【作者】 郭莹；

【导师】 孙远征；

【作者基本信息】 黑龙江中医药大学 ， 针灸推拿学， 2005， 硕士

【摘要】 为观察背部透穴法针刺治疗纤维肌痛综合征的临床疗效及其对伴随症状的影响,将临床40例纤维肌痛综合征患者随机分为观察组和对照组。观察组运用针刺治疗,对照组口服西药阿米替林治疗,采用视觉类比评分(VAS)和压痛点数来评估患者病情变化情况。研究表明:在临床疗效方面,观察组20例,临床治愈9例,总有效率85.0%;对照组20例,临床治愈3例,总有效率65.0%。经统计学处理,二者有显著性差异(P<0.05),说明观察组优于对照组。在VAS评定及压痛点数方面,两组病人治疗前后VAS疼痛指数、压痛点数均有明显改善(P<0.01),观察组VAS疼痛指数及压痛点数的改善优于对照组(P<0.05)。观察组安全性评价的副作用及实验室检查异常发生率明显低于对照组(P<0.01)。以上结果在一定程度上说明:背部透穴法在治疗纤维肌痛综合征方面安全而有效,能有效改善患者疼痛及其伴随症状。更多还原

【Abstract】 Objective: To study the clinical curative effect of the fibromyalgia syndrome and the influence of concomitant symptom with the acupuncture by the point-through-point of back method in the treatment.Method: Forty patients with fibromyalgia syndrome were randomly divided into curing group and comparing group. The former was treated with acupuncture and the later by oral amitriptyline, adopting visual analog scores (VAS) and the number of pressure pain point to measure the patient’s condition changes.Result: Among acupuncture therapy group, nine patients recovered and three did in comparing group. The total effective rate of acupuncture therapy group is 85.0% and that of amitriptyline therapy group is 65.0%. Statistics shows that acupuncture has better effect in treatment of fibromyalgia syndrome than amitriptyline in clinical curative effect (P < 0.05).At the end of study, total the VAS pain index and the number of pressure pain point in both groups, had significantly improved than those before the treatment (P < 0.01).Acupuncture has. better effect in VAS pain index and the number of pressure pain point than amitriptyline has (P < 0.05).The side effects and abnormity of laboratory examination on amitriptyline developed more frequently than those of acupuncture except Yun Zhen (P < 0.01).Conclusion: The acupuncture method of the point-through -point of back is effective and safe way in treating fibromyalgia syndrome and can obviously improve patient’s pain and concomitant symptom.更多还原