五行音乐联合针刺激痛点治疗肩背部肌筋膜疼痛综合征45例临床观察
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摘要
目的:观察五行音乐联合针刺激痛点对肩背部肌筋膜疼痛综合征的临床疗效。方法:将90例肩背部肌筋膜疼痛综合征患者按照随机数字表法分为治疗组和对照组,每组45例。对照组给予针刺激痛点治疗,治疗组在对照组治疗基础上加用五行音乐。2组均以10 d为1个疗程,治疗2个疗程。观察2组临床疗效,以及治疗前后McGill简化量表疼痛评分,包括疼痛分级指数(PRI)评分、现有痛强度(PPI)评分、视觉模拟评分法(VAS)评分,并观察2组复发情况。结果:治疗组痊愈32例,显效10例,有效3例,无效0例,痊愈率为71.11%;对照组痊愈24例,显效13例,有效8例,无效0例,痊愈率为53.33%。2组比较,差异有统计学意义(P <0.05)。治疗后,2组PRI评分、PPI评分、VAS评分较治疗前均有改善(P <0.05),且治疗组优于对照组(P <0.05)。6个月后,治疗组复发4例,复发率8.89%;对照组复发10例,复发率为22.22%。2组比较,差异有统计学意义(P <0.05)。结论:五行音乐联合针刺激痛点治疗肩背部肌筋膜疼痛综合征,疗效较佳,值得临床推广。
Objective:To observe the clinical effect of the five-element music combined with needling pain-stimulating points on shoulder-back myofascial pain syndrome.Methods:Ninety patients with shoulderback myofascial pain syndrome were randomly divided into a treatment group and a control group,45 cases in each group.The control group was treated by needling pain-stimulating points,while the treatment group was treated with the five-element music on the basis of the treatment for the control group.Both groups were treated for two courses of treatment,ten days as one.The clinical efficacy of both groups and the pain score of McGill simplifi ed scale before and after treatment were observed,including pain grading index(PRI)scale,current pain intensity(PPI)scale and visual analogue scale(VAS),and the recurrence of the two groups was observed.Results:In the treatment group,32 cases were recovered,10 cases were markedly effective,3 cases were effective and no cases were ineffective,and the cure rate was 71.11%.In the control group,24 cases were recovered,13 cases were markedly effective,8 cases were effective and no cases were ineffective,and the cure rate was 53.33%.There was significant difference between the two groups(P < 0.05).After treatment,PRI scale,PPI scale and VAS of the two groups were improved compared with those before treatment(P < 0.05),and the treatment group was better than the control group (P < 0.05).After 6 months,4 cases recurred in the treatment group,with a recurrence rate of 8.89%,while 10 cases recurred in the control group,with a recurrence rate of 22.22%.There was a signifi cant difference between the two groups(P < 0.05).Conclusion:The effect five-element music combined with needling pain-stimulating points is better in the treatment of shoulder-back myofascial pain syndrome,worthy of clinical promotion.
Objective:To observe the clinical effect of the five-element music combined with needling pain-stimulating points on shoulder-back myofascial pain syndrome.Methods:Ninety patients with shoulderback myofascial pain syndrome were randomly divided into a treatment group and a control group,45 cases in each group.The control group was treated by needling pain-stimulating points,while the treatment group was treated with the five-element music on the basis of the treatment for the control group.Both groups were treated for two courses of treatment,ten days as one.The clinical efficacy of both groups and the pain score of McGill simplifi ed scale before and after treatment were observed,including pain grading index(PRI)scale,current pain intensity(PPI)scale and visual analogue scale(VAS),and the recurrence of the two groups was observed.Results:In the treatment group,32 cases were recovered,10 cases were markedly effective,3 cases were effective and no cases were ineffective,and the cure rate was 71.11%.In the control group,24 cases were recovered,13 cases were markedly effective,8 cases were effective and no cases were ineffective,and the cure rate was 53.33%.There was significant difference between the two groups(P < 0.05).After treatment,PRI scale,PPI scale and VAS of the two groups were improved compared with those before treatment(P < 0.05),and the treatment group was better than the control group (P < 0.05).After 6 months,4 cases recurred in the treatment group,with a recurrence rate of 8.89%,while 10 cases recurred in the control group,with a recurrence rate of 22.22%.There was a signifi cant difference between the two groups(P < 0.05).Conclusion:The effect five-element music combined with needling pain-stimulating points is better in the treatment of shoulder-back myofascial pain syndrome,worthy of clinical promotion.
引文
[1]柳围堤,薛开禄,田苗.肌筋膜疼痛综合征病人生活质量及影响因素研究[J].中国疼痛医学杂志,2018,24(3):192-197.
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[7]AL-SHENQITI AM,OLDHAM JA.Test-retest reliability of myofascial trigger point detection in patients with rotator cuff tendonitis[J].Clin Rehabil,2005,19(5):482-487.
