上海市長寧區(qū)光華中西醫(yī)結(jié)合醫(yī)院,上海 200052
Author(s):
Gu Junqing*; Guo Yanming; Liang Yongying
*Guanghua Hospital INTEGRATED TCM WM,Shanghai 200052,China
關(guān)鍵詞:
筋膜炎 小刀針 針刺療法 電磁波譜治療儀 治療; 臨床研究性
Keywords:
Fasciitis;  Small knife needle;  Acupuncture therapy;  TDP;  Therapies; investigational
摘要:
目的:觀察針刀淺刺法治療項背筋膜炎的臨床療效。方法:將60例符合要求的項背筋膜炎患者隨機分為2組,每組30例。治療組采用針刀淺刺松解筋膜法治療,對照組采用常規(guī)針刺夾脊穴聯(lián)合TDP燈照射治療。治療隔天1次,共治療5次。分別于治療前和治療結(jié)束后采用視覺模擬評分法評定患者的疼痛情況,并于治療結(jié)束后采用根據(jù)《中醫(yī)病證診斷療效標準》中背肌筋膜炎的療效標準自擬的療效標準評定2組患者的總體療效。結(jié)果:①疼痛情況。治療前2組患者疼痛VAS評分比較,差異無統(tǒng)計學(xué)意義(t=0.116,P=0.908); 治療后2組患者疼痛VAS評分均降低[(7.58±0.56),(1.39±0.63),t=24.677,P=0.000;(7.62±0.31),(3.07±1.06),t=17.041,P=0.000],治療組降低更明顯[(6.18±0.35),(4.55±0.62),t=4.889,P=0.000]。②總體療效。治療組優(yōu)19例、良5例、中4例、差2例,對照組優(yōu)11例、良3例、中6例、差10例,治療組療效優(yōu)于對照組[R^-治療組=0.409,95%CI(0.325,0.492); R^-對照組=0.591,95%CI(0.485,0.697)]。結(jié)論:針刀淺刺法可有效緩解項背筋膜炎患者的疼痛癥狀,改善臨床體征,其療效優(yōu)于常規(guī)針刺夾脊穴聯(lián)合TDP燈照射治療。
Abstract:
Objective:To observe the clinical effect of shallow acupuncture with small knife needle in the treatment of fasciitis of nape muscle.Methods:Sixty patients with fasciitis of nape muscle that met the requirements were randomly divided into 2 groups,30 cases in each group.Patients in the treatment group were treated with shallow acupuncture with small knife needle,while the others in the control group were treated with acupuncture at Jiaji point combined with TDP irradiation.The treatment was carried out every other day,and totally 5 times.The visual analogue scores(VAS)of nape muscle were compared between the 2 groups before the treatment and after the end of the treatment,and the total curative effects were determined after the end of the treatment according to the self-designed therapeutic effect evaluation standard of dorsal muscles fasciitis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:There was no statistical difference in VAS between the 2 groups before the treatment(t=0.116,P=0.908),while the VAS decreased in both of the 2 groups after the treatment(7.58+/-0.56 vs 1.39+/-0.63 points,t=24.677,P=0.000; 7.62+/-0.31 vs 3.07+/-1.06 points,t=17.041,P=0.000),and the VAS decreased more significantly in the treatment group(6.18+/-0.35 vs 4.55+/-0.62 points,t=4.889,P=0.000).Nineteen patients obtained an excellent result,5 good,4 fair and 2 poor in the treatment group,while 11 patients obtained an excellent result,3 good,6 fair and 10 poor in the control group.The treatment group surpassed the control group in the total curative effect((treatment group:R^-=0.409,95%CI(0.325,0.492); control group:R^-=0.591,95%CI(0.485,0.697)).Conclusion:The therapy of shallow acupuncture with small knife needle can effectively relieve the pain of nape muscle and improve the clinical signs,and it has better curative effects compared with the method of acupuncture at Jiaji point combined with TDP irradiation.

參考文獻/References:

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更新日期/Last Update: 2014-02-20