基于激痛点理论的针刀联合中药膏摩对胸背肌筋膜炎患者的影响及机制研究

doi:10.3969/j.issn.1006-5725.2023.17.020

Abstract

Abstract:

Objective To investigate the effects and mechanisms of acupuncture combined with Chinese herbal cream mo based on the agonistic point theory on patients withthoracic and dorsal myofascitis syndrome （TDMS）. Methods One hundred patients with TDMS admitted to the second affiliated Hospital of anhui University of traditional Chinese medicine from March 2022 to March 2023 were collected as the study subjects， and were divided into 50 cases in the control group and 50 cases in the study group by digital randomization method， with the control group receiving Chinese herbal paste and moisturizing treatment and the study group receiving acupuncture combined with Chinese herbal paste and moisturizing treatment. Each group was treated once a day for 3 weeks. The total treatment efficiency of the two groups was compared， and the Oswestry Dysfunction Index Questionnaire （ODI）， Short Form McGill Pain Questionnaire （SF-MPQ） scores， Beck Anxiety Inventory （BAI） scores and adverse effects were analyzed before and after treatment. Results Regarding the total treatment efficiency， the total treatment efficiency of the study group was 94.00%， which was statistically significant when compared with 78.00% in the control group （χ ² = 5.316， P = 0.021）. After treatment， ODI， BAI score， PRI， VAS， PPI and SF-MPQ total scores were lower in both groups than before treatment， and the study group was lower than the control group （P < 0.05）. For adverse reactions， the overall incidence of 6.00% in the study group was not statistically significant when compared with 4.00% in the control group （P > 0.05）. Conclusions Acupuncture combined with Chinese herbal cream mo based on the agonistic point theory has a positive therapeutic effect on patients with TDMS， and can effectively improve patients' functional impairment， anxiety and pain level with fewer adverse effects and high safety.

Key words: thoracic and dorsal myofascitis syndrome, acupuncture, Chinese herbal ointment mo, provocative pain point theory, influence mechanism

CLC Number:

R246.9

Yong NIE,Junchen ZHU,Yingchun LI,Xingfu MA,Yi SU,Chao WANG,Yingzong XIONG,Fuyou. LI. Research on the effect and mechanism of acupuncture combined with Chinese herbal cream mo based on the theory of agonistic point on patients with thoracic and dorsal myofascitis syndrome[J]. The Journal of Practical Medicine, 2023, 39(17): 2265-2270.

Figures/Tables 5

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References 25

1	LEW J， KIM J， NAIR P. Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome： a systematic review and meta-analysis［J］. J Man Manip Ther， 2021，29（3）：136-146.
2	CHIU Y C， MANOUSAKAS I， KUO S M， et al. Influence of quantified dry cupping on soft tissue compliance in athletes with myofascial pain syndrome［J］. PLoS One， 2020，15（11）：e0242371.
3	霍永利，毛竞宇，侯姿蕾，等. 温经通络中药热膏摩联合痛泻药方治疗肝郁脾虚证腹泻型肠易激综合征疗效观察［J］. 中华中医药杂志，2021，36（9）：5689-5692.
4	王超，朱俊琛，郑智文，等. 痛点针刀松解对膝关节骨性关节炎患者部分运动步态和血清TNF-α及IL-1的影响［J］. 中国骨伤，2022，35（9）：848-852.
5	JUNAID M， YAQOOB I， SHAKIL U R REHMAN S， et al. Effects of post-isometric relaxation， myofascial trigger point release and routine physical therapy in management of acute mechanical neck pain： a randomized controlled trial［J］. J Pak Med Assoc， 2020，70（10）：1688-1692.
6	国家中医药管理局. 中医病证诊断疗效标准［S］. 南京：南京大学出版社，1994：196.
7	SIMONS D J. Diagnostic criteria of myofascial pain caused by trigger points［J］. 2010，7（1-2）：111-120.
8	CHIU Y C， MANOUSAKAS I， KUO S M， et al. Influence of quantified dry cupping on soft tissue compliance in athletes with myofascial pain syndrome［J］. PLoS One， 2020，15（11）：e0242371.
9	VELEZ J C， FRIEDMAN L E， BARBOSA C， et al. Evaluating the performance of the Pain Interference Index and the Short Form McGill Pain Questionnaire among Chilean injured working adults［J］. PLoS One， 2022，17（5）：e0268672.
10	GARCIA J M， GALLAGHER M W， O'BRYANT S E， et al. Differential item functioning of the Beck Anxiety Inventory in a rural， multi-ethnic cohort［J］. J Affect Disord， 2021，293：36-42.
11	ESLAMIAN F， JAHANJOO F， DOLATKHAH N， et al. Relative effectiveness of electroacupuncture and biofeedback in the treatment of neck and upper back myofascial pain： a randomized clinical trial［J］. Arch Phys Med Rehabil， 2020，101（5）：770-780.
12	AKPINAR F M， SINDEL D， KETENCI A. Investigation of effectiveness of two different kinesiotaping techniques in myofascial pain syndrome： an open-label randomized clinical trial［J］. Pain Physician， 2021，24（6）：E721-E731.
13	朱德良，孙栓柱，张浛芮.基于红外热成像激痛点刺络拔罐治疗胸背肌筋膜炎临床研究［J］.四川中医，2021，39（11）：200-203.
14	张元春，赵翠萍，靳文丽，等.中药膏摩治疗老年骨质疏松症腰背疼痛的疗效［J］.实用临床医药杂志，2023，27（1）：92-95.
15	王灿，高媛媛，刘春霞，等.中药膏摩联合穴位注射治疗脓毒症胃肠功能障碍疗效观察［J］.现代中西医结合杂志，2022，31（14）：1965-1968，1972.
16	邓海燕，吴晓芳，刘丹，等.中药膏摩疗法治疗奥施康定所致便秘的临床疗效［J］.辽宁中医杂志，2022，49（4）：99-102.
17	李庆贵，陈康，郭召，等.汉黄芩素调节AMPK/SIRT1信号通路对骨质疏松大鼠骨折愈合的影响［J］.实用医学杂志，2023，39（4）：410-416.
18	CHEN Q， REN R， ZHANG Q， et al. Coptis chinensis Franch polysaccharides provide a dynamically regulation on intestinal microenvironment， based on the intestinal flora and mucosal immunity［J］. J Ethnopharmacol， 2021，267：113542.
19	DONG Y， ZHAO Q， WANG Y. Network pharmacology-based investigation of potential targets of astragalus membranaceous-angelica sinensis compound acting on diabetic nephropathy［J］. Sci Rep， 2021，11（1）：19496.
20	CAI L， SHAO S Y， HAN S W， et al. Sesquiterpenoids， phenolic and lignan glycosides from the roots and rhizomes of Clematis hexapetala Pall. and their bioactivities［J］. Bioorg Chem， 2020，104：104312.
21	丁玉婷.玄胡索散治疗骨关节炎的药效物质基础及初步分子作用机制探究［D］.北京中医药大学，2019.
22	孟庆良，孟婉婷，卞华，等.大黄素对TNF-α诱导的类风湿性关节炎成纤维样滑膜细胞增殖的影响［J］.中成药，2021，43（2）：480-484.
23	NAVARRO-SANTANA M J， SANCHEZ-INFANTE J， GÓMEZ-CHIGUANO G F， et al. Dry needling versus trigger point injection for neck pain symptoms associated with myofascial trigger points： a systematic review and meta-analysis［J］. Pain Med， 2022，23（3）：515-525.
24	MARTÍN-SACRISTÁN L， CALVO-LOBO C， PECOS-MARTÍN D， et al. Dry needling in active or latent trigger point in patients with neck pain： a randomized clinical trial［J］. Sci Rep， 2022，12（1）：3188.
25	王昊，董晓俊，徐平，等.针刀疗法联合头部自重后伸牵引治疗颈肩综合征临床疗效分析［J］.湖北中医药大学学报，2022，24（3）：61-63.

