河南中医2024，Vol.44Issue(1)：123-128,6.DOI:10.16367/j.issn.1003-5028.2024.01.0024
热敏灸联合针刺治疗寒湿型颈肩部肌筋膜疼痛综合征临床研究
Clinical Study on the Treatment of Neck and Shoulder Myofascial Pain Syndrome of Cold Dampness Type with Heat-Sensitive Moxibustion Combined with Acupuncture
摘要
Abstract
Objective:To observe the clinical efficacy of heat-sensitive moxibustion combined with acupuncture on neck and shoulder myofascial pain syndrome of cold dampness type.Methods:A total of 94 patients with neck and shoulder myofascial pain syndrome were divided into the heat-sensitive moxibustion combined acupuncture group and the acupuncture group according to the random number ta-ble method,with 47 cases in each group.The heat-sensitive moxibustion combined with acupuncture group was given heat-sensitive mox-ibustion combined with acupuncture treatment,while the acupuncture group was given acupuncture treatment.Then β-endorphin(β-EP),substance P(SP),6-keto-prostaglandin E1α(6-keto-PGE1α)were detected in two groups before and after treatment.6-keto-PGE1α),5-hydroxytryptamine(5-HT),interleukin-1β(IL-1β),cyclooxygenase-2(COX-2),tumour necrosis factor-α(TNF-α),25-dihydroxy vitamin D[25(OH)D]content were measured.Fascia thickness,tissue elastogram score,Young's modulus value,average amplitude value and average frequency slope were also measured.Visual analogue scale(VAS),neck disability index(NDI),generic quality of life inventory 74(GQOLI-7)and clinical efficacy were observed.Results:After treatment,the contents of IL-1β,COX-2 and TNF-α in the heat-sensitive moxibustion combined acupuncture group were lower than those in the acupuncture group,while the content of25(OH)D was higher than that in the acupuncture group,and all the differences were statistically significant(P＜0.05).The con-tents of 6-keto-PGE1α,SP and 5-HT in the heat-sensitive moxibustion combined with acupuncture group were lower than those in the acupuncture group,while the content of β-EP was higher than that in acupuncture group,and all the differences were statistically signifi-cant(P＜0.05).The fascia thickness,tissue elasticity chart score and Young's modulus of the heat-sensitive moxibustion combined with acupuncture group were lower than those of the acupuncture group,and all the differences were statistically significant(P＜0.05).The average amplitude and average frequency slope of the heat-sensitive moxibustion combined with the acupuncture group were higher than those of acupuncture group,and all the differences were statistically significant(P＜0.05).The NDI score and VAS score of the heat-sensitive moxibustion combined with acupuncture group were lower than those of the acupuncture group,while GQOLI-74 score was higher than that of the acupuncture group,and all the differences were statistically significant(P＜0.05).The effective rate of the heat-sensitive moxibustion combined with acupuncture group was 95.74％,and that of the acupuncture group was 82.98％.The effective rate of the heat-sensitive moxibustion combined with acupuncture group was significantly higher than that of acupuncture group,and the difference was statistically significant(P＜0.05).Conclusion:Heat-sensitive moxibustion combined with acupuncture in the treatment of cold-damp neck and shoulder myofascial pain syndrome can inhibit the contents of inflammatory factors,reduce the in-dex of pain mediators,improve the tissue elasticity,muscle activity and fatigue degree of patients,and improve the clinical efficacy and quality of life.关键词
颈肩部肌筋膜疼痛综合征/热敏灸/针刺/炎性因子/疼痛介质/组织弹性/疲劳程度Key words
neck and shoulder myofascial pain syndrome/heat-sensitive moxibustion/acupuncture/inflammatory factors/pain mediators/tissue elasticity/fatigue degree分类
医药卫生引用本文复制引用
张静,李慧敏,王勤俭..热敏灸联合针刺治疗寒湿型颈肩部肌筋膜疼痛综合征临床研究[J].河南中医,2024,44(1):123-128,6.基金项目
河南省中医药科学研究专项课题项目(2019JDZX055) （2019JDZX055）
