CAJ | 학술논문

目的：观察温针灸治疗颈背部肌筋膜疼痛综合征的临床疗效。方法将60例颈背部肌筋膜疼痛综合征患者随机分为治疗组和对照组，每组30例。治疗组采用温针治疗，对照组采用电针治疗。采用简化麦吉尔疼痛量表及日本physion MD肌电阻测量仪器来测定痛点(红点、黄点)的数量，观察两组治疗前后疼痛评定指数(PRI)、视觉模拟评分(VAS)和现时疼痛强度(PPI)以及红点、黄点变化情况，并比较两组临床疗效。结果治疗组总有效率为83.3%，对照组为66.7%，两组比较差异具有统计学意义(P＜0.05)。治疗组治疗后简式McGill疼痛量表各项评分(PRI、VAS及PPI)与同组治疗前比较，差异均具有统计学意义(P＜0.05)。对照组治疗后VAS及PPI评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后简式McGill疼痛量表各项评分与对照组比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后红点和黄点痛点数量与同组治疗前比较，差异均具有统计学意义(P＜0.05)。对照组治疗后红点痛点数量与同组治疗前比较，差异具有统计学意义(P＜0.05)。治疗组治疗后红点和黄点痛点数量与对照组比较，差异均具有统计学意义(P＜0.05)。结论温针灸是一种治疗颈背部肌筋膜疼痛综合征的有效方法。
목적：관찰온침구치료경배부기근막동통종합정적림상료효。방법장60례경배부기근막동통종합정환자수궤분위치료조화대조조，매조30례。치료조채용온침치료，대조조채용전침치료。채용간화맥길이동통량표급일본physion MD기전조측량의기래측정통점(홍점、황점)적수량，관찰량조치료전후동통평정지수(PRI)、시각모의평분(VAS)화현시동통강도(PPI)이급홍점、황점변화정황，병비교량조림상료효。결과치료조총유효솔위83.3%，대조조위66.7%，량조비교차이구유통계학의의(P＜0.05)。치료조치료후간식McGill동통량표각항평분(PRI、VAS급PPI)여동조치료전비교，차이균구유통계학의의(P＜0.05)。대조조치료후VAS급PPI평분여동조치료전비교，차이균구유통계학의의(P＜0.05)。치료조치료후간식McGill동통량표각항평분여대조조비교，차이균구유통계학의의(P＜0.05)。치료조치료후홍점화황점통점수량여동조치료전비교，차이균구유통계학의의(P＜0.05)。대조조치료후홍점통점수량여동조치료전비교，차이구유통계학의의(P＜0.05)。치료조치료후홍점화황점통점수량여대조조비교，차이균구유통계학의의(P＜0.05)。결론온침구시일충치료경배부기근막동통종합정적유효방법。
Objective To observe the clinical efficacy of warm needling in treating neck-back myofasical pain syndrome. Method Sixty patients with neck-back myofasical pain syndrome were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by warm needling therapy, while the control group was by electroacupuncture. The short-form McGill Pain Questionnaire (SF-MPQ) and Physion MD muscle resistance detector (Japan) were adopted to measure the count of tender points (red points and yellow points), Pain Rating Index (PRI), Visual Analogue Scale (VAS), and Present Pain Intensity (PPI) before and after the treatment, and the clinical efficacies were also compared.Result The total effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant (P<0.05). The SF-MPQ scores (PRI, VAS, and PPI scores) were significantly changed in the treatment group after the intervention (P<0.05). In the control group, VAS and PPI scores were significantly changed after the treatment (P<0.05). After treatment, there were significant differences in comparing the SF-MPQ scores between the two groups (P<0.05). The counts of red and yellow tender points were significantly changed in the treatment group after the intervention (P<0.05). The count of red tender points was significantly changed in the control group after the intervention (P<0.05). After the treatment, there were significant differences in comparing the number of red and yellow tender points between the two groups (P<0.05).Conclusion Warm needling is an effective approach in treating neck-back myofascial pain syndrome.