[1]陈宇,邓小磊,王有雪.温针灸联合康复训练治疗肩部肌筋膜疼痛综合征疗效观察[J].西部中医药,2023,36(03):139-142.[doi:10.12174/j.issn.2096-9600.2023.03.28]
　CHEN Yu,DENG Xiaolei,WANG Youxue.Clinical Observation on Warm Needling Moxibustion and Rehabilitation Training in Treating Myofascial Pain Syndrome in Shoulder[J].Western Journal of Traditional Chinese Medicine,2023,36(03):139-142.[doi:10.12174/j.issn.2096-9600.2023.03.28]
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温针灸联合康复训练治疗肩部肌筋膜疼痛综合征疗效观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年03期
页码:
139-142
栏目:
出版日期:
2023-03-14

文章信息/Info

Title:
Clinical Observation on Warm Needling Moxibustion and Rehabilitation Training in Treating Myofascial Pain Syndrome in Shoulder
作者:
陈宇1, 邓小磊2, 王有雪3
1.辽宁中医药大学附属第二医院骨科，辽宁 沈阳 110034
2.辽宁中医药大学附属医院，辽宁 沈阳 110032
3.沈阳市第七人民医院骨科，辽宁 沈阳 110003
Author(s):
CHEN Yu1, DENG Xiaolei2, WANG Youxue3
1.Orthopedic Department, the Second Affiliated Hospital to Liaoning University of Traditional Chinese Medicine, Shenyang 110034, China
2.The First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China
关键词:
肩部肌筋膜疼痛综合征; 温针灸; 康复训练; 临床观察
Keywords:
myofascial pain syndrome in the shoulder; warm needling moxibustion; rehabilitation training; clinical observation
分类号:
R245.31+5
DOI:
10.12174/j.issn.2096-9600.2023.03.28
文献标志码:
B
摘要:
目的观察温针灸联合康复训练治疗肩部肌筋膜疼痛综合征的疗效及其对血清五羟色胺（5-hydroxytryptamine，5-HT）、去甲肾上腺素（noradrenaline，NE）水平的影响。 方法将60例肩部肌筋膜疼痛综合征患者采用随机数字表法分为对照组、观察组各30例。对照组予康复训练治疗，观察组予温针灸联合康复训练治疗。观察两组患者临床疗效、功能独立性评定（functional independence measure，FIM）量表评分、上肢运动功能评测（Fugl-Meyer，FMA）评分、疼痛视觉模拟评分（visual analogue scale，VAS）、肩关节外展角度（range of motion，ROM）与5-HT、NE水平及不良反应情况。 结果临床疗效观察组优于对照组，差异具有统计学意义（P＜0.05）；两组患者治疗后ROM、FMA、FIM评分均较治疗前升高，VAS评分较治疗前降低（P＜0.05）；观察组治疗后ROM、FMA、FIM、VAS评分均较对照组改善明显（P＜0.05）；与治疗前比较，两组患者5-HT、NE水平均下降（P＜0.05），观察组下降更显著（P＜0.05）；两组患者治疗期间均未出现明显不良反应。 结论温针灸联合康复训练可有效改善肩部肌筋膜疼痛综合征患者日常生活独立能力及上肢运动功能，缓解肩部疼痛，增加肩关节活动度，效果优于单纯康复训练，且安全性高。
Abstract:
ObjectiveTo observe clinical effects of warm needling moxibustion and rehabilitation training in the treatment of myofascial pain syndrome in the shoulder and its influence on the levels of 5-HT and NE. MethodsSixty patients were allocated to the control group and the observation group by using random number table method. The control group was treated by rehabilitation training, and the observation group was given warm needling moxibustion and rehabilitation training. To observe clinical effects, FIM scores, FMA scores, VAS, ROM, the levels of 5-HT and NE as well as adverse reaction between both groups. ResultsThe observation group was better than the control group in clinical effects, and the difference had statistical meaning (P<0.05); after the treatment, the scores of ROM, FMA, FIM of both groups lifted than these before the treatment, VAS scores decreased than these before the treatment (P<0.05); the improvements of ROM, FMA, FIM and VAS scores of the observation group were more noticeable than these of the control group (P<0.05); compared with before the treatment, the levels of 5-HT and NE reduced in both groups (P<0.05), the decrease of the observation group was more remarkable (P<0.05); No obvious adverse reaction happened during therapeutic period between both groups. ConclusionWarm needling moxibustion and rehabilitation training could effectively improve independent ability of daily life and motor function of upper limbs, relieve shoulder pain, increase shoulder motion, and its effects superior to single rehabilitation training with high safety.

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备注/Memo

备注/Memo:
陈宇（1985—），男，硕士学位，副主任医师。研究方向：中医骨伤。辽宁省科学技术计划（2022-MS-19）。
更新日期/Last Update: 2023-03-15