隔药灸加药物治疗纤维肌痛综合征疗效观察

目的:观察隔药灸法配合药物治疗纤维肌痛综合征的临床疗效.方法:将60例患者随机分为灸+药组和药物组,每组30例.灸+药组采用阿米替林药物口服配合隔药灸法,穴取百会、大椎、至阳、命门、肾俞、关元、神阙,百会用直接灸法,其余穴位采用隔药灸;药物组采用阿米替林药物口服.治疗1个月后,观察两组临床疗效、疼痛点数量及直观模拟标尺评分(VAS)和汉密尔顿(HAMD)抑郁指数的变化.结果:灸+药组总有效率为93.3%,药物组总有效率为56.7%,灸+药组优于药物组(P＜0.01).灸+药组VAS、HAMD评分和痛点数量治疗后均明显优于治疗前,经统计学处理均P＜0.01;药物组HAMD评分和痛点数量治疗后均明显优于治疗前,经统计学处理均P＜0.01,VAS评分治疗前后差异无统计学意义(P＞0.05).组间比较,治疗后灸+药组HAMD评分及痛点数量明显优于药物组(均P＜0.01);VAS评分治疗后药物组和灸+药组差异无统计学意义(P＞0.05).结论:隔药灸配合药物治疗是一种治疗纤维肌痛综合征的有效疗法.

Observation on therapeutic effect of herb-partitioned moxibustion on fibromyalgia syndrome

Objective To observe the clinical therapeutic effect of herb-partitioned moxibustion combined with medication on fibromyalgia syndrome. Methods Sixty cases were randomly divided into a treatment group and an observation group, 30 cases in each group. The observation group was treated with oral administration of amitriptyline, and the treatment group with oral administration of amitriptyline and herb-partitioned moxibustion at Dazhui (GV 14), Zhiyang (GV 9), Mingmen (GV 4), Shenshu (BL 23), Guanyuan (CV 4), Shenque (CV 8), and direct moxibustion at Baihui (GV 20). After treatment of one month, their clinical therapeutic effect, and changes of the number of pain points and the scores of VAS and the HAMD depression rating scale were observed. Results The total effective rate was 93. 3% in the treatment group and 56.7% in the observation group, the former being better than the latter (P<0. 01). The scores of VAS and HAMD and the number of pain points after treatment in the treatment group were better than those before treatment (P<0. 01); the score of HAMD and the number of pain points after treatment in the observation group were superior to those before treatment (P<0. 01) , and there was no significant difference in the score of VAS before and after treatment (P>0. 05). After treatment, the score of HAMD and the number of pain points in the treatment group were significantly better than those in the observation group (P<0. 01), and there was no significant difference between the two groups in the score of VAS (P>0. 05). Conclusion The herb-partitioned moxibustion combined with medication is an effective therapy for fibromyalgia syndrome.