调神针法治疗纤维肌痛综合征的临床观察

【摘要J目的观察调神针法在治疗纤维肌痛综合征（FS）中的作用。方法将Fs患者80例，随机分为调神针法、局部取穴针刺、走罐组（治疗组）40例，根据病情辨证采用调神基本腧穴（百会、神庭、印堂、神门、足三里、三阴交）和五脏调神相关腧穴配合局部取穴针刺和走罐的方法；局部取穴针刺、走罐组（对照组）40例，只采用局部取穴针刺加走罐的方法，每周3次，走罐视情况每周2~3次，连续治疗4周。比较2组治疗前后的疼痛感觉变化和抑郁状态的变化。结果2组愈显率差异有统计学意义（P〈0．05）；抑郁显效率差异亦有统计学意义（P〈0．05）。治疗后2组TPRI、VAS、HAMD评分均较治疗前改善，差异有统计学意义（P〈0．001），2组间比较差异亦均有统计学意义（P〈0．05）。结论调神针法可提高疗效，与其可有效改善患者的精神状态有关。

Clinical observation of regulating-spirit acupuncture on fibromyalgia syndrome

Objective To observe the effect of regulating-spirit acupuncture in fibromyalgia syndrome （FS）.Methods Eighty cases of FS were randomly divided into two groups. In the treatment group （40 cases）, according to patient＇s condition, basic acupoints of regulating-spirit, such as Baihui, Shenting, Yintang, Shenmen, Zusanli and Sanyinjiao, were selected. Also five-zangacupoints of regulating-spirit combined with acupuncture at local acupoint and moving cupping were applied. In the control group, only acupuncture at local acupoint and moving cupping were applied. The treatment was given three times a week for continuous four weeks. The changes of pain and depression status in two groups before and after treatment were compared.Results The markedly effective and effective rates in two groups were significantly different （P 〈0.05）. The markedly effective and effective rate of depression was also significantly different （P 〈0.05）. After treatment, T-PRI,VAS,HAMD were all improved in two groups, which had statistical significance （P 〈0.05）, and the difference between groups was also statistically significant （P 〈0.05）.Conclusion The regulating-spirit acupuncture could efficacy, which could be related to effectively improving patient＇ s mental state.