组别	性别（男/女，例）	年龄（岁）	BMI（kg/m²）	病程（月）
对照组（n = 50）	26/24	47.72 ± 8.39	23.36 ± 3.34	3.25 ± 2.36
研究组（n = 50）	22/28	45.34 ± 8.72	24.02 ± 2.38	3.31 ± 2.42
χ² /t值	0.641	1.391	1.138	0.126
P值	0.423	0.167	0.258	0.900

组别	痊愈	显效	有效	无效	总有效
对照组（n = 50）	18（36.00）	12（24.00）	9（18.00）	11（22.00）	39（78.00）
研究组（n = 50）	25（50.00）	15（30.00）	7（14.00）	3（6.00）	47（94.00）
χ² 值					5.316
P值					0.021

组别	ODI评分		BAI评分
组别	治疗前	治疗后	治疗前	治疗后
对照组（n = 50）	33.70 ± 4.89	18.65 ± 2.26^*	42.15 ± 5.13	35.65 ± 4.84^*
研究组（n = 50）	34.15 ± 4.62	13.74 ± 2.17^*	41.96 ± 4.32	30.24 ± 3.92^*
t值	0.473	11.081	0.200	6.142
P值	0.637	< 0.001	0.842	< 0.001

组别	PRI		VAS		PPI		总分
组别	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组（n = 50）	18.26 ± 2.02	15.64 ± 1.63^*	5.45 ± 1.11	3.36 ± 1.06^*	3.42 ± 0.51	2.31 ± 0.32^*	27.13 ± 3.38	21.31 ± 2.23^*
研究组（n = 50）	18.32 ± 1.93	11.88 ± 1.54^*	5.38 ± 1.06	2.23 ± 1.13^*	3.39 ± 0.48	1.85 ± 0.25^*	27.09 ± 3.26	15.96 ± 1.68^*
t值	0.152	11.856	0.322	5.157	0.303	8.010	0.060	13.549
P值	0.880	< 0.001	0.748	< 0.001	0.763	< 0.001	0.952	< 0.001

组别	皮肤红肿	皮肤瘙痒	胀痛麻木	总不良反应发生率
对照组（n = 50）	1（2.00）	1（2.00）	0（0.00）	2（4.00）
研究组（n = 50）	1（2.00）	1（2.00）	1（2.00）	3（6.00）
χ² 值				0.211
P值				0.646

Research on the effect and mechanism of acupuncture combined with Chinese herbal cream mo based on the theory of agonistic point on patients with thoracic and dorsal myofascitis syndrome

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