[1]李建敏 唐宏亮 赵晓芳 龙佳佳 谢 青 谭树生.激痛点推拿治疗腰背筋膜纤维织炎的临床研究[J].大众科技,2022,24(07):45-48.
 Clinical Research on Trigger Point Massage Therapy in the Treatment of Low Back Fascia Fibrositis[J].Popular Science & Technology,2022,24(07):45-48.
点击复制

激痛点推拿治疗腰背筋膜纤维织炎的临床研究()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年07
页码:
45-48
栏目:
医药与卫生
出版日期:
2022-07-20

文章信息/Info

Title:
Clinical Research on Trigger Point Massage Therapy in the Treatment of Low Back Fascia Fibrositis
作者:
李建敏12 唐宏亮3 赵晓芳4 龙佳佳12 谢 青12 谭树生12 
(1.广西壮族自治区民族医院,广西 南宁 530000; 2.广西医科大学附属民族医院,广西 南宁 530000; 3.广西中医药大学附属防城港医院,广西 防城港 538021; 4.广西中医药大学附属瑞康医院,广西 南宁 530011)
关键词:
腰背筋膜纤维织炎肌筋膜激痛点激痛点推拿
Keywords:
Low back fascia fibrositis myofascial trigger point trigger point massage
文献标志码:
A
摘要:
目的:观察激痛点推拿治疗腰背筋膜纤维织炎(low back fascia fibrositis,LBFF)的临床疗效。方法:选取广西壮族自治区民族医院2021年1月至2022年1月收治的LBFF患者62例为研究对象,将受试者随机分为对照组和观察组各31例。对照组予口服塞来昔布胶囊+外用消痛贴膏+核心稳定训练,观察组在对照组基础上加用激痛点推拿疗法。比较两组患者的视觉模拟评分(VAS)、腰痛疗效评分系统(LBOS)的测评得分,以及临床疗效。结果:治疗后,观察组的VAS评分明显低于对照组,LBOS评分显著高于对照组,差异均有统计学意义(P<0.05)。观察组的总有效率(90.32%)明显高于对照组(67.74%),差异有统计学意义(P<0.05)。结论:在口服塞来昔布+外用消痛贴膏+核心稳定训练基础上,联合激痛点推拿治疗LBFF,能进一步改善患者的疼痛程度、从事家务劳动、体育锻炼和日常工作的能力以及生活自理能力,提高临床疗效。
Abstract:
Objective: To observe the clinical efficacy of trigger point massage therapy in the treatment of low back fascia fibrositis (LBFF). Methods: 62 cases of low back fascia fibrositis patients admitted to Guangxi Zhuang Autonomous Region Ethnic Hospital from January 2021 to January 2022 were selected as the research objects. The subjects were randomly divided into control group and observation group, with 31 cases in each group. The control group was given oral celecoxib capsule + external Xiaotong plaster + core stability training, and the observation group was given trigger point massage therapy on the basis of the control group. The scores of visual analogue scale(VAS), low-back outcome scale (LBOS) and clinical efficacy were compared between the two groups. Results: After the treatment, the VAS score of the observation group was significantly lower than that of the control group, and the LBOS score was significantly higher than that of the control group, the difference was statistically significant (P <0.05). The total effective rate of the observation group (90.32%) was significantly higher than that of the control group (67.74%), and the difference was statistically significant (P<0.05). Conclusion: On the basis of oral celecoxib+external Xiaotong plaster+core stability training, myofascial trigger point massage combined with the above treatment, in the treatment of LBFF, could further improve the patients pain degree, their ability to engage in housework, physical exercise, daily work and self-care ability, so as to improve the clinical efficacy.

参考文献/References:

