艾灸治疗战士背肌筋膜疼痛综合征疗效观察

目的:为解决部队战士背部肌筋膜疼痛症状提供一套艾灸自治互治方法。方法:将58例患者随机分为艾灸组(30例)和膏药贴敷组(28例)。艾灸组悬灸阳陵泉15min,再用艾灸按摩器艾灸按摩疼痛区域,在医生指导下自行治疗或互相治疗;膏药贴敷组使用狗皮膏贴敷疼痛局部,均每天1次,治疗5天。采用临床症状评分、临床体征评分、功能障碍表现评分、功能障碍指数、综合经济效益等指标对两组临床疗效进行分析比较。结果:艾灸及膏药贴敷两种治疗方法对战士背部肌筋膜疼痛综合征均有一定疗效,均可明显改善临床症状、体征及功能障碍(P<0.01,P<0.05),且艾灸组优于膏药贴敷组(P<0.01,P<0.05);在综合经济效益指标方面,艾灸组优于膏药贴敷组;艾灸组总有效率为96.7%(29/30),膏药贴敷组为35.7%(10/28),艾灸组疗效优于膏药贴敷组(P<0.01)。结论:艾灸自治互治方法治疗部队战士背部肌筋膜疼痛综合征的临床疗效较好,并且可以降低常规医疗的成本,减少军队的医疗开支,适合在部队开展。

Observation on therapeutic effect of myofascial pain syndrome of the back in the military soldiers treated with moxibustion

Objective To provide a set of the self-help and mutual-aid treatment with moxibustion to deal with myofasicial pain syndrome(MPS) of the back for the military soldiers.Methods Fifty-eight cases were randomly devided into a moxibustion group(30 cases) and a plaster application group(28 cases).In the moxibustion group,the suspended moxibustion was applied to Yanglingquan(GB 34) for 15 min.The moxibustion massage device was used to massage the pain area.Under the physician’s guides,the self-help or mutual-aid treatment was adopted.In the plaster application group,Goupi Gao(a black plaster used in TCM) was used on the local pain area.The treatment was given once every day in either group,lasting for 5 days.The clinical symptom scale,clinical physical sign scale,functional disturbance scale,functional disturbance index,comprehensive economic benefit and the others were adopted to analyze and compare the clinical efficacies between the two groups.Results Both moxibustion and the plaster application achieved a certain efficacy on MPS of the back in the soldiers and either of them received the obvious improvements in the clinical symptoms,physical signs and functional disturbance(P<0.01,P<0.05).The results in the moxibustion group were superior to those in the plaster application group(P<0.01,P<0.05).In terms of the comprehensive economic benefit index,the result in the moxibustion group was better than that in the plaster application group.The total effective rate was 96.7%(29/30) in the moxibustion group and was 35.7%(10/28) in the plaster application group.The efficacy in the moxibustion group was superior to that in the plaster application group(P<0.01).Conclusion The self-help or mutual-aid treatment with moxibustion achieves the satisfactory clinical efficacy on MPS of the back in the military soldiers.It reduces the conventional medical cost and the military medical expenditure.This therapeutic approach is suitable to be promoted in the military.