[8]MELZACK R.The short-form McGill Pain Questionnaire[J].Pain,1987,30(2):191-197.
[9]SIMONS DG,MENSE S.Diagnosis and therapy of myofascial teigger points[J].Scherz,2003,17(6):419-424.
[10]HUANG QM,YE G,ZHAO ZY,et al.Myoelectrical activity andmuscle morphology in a rat model of myofascial trigger pointsinduced by blunt trauma to the vastus medialis[J].Acupunct Med,2013,31(1):65-73.
[11]GERWIN RD.Diagnosis of Myofascial Pain Syndrome[J].Phys Med Rehabil Clin N Am,2014,25(2):341-355.
[12]耶艺凡.音乐疗法的文献研究[D].北京:北京中医药大学,2008.
[13]潘文平.体感音乐疗法治疗顿脑外伤的初步研究[D].广州:南方医科大学,2011.
[14]VON ALLMEN G,ESCHER H,WASEM CH,et al.Importance of timing of music therapy in chemotherapy of cancer patients[J].Praxis,2004,93(34):1347-1350.
[15]CHAITOW L,BRADLEY D,GILBERT C.Multidisciplinary approaches to breathing pattern disorders[M]Edinburgh:Elsevier,2002:45-46.
[16]李晓陵,杨晶晶,孙忠人,等.针刺后效应研究进展[J].中国老年学杂志,2017,37(17):4403-4406.
[17]TEKIN L,AKARSU S,DURMU O,et al.The effect of dry needling in the treatment of myofascial pain syndrome:a randomized double:blinded placebo-controlled trial[J].Clin Rheumatol,2013,32(3):309-315.
[18]ZIAEIFAR M,ARAB AM,KARIMI N,et al.The effect of dry needling on pain,pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle[J].J Bodyw Mov Ther,2014,18(2):298-305.
[19]CAGNIE B,BARBE T,DE RIDDER E,et al.The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation[J].J Manipulative Physiol Ther,2012,35(9):685-691.
[2]DOMMERHOLT J,BRON C.Myofascial Pain Syndrome-Trigger Points[J].J Musculoskelet Pain,2012,21(4):9.
[3]张浛芮,李应昆,梁静涛,等.浮针治疗背肌筋膜炎疗效的系统评价[J].时珍国医国药,2018,29(4):1017-1019.
[4]张海华,许能贵,李知行,等.针刺配合五行音乐治疗女性抑郁症的临床观察[J].中国针灸,2018,38(12):1293-1297.
[5]陈晓霞.中药熏洗联合五行音乐对肝肾亏虚型膝骨关节炎患者功能的影响[J].风湿病与关节炎,2018,7(10):21-24.
[6]国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:212.
[7]AL-SHENQITI AM,OLDHAM JA.Test-retest reliability of myofascial trigger point detection in patients with rotator cuff tendonitis[J].Clin Rehabil,2005,19(5):482-487.
[8]MELZACK R.The short-form McGill Pain Questionnaire[J].Pain,1987,30(2):191-197.
[9]SIMONS DG,MENSE S.Diagnosis and therapy of myofascial teigger points[J].Scherz,2003,17(6):419-424.
[10]HUANG QM,YE G,ZHAO ZY,et al.Myoelectrical activity andmuscle morphology in a rat model of myofascial trigger pointsinduced by blunt trauma to the vastus medialis[J].Acupunct Med,2013,31(1):65-73.
[11]GERWIN RD.Diagnosis of Myofascial Pain Syndrome[J].Phys Med Rehabil Clin N Am,2014,25(2):341-355.
[12]耶艺凡.音乐疗法的文献研究[D].北京:北京中医药大学,2008.
[13]潘文平.体感音乐疗法治疗顿脑外伤的初步研究[D].广州:南方医科大学,2011.
[14]VON ALLMEN G,ESCHER H,WASEM CH,et al.Importance of timing of music therapy in chemotherapy of cancer patients[J].Praxis,2004,93(34):1347-1350.
[15]CHAITOW L,BRADLEY D,GILBERT C.Multidisciplinary approaches to breathing pattern disorders[M]Edinburgh:Elsevier,2002:45-46.
[16]李晓陵,杨晶晶,孙忠人,等.针刺后效应研究进展[J].中国老年学杂志,2017,37(17):4403-4406.
[17]TEKIN L,AKARSU S,DURMU O,et al.The effect of dry needling in the treatment of myofascial pain syndrome:a randomized double:blinded placebo-controlled trial[J].Clin Rheumatol,2013,32(3):309-315.
[18]ZIAEIFAR M,ARAB AM,KARIMI N,et al.The effect of dry needling on pain,pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle[J].J Bodyw Mov Ther,2014,18(2):298-305.
[19]CAGNIE B,BARBE T,DE RIDDER E,et al.The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation[J].J Manipulative Physiol Ther,2012,35(9):685-691.