内热针联合体外冲击波治疗胸背部肌筋膜炎的疗效

Clinical Effect of Internal Heat Acupuncture Combined with Extracorporeal Shock Wave in the Treatment of Thoracolumbar Myofasciti

摘要:

〔摘 要〕 目的：探讨胸背部肌筋膜炎患者采用内热针联合体外冲击波治疗的临床效果。方法：选取 76 例福建医 科大学附属泉州第一医院 2020 年 2 月至 2021 年 5 月就诊的胸背部肌筋膜炎患者，根据就诊序号采用电脑随机数字表 法分为观察组与对照组，各 38 例。两组患者均给予常规镇痛药物治疗，对照组患者给予体外冲击波进行治疗，观察 组患者在对照组基础上联合内热针进行治疗，比较两组患者的临床疗效，治疗前、治疗 2 周后中医症状积分、视觉疼 痛模拟（VAS）评分、健康调查简表（SF–36）评分、Oswestry 功能障碍（ODI）评分及血清炎症因子水平。结果： 观察组患者的治疗总有效率为 92.11 %，高于对照组的 73.68 %，差异具有统计学意义（P ＜ 0.05）。治疗 2 周后观察 组患者的压痛、肿胀、功能障碍、失眠症状积分低于对照组，差异具有统计学意义（P ＜ 0.05）。治疗 2 周后观察组 患者的 VAS、ODI 评分低于对照组，SF–36 评分高于对照组，差异具有统计学意义（P ＜ 0.05）。治疗 2 周后观察组 患者的血清白细胞介素 –6（IL–6）、C 反应蛋白（CRP）低于对照组，差异具有统计学意义（P ＜ 0.05）。结论：胸 背部肌筋膜炎患者采用内热针治疗效果显著，可有效促进临床症状好转，改善生活质量，抑制炎症因子。

Abstract:

〔Abstract〕 Objective To investigate the clinical effect of internal heat acupuncture combined with extracorporeal shock wave on patients with thoracolumbar myofascitis. Methods A total of 76 patients with thoracolumback myofasciitis admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from February 2020 to May 2021 were selected and divided into an observation group and a control group by computer random number table according to the medical sequence number, with 38 cases in each group. Both groups were treated with conventional analgesics, the control group was treated with extracorporeal shock wave, and the observation group was treated with internal heat acupuncture on the basis of the control group. The clinical efficacy of the two groups was compared. The traditional Chinese medicine symptom score, visual analogue scale (VAS) score, short form 36 health survey (SF-36) score, Oswestry disability index (ODI) score, and serum inflammatory cytokines levels before and after 2 weeks of treatment were compared. Results The total effective rate of the observation group was 92.11%, higher than 73.68% of the control group, and the difference was statistically significant (P < 0.05). After 2 weeks of treatment, the scores of tenderness, swelling, dysfunction and insomnia in the observation group were lower than those in the control group, with statistical significance (P < 0.05). After 2 weeks of treatment, the VAS and ODI scores of patients in the observation group were lower than those in the control group, while the SF-36 score was higher than that in the control group, with statistical significances (P < 0.05). After 2 weeks of treatment, the levels of serum interleukin-6 (IL-6) and C-reactive protein (CRP) in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion Internal heat acupuncture has a significant effect on patients with thoracolumbar myofascitis, which can effectively promote the improvement of clinical symptoms, improve the quality of life and inhibit inflammatory factors.