小针刀治疗颈肩肌筋膜疼痛综合征的疗效观察

Observation on the Efficacy of Small Needle Knife in the Treatment of Cervicoshoulder Myofascial Pain Syndrome

摘要:

〔摘 要〕 目的：研究小针刀治疗颈肩肌筋膜疼痛综合征的临床疗效。方法：选择化州市中医院 2020 年 1 月至 2021 年 1 月收治的颈肩肌筋膜疼痛综合征患者 80 例作为研究对象，按照数字随机表法分为对照组和观察组，各 40 例。 对照组实施常规针灸治疗，观察组采用小针刀治疗，观察两组患者临床治疗效果，两组患者治疗前后血清 5– 羟色胺 （5–HT）、β– 内啡肽（β–ET）水平以及疼痛视觉模拟评分法（VAS）评分、巴氏量表（BI）评分以及颈椎功能障 碍指数（NDI）评分。结果：观察组患者的治疗有效率为 97.5 %，明显高于对照组的 82.5 %，差异具有统计学意义 （P ＜ 0.05）。治疗前，两组患者血清 5–HT、β–ET 水平比较，差异无统计学意义（P ＞ 0.05）；治疗后，观察组患者 β–ET 水平明显高于对照组，5–HT 水平明显低于对照组，差异具有统计学意义（P ＜ 0.05）。治疗前，两组患者 VAS、BI 评分以及 NDI 评分比较，差异无统计学意义（P ＞ 0.05）；治疗后，观察组患者的 BI 评分明显高于对照组， VAS 评分及 NDI 评分明显低于对照组，差异具有统计学意义（P ＜ 0.05）。结论：治疗颈肩肌筋膜疼痛综合征采取 小针刀治疗，有利于患者恢复颈肩部功能，明显减轻疼痛。

关键词:颈肩肌筋膜疼痛综合征;小针刀;针灸

Abstract:

〔Abstract〕 Objective To study the clinical efficacy of small needle knife in the treatment of cervicoshoulder myofascial pain syndrome. Methods 80 patients with cervicoshoulder myofascial pain syndrome treated in Huazhou Hospital of Traditional Chinese Medicine from January 2020 to January 2021 were randomly divided into control group and observation group according to the method of digital random table, with 40 cases in each group. The control group was treated with routine acupuncture and moxibustion, and the observation group was treated with small needle knife. The clinical therapeutic effects of the two groups were observed. The levels of serum serotonin (5-HT) and β-endorphin (β-ET), pain visual analogue scale (VAS) score, Barthel index (BI) and cervical neck disability index (NDI) were observed in the two groups before and after treatment. Results the effective rate of the observation group was 97.5%, which was significantly higher than 82.5% of the control group, and the difference was statistically significant (P < 0.05). Before treatment, there was no significant difference in the levels of serum 5-HT and β-ET between the two groups, but after treatment, the level of β-ET in the observation group was significantly higher than that in the control group, while the level of 5-HT in the observation group was significantly lower than that in the control group, and the differencse were statistically significant (P < 0.05). Before treatment, there was no significant difference in the scores of VAS, BI and NDI between the two groups, but after treatment, the score of BI in the observation group was significantly higher than that in the control group, while the scores of VAS and NDI in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion The treatment of cervicoshoulder myofascial pain syndrome with small needle knife is beneficial to the recovery of neck and shoulder function, and obvious relief of pain.

Key words:Cervicoshoulder myofascial pain syndrome; Small needle knife; Acupuncture