针刺研究2016，Vol.41Issue(4)：334-337,4.DOI:10.13702/j.1000-0607.2016.04.009
温和灸激痛点治疗肩背部肌筋膜疼痛综合征：随机对照研究
A Randomized Controlled Clinical Trial for Treatment of Shoulder-back Myofascial Pain Syn-drome with Mild Moxibustion at Trigger Points
摘要
Abstract
Objective To compare the efficacy difference between the mild moxibustion and acupuncture stimulation at trigger points in the treatment of shoulder and back myofascial pain syndrome (MPS),so as to provide a reference for clinical treatment of MPS.Methods A total of 60 patients with shoulder and back MPS were equally and randomly divided into mild moxibustion group and acupuncture group.The myofascial trigger points in the shoulder and back regions were stimulated with mild moxibustion for 20- 1 00 min every time or punctured with filiform needles by retaining the needles for 30 min after twirling for a while.The treatment was conducted once daily for 1 0 days.The short-form McGill pain questionnaire (SF-MPQ)including the pain rating index [PRI consisting of 1 5 descriptors (1 1 sensory,4 affective)which are rated on an intensity scale as 0 = none,1 =mild,2=moderate and 3=severe],present pain intensity (PPI)index of the standard MPQ and a visual analogue scale (VAS) was used to assess the patient’s pain severity before and after the treatment.Results Following the treatment,of the two 30 cases of MPS patients in the acupuncture and mild moxibustion groups,1 and 7 were cured,1 1 and 1 7 experienced marked im-provement,1 4 and 5 were effective,4 and 1 was invalid,with the effective rates being 86.7% (26/30)and 96.7%(29/30),re-spectively.The cured plus markedly effective rate of the mild moxibustion group was significantly better than that of the acupunc-ture group(P <0.00 1 ).Self-comparison of the two groups showed that the scores of PRI,VAS and PPI after the treatment were apparently reduced in both groups compared with pre-treatment (P <0.00 1 ),but without significant differences between the two groups in the PRI,VAS and PPI scores after the treatment (P >0.05).Conclusion Mild moxibustion stimulation of myofascial trigger point is effective in relieving shoulder-back MPS,being comparable to that of acupuncture therapy.关键词
肌筋膜疼痛综合征/温和灸/肌筋膜激痛点/针刺疗法/随机对照试验Key words
Myofascial pain syndrome/Mild moxibustion/Myofascial trigger point/Acupuncture therapy/Ran-domized controlled trial (RCT)分类
医药卫生引用本文复制引用
王列,马帅,赵悦,曹锐,王颖,马铁明..温和灸激痛点治疗肩背部肌筋膜疼痛综合征：随机对照研究[J].针刺研究,2016,41(4):334-337,4.基金项目
项目来源:辽宁省科技厅社会发展攻关计划项目(No.2012225018) （No.2012225018）