[1] 彭深山,刘尚友,车文恕,等. 临床软组织损伤学[M].北京: 中国医药科技出版社,2008. [2] Simons D G. Cardiology and myofascial trigger points: Janet G. Travell’s contribution[J]. Texas Heart Institute Journal, 2003, 30: 3-7. [3] 黄桂成,熊辉,王平,等. 中医筋伤学[M]. 北京:中国中医药出版社,2016:190-191. [4] Galasso A, Urits I, An D, et al. A comprehensive review of the treatment and management of myofascial pain syndrome[J]. Current Pain and Headache Reports, 2020, 24(8): 43. [5] Fleckenstein J, Zaps D, Rüger L J, et al. Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: results of a cross-sectional, nationwide survey[J]. BMC Musculoskeletal Disorders, 2010, 11: 32. [6] Cao Q W, Peng B G, Wang L, et al. Expert consensus on the diagnosis and treatment of myofascial pain syndrome[J]. World Journal of Clinical Cases, 2021, 9(9): 2077-2089. [7] Saxena A, Chansoria M, Tomar G, et al. Myofascial pain syndrome: an overview[J]. Journal of Pain and Palliative Care Pharmacotherapy. 2015, 29(1): 16-21. [8] 房敏,宋柏林,李铁浪,等. 推拿学(第4版)[M]. 北京: 中国中医药出版社,2016. [9] 谭树生,黄强民,庄小强. 图解肌筋膜疼痛触发点推拿手法[M]. 北京: 人民卫生出版社,2012. [10] 中华医学会. 临床诊疗指南?科分册[M]. 北京: 人民卫生出版社,2009. [11] Greenough C G, Fraser R D. Assessment of outcome in patients with low-back pain[J]. Spine,1992(1): 36-41. [12] 利伯曼. 核心稳定性训练(肌肉训练完全图解)[M]. 杨溪,译. 北京: 人民邮电出版社,2015. [13] 谭树生,黄强民,庄小强,等. 图解肌筋膜疼痛触发点推拿手法[M]. 北京: 人民卫生出版社,2012. [14] ZY/T001-94. 中华人民共和国中医药行业标准–中医病证诊断疗效标准[S]. 南京: 南京大学出版社,1994. [15] 郑筱萸. 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. [16] 特拉维尔,西蒙. 下肢肌筋膜疼痛和机能障碍-触发点手册(第2册)[M]. 王祥瑞,郑拥军,赵延华,译. 上海: 上海世界图书出版公司,2014. [17] Mansoori S S, Moustafa I M, Ahbouch A, et al. Optimal duration of stretching exercise in patients with chronic myofascial pain syndrome: a randomized controlled trial[J]. Journal of Rehabilitation Medicine, 2021, 53(1): 142. [18] Hadizadeh M, Rahimi A, Javaherian M, et al. The efficacy of intramuscular electrical stimulation in the management of patients with myofascial pain syndrome: a systematic review[J]. Chiropractic and Manual Therapies. 2021, 29(1): 40. [19] 张义,张莉,郭长青,等. 针刀干预对大鼠触发点肌组织P物质和缓激肽的影响[J]. 中华中医药杂志,2020(1): 97-100. [20] 王列. 针刺“激痛点”对肌筋膜疼痛综合征大鼠疼痛敏化调控的机制研究[D]. 沈阳: 辽宁中医药大学,2020. [21] Rezasoltani Z, Ehyaie H, Mofrad R K, et al. Granisetron vs. lidocaine injection to trigger points in the management of myofascial pain syndrome: a double-blind randomized clinical trial[J]. Scandinavian Journal of Pain, 2021, 21(4): 707-715. [22] 周仲瑛,金实,李明富,等. 中医内科学[M]. 北京: 中国中医药出版社,2003:516. [23] 黄强民,庄小强,谭树生,等. 肌筋膜疼痛触发点的诊断与治疗[M]. 南宁: 广西科学技术出版社,2009. [24] Kisilewicz A, Janusiak M, Szafraniec R, et al. Changes in muscle stiffness of the trapezius muscle after application of ischemic compression into myofascial trigger points in professional basketball players[J]. Journal of Human Kinetics, 2018,64: 35-45. [25] 江玉婷,李铁浪,李江山,等. 推拿按法对慢性激痛点模型大鼠骨骼肌超微结构的影响[J]. 湖南中医药大学学报,2021,41(1): 85-90. [26] 西蒙斯. 肌筋膜疼痛与功能障碍: 激痛点手册(第2版)[M]. 赵冲,田阳春,译. 北京: 人民军医出版社,2014:69-71. [27] 郭欣怡,曲乐. 有关选择性环加氧酶2抑制药药理问题探讨[J]. 发明与创新(大科技),2018(4): 51-53. [28] 温建民,童培建,詹红生,等. 奇正消痛贴膏临床应用专家共识[J]. 中国中药杂志,2019,4: 629-635. [29] Zou C J, Li J H, Wu F C, et al. The effects of core stability training in nurses with nonspecific low back pain[J]. Medicine, 2021, 100(25): e26357.

备注/Memo

备注/Memo:
【收稿日期】2022-03-22 【基金项目】国家自然科学基金(82074574);广西科学研究与技术开发计划(桂科AB17195021)。 【作者简介】李建敏(1980-),男,广西壮族自治区民族医院主治医师,硕士,研究方向为针灸推拿在康复医学中的临床应用。 【通信作者】谭树生(1969-),男,广西壮族自治区民族医院主任医师,研究生,研究方向为肌骨疼痛的康复治疗。
更新日期/Last Update: 2022-09-08