[1]董巍,孙培养,金诚久.针灸结合深部肌肉刺激对颈肩痛患者疼痛程度、炎症状态及椎动脉血流动力学的影响[J].西部中医药,2023,36(08):107-111.[doi:10.12174/j.issn.2096-9600.2023.08.26]
　DONG Wei,SUN Peiyang,JIN Chengjiu.Influence of Combination of Acupuncture and Deep Muscle Stimulation on Pain Degree, Inflammation State and Hemodynamics of Vertebral Artery in Patients with Neck and Shoulder Pain[J].Western Journal of Traditional Chinese Medicine,2023,36(08):107-111.[doi:10.12174/j.issn.2096-9600.2023.08.26]
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针灸结合深部肌肉刺激对颈肩痛患者疼痛程度、炎症状态及椎动脉血流动力学的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年08期
页码:
107-111
栏目:
出版日期:
2023-08-15

文章信息/Info

Title:
Influence of Combination of Acupuncture and Deep Muscle Stimulation on Pain Degree, Inflammation State and Hemodynamics of Vertebral Artery in Patients with Neck and Shoulder Pain
作者:
董巍1, 孙培养2, 金诚久1
1.安庆市第一人民医院，安徽 安庆 246003
2.安徽省针灸医院，安徽 合肥 230051
Author(s):
DONG Wei1, SUN Peiyang2, JIN Chengjiu1
1.Anqing First People's Hospital of Anhui Province, Anqing 246003, China
2.Anhui Provincial Hospital of Acupuncture; Hefei, 230051, China
关键词:
颈肩痛; 针灸; 深部肌肉刺激; 炎症状态; 椎动脉血流动力学; 疼痛程度
Keywords:
neck and shoulder pain; acupuncture; deep muscle stimulation; inflammatory state; the hemodynamics of vertebral artery; pain degree
分类号:
R246.1
DOI:
10.12174/j.issn.2096-9600.2023.08.26
文献标志码:
B
摘要:
目的探讨针灸与深部肌肉刺激（deep muscle stimulation，DMS）对颈肩痛患者疗效及疼痛程度、炎症状态及椎动脉血流动力学状况的影响。 方法选取颈肩痛患者85例，以简单随机化法分为观察组（43例）和对照组（42例）。对照组给予针灸治疗，观察组给予针灸联合DMS治疗，均治疗4周。比较两组临床疗效、疼痛程度（visual analogue scale，VAS）评分、肩关节功能Constant-Murley评分、颈椎功能评分（neck disability index，NDI）、日常生活能力评分（barthel index，BI）、血清疼痛因子［5-羟色胺（5-hydroxytryptamine，5-HT）、前列腺素E2（prostaglandin E2，PGE2）］、炎症因子［白细胞介素1β（interleukin-1β，IL-1β）、白细胞介素10（interleukin-10，IL-10）、C反应蛋白（c-reactive protein，CRP）］、血液流变学指标（血浆黏度、全血低切黏度、全血高切黏度、红细胞压积、纤维蛋白原）、椎动脉血流动力学（基底、左椎、右椎动脉血流速度）水平。 结果观察组治疗后总有效率［95.35%（41/43）］高于对照组［78.57%（33/42）］（P＜0.05）。治疗4周后，观察组VAS评分、NDI评分，血清5-HT、PGE2、IL-1β、IL-10、CRP水平，血液流变学指标均低于对照组（P＜0.05）；Constant-Murley、BI评分，基底、左椎、右椎动脉血流速度均高于对照组（P＜0.05）。 结论DMS辅助针灸能改善颈肩痛患者椎动脉血流，抑制炎症反应，控制血清疼痛因子表达，减轻颈肩疼痛，促进功能恢复。
Abstract:
ObjectiveTo investigate clinical effects of acupuncture and deep muscle stimulation (DMS) combined treatment on patients with neck and shoulder pain, and its influence on pain degree, inflammation state, and the hemodynamics of vertebral artery. MethodsAll 85 patients were chosen, and divided into the observation group (43 cases) and the control group (42 cases) using simple randomization method. The control group accepted acupuncture, and the observation group acupuncture and DMS, for four weeks. To compare clinical effects, VAS scores, Constant-Murley scores of shoulder function, NDI, BI, the levels of serum pain factors (5-HT, PGE2), inflammation factors (IL-1β, IL-10 and CRP), hemorheological indicators (plasma viscosity, whole blood low-shear viscosity, whole blood high-shear viscosity, hematokrit and fibrinogen), as well as the hemodynamics of vertebral artery (basilar, left vertebral, and right vertebral artery blood flow velocity) between the two groups. ResultsTotal effective rate of the observation group was 95.35% (41/43) after the treatment, higher than 78.57% (33/42) of the control group (P<0.05). After four weeks of the treatment, the observation group was lower than the control group in VAS, NDI scores, the levels of 5-HT, PGE2, IL-1β, IL-10 and CRP and hemorheological indicators (P<0.05); higher than the control group in Constant-Murley scores, BI, basilar, left vertebral and right vertebral artery blood flow velocity (P<0.05). ConclusionDMS-assisted acupuncture could improve vertebral artery blood flow, restrain inflammatory reaction, control the expressions of pain factors in the serum, relieve neck and shoulder pain and promote functional recovery in patients with neck and shoulder pain.

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备注/Memo

备注/Memo:
董巍（1986—），女，硕士学位，主治医师。研究方向：颈肩痛的针灸治疗。安徽省自然科学基金（1708085QH191）。
更新日期/Last Update: 2023-08-15