恢刺阿是穴配以针刺治疗颈肩筋膜症候群疼痛的临床研究-针灸推拿学专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 万方数据 万方数据 中文摘要 目的：本研究以颈肩部肌筋膜症候群疼痛患者为研究对象，在普通针刺基础 上，恢刺针法作用于阿是穴治疗其部位疼痛，评价其方法治疗颈肩筋膜症候群的 临床疗效。 方法：通过随机对照试验研究方法，纳入并完成颈肩部疼痛受试者共 60 例， 将其随机分成两组：对照组(n=30)采用普通针刺治疗；治疗组(n=30)在普通针刺 的基础上使用恢刺手法作用于阿是穴。每日一次，10 次为一疗程。疗程结束后， 采用三种疼痛量表:视觉模拟评分法(Visual Analog Scale,VAS)、颈痛量表评分 (Neck Pain Questionnaire,NPQ)、简化 McGill 疼痛量表 (Short-form McGill Pain Questionnaire,SF-MPQ)，分别观察疗效评价，比较治疗前后的变化以及两 组间的差异。 结果： 1. 两组一般情况及基线无统计学差异（P 0.05），具有可比性； 2. 经组内比较发现：治疗组与对照组的 VAS、NPQ、SF-MPQ 中感觉项、情感项 各单项评分及其总评分，差异具有统计学意义（P 0.05）； 3. 经组间比较发现：治疗组疗效优于对照组，差异具有统计学意义（P 0.05）； VAS、SF-MPQ 感觉项评分及总评分差异具有统计学意义(P 0.05)，但 NPQ、 SF-MPQ 情感项评分（与对照组相当）差异不具有统计学意义（P 0.05）。 结论: 恢刺阿是穴配以针刺和普通针刺在治疗颈肩筋膜症候群疼痛上均有 疗效，且恢刺阿是穴配以针刺在改善 VAS、SF-MPQ 中感觉项单项评分及其总评分 量表上均优于普通针刺，说明恢刺法合普通针刺疗效优于普通针刺，减轻疼痛更 为明显。 关键词：恢刺法合普通针刺；阿是穴；针刺；颈肩筋膜症候群 1 Abstract Objective To determine the pain relief of typical acupuncture with or without Huici Technique on the A-shi Acupoint in cases of neck and shoulder Myofascial Syndrome. Method The study involved 60 patients with neck and shoulder Myofascial Syndrome. The patients were randomly divided into a group for treatment with typical acupuncture and the Huici Technique (TA+HC,n=30) and a group for treatment with typical acupuncture only (TA,n=30). The treatment for both groups was provided once per day for ten consecutive days. The pain relief measurements were taken by the Visual Analogue Scale (VAS),the Short-form McGill Pain Questionnaire (SF-MPQ),and a Neck pain questionnaire (NPQ).All three measurements were taken both before and after the treatment. Results There were no statistically significant differences between the two groups with regard to basal general information and the patients’ conditions (P 0.05). In the intra-group comparison,there were significant differences in the measurements of VAS,NPQ,SF-MPQ (sensory,emotion,and total score) between the two groups. After the treatment,the TA+HC group showed more pain relief than the TA group. There were significant differences in the m