|
|
|
| Clinical effect of needle-knife combined with heat-sensitive moxibustion on waist and back muscle fasciitis |
| WEI Ye1 GE Hengqing1 LI Kaiping2 WANG Yanping1 |
1.Department of Needle-knife, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Jiangsu Province, Nanjing 210046, China;
2.the Second Clinical Medical College, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210023, China |
|
|
|
Abstract Objective To observe the clinical effect of needle-knife combined with heat-sensitive moxibustion on waist and back muscle fasciitis. Methods Forty patients diagnosed as waist and back muscle fasciitis admitted to outpatient Department of Jiangsu Province Hospital on Integration of Chinese and Western Medicine from January to December 2018 were divided into the observation group and the control group by random number table method, with 20 patients in each group. The observation group received needle-knife loosening of waist and back fascia and heat-sensitive moxibustion, while the control group received heat-sensitive moxibustion only. Once a week, both groups were treated for 4 weeks. Before and after treatment, pain scale index (PRI), visual analogue scale (VAS) score, current pain intensity (PPI) score, lesion tissue development area under magnetic resonance imaging and the number of heat sensitive points were observed. Results After treatment, the PRI, VAS score and PPI score of the two groups were significantly lower than those before treatment (all P ＜ 0.01), and PRI, VAS score and PPI score of the observation group were significantly lower than those of the control group after treatment, the differences were highly statistically significant (all P ＜ 0.01). The number of heat sensitive points in the two groups after treatment was significantly reduced (all P ＜ 0.01), and the number of heat sensitive points in the observation group after treatment was significantly less than that in the control group, the difference was highly statistically significant (P ＜ 0.01). The lesion tissue development area under magnetic resonance imaging of the two groups decreased significantly after treatment (all P ＜ 0.01), and the lesion tissue development area in the observation group was significantly smaller than that in the control group after treatment, the difference was highly statistically significant (P ＜ 0.01). The total effective rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The clinical effect of needle-knife combined with heat-sensitive moxibustion in treating waist and back muscle fasciitis is better than heat-sensitive moxibustion only, which has the value of clinical promotion.
|
|
|
|
|
|
[1] 胡熙耀，穆敬平，程建明，等.电热针疗法治疗腰背肌筋膜炎疗效观察[J].上海针灸杂志，2016，35（5）：574-575.
[2] 冯宇.传统特色正骨疗法传承及治疗腰背肌筋膜炎的经验介[J].中医外治杂志，2018，27（3）：60-61.
[3] 许旭杰，王文丽，谢琦.针刺结合复方白芥子油走罐治疗腰背肌筋膜炎疗效观察[J].针灸推拿医学：英文版，2018， 16（1）：230-235.
[4] 薛威，王斐，吴陈欢.针药结合治疗腰背肌筋膜炎临床研究[J].中医学报，2017，32（6）：1110-1113.
[5] 张英，李晶晶，康明非.热敏灸与辨证穴位灸治疗背肌筋膜炎临床随机对照观察[J].针刺聚英，2017，33（3）：40-43.
[6] 刘雪珂，李梦，刘维.刺络放血结合艾灸法治疗腰背肌筋膜炎[J].长春中医药大学学报，2019，35（2）：280-282.
[7] 李永巍，张顺聪，郭丹青，等.腰椎间盘突出症Lasegue征与MRI定位区域的相关性分析[J].中国骨与关节损伤杂志，2017，34（1）：28-31.
[8] 国家中医药管理局.中医病证诊断疗效标准[M].南京：南京大学出版社，2007：200．
[9] 李知行，唐凯婷，张琦，等.热敏灸治疗慢性腰肌劳损的疗效[J].中国老年学杂志，2018，38（24）：6001-6003.
[10] 哲剑虹.中西医结合治疗脾胃湿热型慢性胃炎临床研究[J].中医学报，2017，32（6）：1055-1058.
[11] 李殿宁，游国龙，谢兴生.针刀诊断与治疗精要[M].北京：北京华夏出版社，2007：25-28.
[12] 胡华，李连泰，刘艳伟，等.头部自重后伸牵引配合针刀治疗颈源性头痛的效果[J].中国医药导报，2018，15（33）：130-133，141.
[13] 郑莜萸.中药新药临床研究指导原则[M].北京：中国医药科技出版社，2002：349-353.
[14] 陈晨，张义，郭长青.针刀干预对大鼠股内侧肌触发点肌组织内P物质和降钙素基因相关肽表达的影响[J].针灸临床杂志，2018，34（1）：55-58，81.
[15] Meleger AL，Krivickas LS. Neck and Back Pain：Musculoskeletal Disorders [J]. Neurol Clin，2007，25（2）：419-438．
[16] 林艳霞，刘田梅.针刺治疗腰背肌筋膜炎临床观察[J].山西中医，2018，34（12）：28-29.
[17] 张菊.针灸结合红外线治疗腰背肌筋膜炎的临床观察[J].家庭医药，2019，25（3）：95.
[18] 庞金海.温针灸与中药热奄包配合治疗腰背肌筋膜炎的临床疗效[J].医学信息，2019，32（9）：165-167.
[19] 王蓉，林佳，刘小琼.热敏灸结合毫刃针治疗腰背肌筋膜炎临床观察[J].实用中医药杂志，2017，33（8）：964-965.
[20] 陈庆真，赖春柏，杜兰翔，等.热敏灸治疗膝骨性关节炎疗效及对关节液中NO及SOD的影响[J].陕西中医，2017， 38（6）：802-803.
[21] 黄安，庞宇舟，汤倩倩，等.壮医热敏探穴针刺辅助治疗类风湿关节炎临床疗效分析[J].中国针灸，2018，38（3）：245-250.
[22] 徐小柳，李殿宁，周建斌，等.针刀治疗枕下肌肌筋膜疼痛综合征临床观察[J].中国中医杂志，2016，25（7）：1389-1391.
[23] 刘美锭，李开平，李殿宁.针刀治疗臀小肌筋膜疼痛症的解剖入路与理论探究[J].中国医学导报，2017，14（33）：169-172.
[24] 葛恒清，韦晔，李开平.“二位学说”理论[J].辽宁中医药大学学报，2015，17（3）：132-134.
[25] 蒋伟，唐震，黄炳仓.腰背部浅筋膜炎的MRI表现[J].医学影像学杂志，2016，26（1）：91-93. |
|
|
|
