摘要
目的:观察针刺配合推拿治疗纤维肌痛症(FM)的临床疗效。方法:将86例FM患者随机分为针推组和针刺组,分别采用针刺推拿结合疗法和单纯针刺法,以McGill疼痛问卷简表(SF-MPQ)、纤维肌痛影响问卷(FIQR)及医学结局研究睡眠量表(MOS-SS)评分为观察指标,治疗4周后评定疗效。结果:两组各42例完成观察,两种疗法均能显著降低SF-MPQ评分(包括疼痛评级指数、视角模拟评分、现在疼痛强度)及FIQR评分,且两组相比均有显著性差异(P<0.001);两组MOS-SS评分的变化则是睡眠障碍、日间嗜睡及睡眠指数Ⅱ评分降低,而睡眠量及睡眠充足评分增加,与对照组相比,针推组的这些变化更为显著(P<0.001)。结论:针推结合疗法治疗原发性纤维肌痛症疗效确切,既能止痛又能改善睡眠,从而有效地全面控制FM,且其疗效明显优于单纯针刺法,尤其值得推广应用。
Objective:To observe the efficacy of acupuncture combined with Chinese massage in the treatment of fibromyalgia(FM).Methods:In total,86 outpatients with FM diagnosed by the American College of Rheumatology Criteria were randomly assigned to be treated by Acupuncture combined with Chinese massage or by acupuncture,for 4weeks.The co-primary outcome measures were the changes in the Short-Form McGill Pain Questionnaire(SF-MPQ)score and the Revised Fibromyalgia Impact Questionnaire(FIQR)and the Medical Outcomes Study Sleep Scale(MOSSS)scores at week 4.Results:42patients by acupuncture combined with Chinese massage and 42 patients by acupuncture completed the study.The endpoints from baseline were significantly decreased in the pain rating index(PRI),visual analogue scale(VAS)and the present pain intensity(PPI)0fSF- MPQ,and in FIQR for both therapies,and improvements were significantly greater for acupuncture combined with Chinese massage therapy than for acupuncture therapy for changes in PRI,VAS and PPI of SF-MPQ score(P〈0.001),and in FIQR score(P〈0.001).The endpoints were significantly decreased for acupuncture combined with Chinese massage therapy compared with acupuncture in sleep disturbance,somnolence,and sleep problems index II of MOS-SS,while the scores increased in sleep quantity and sleep adequacy of MOS-SS(P〈0.001).Conclusion:Acupuncture combined with Chinese massage therapy is effective in the treatment of primary FM absolutely,both relieving pain and improving sleep,so as to control all symptoms of FM significantly,and efficacy of acupuncture combined with Chinese massage therapy is superior to acupuncture obviously,especially worth promoting and applying.
出处
《四川中医》
2015年第6期159-163,共5页
Journal of Sichuan of Traditional Chinese Medicine
关键词
原发性纤维肌痛症
针刺疗法
推拿疗法
Primary fibromyalgia
Acupuncture therapy
Chinese massage therapy