【作者】 任婉文； 徐宓宓； 周志英； 龙森； 唐光政； 李敏； 毛洪京； 陈树林；

【Author】 Renwanwen;Xumimi;Zhouzhiying;Longsen;Tangguangzheng;Limin;Maohongjing;Chenshulin;The Seventh People’s Hospital of Hangzhou;Hangzhou city Xiaoshan District Hospital of traditional Chinese Medicine;The Third Affiliated Hospital of Zhejiang Chinese Medicine University;Zhejiang University;

【机构】 杭州市第七人民医院； 杭州市萧山区中医院； 浙江中医药大学附属第三医院； 浙江大学；

【摘要】 目的探讨浮针疗法对持续性躯体形式疼痛障碍患者疼痛和生活质量的影响。方法 108例患者随机分为3组(A组、B组和C组),A组接受浮针治疗并服用安慰剂,B组服用度洛西汀并接受模拟浮针治疗,C组服用安慰剂并接受模拟浮针治疗,比较治疗前和治疗后6周末简易McGill疼痛量表(SF-MPQ)、健康状况调查问卷(SF-1 2)评定疼痛疗效和生活质量。结果治疗后三组SF-MPCQ各项评分均有所下降,与治疗前相比差异有统计学意义(P<0.01),A组、B组治疗后SF-MPQ各项评分与C组相比差异有统计学意义(P<0.05),A组与B组差异无统计学意义(P>0.05);治疗后三组SF-12评分显示,三组生理总评分(PCS)和心理总评分(MCS)均有所上升,与治疗前相比差异有统计学意义(P<0.05),A组、B组PCS和MCS与C组相比差异有统计学意义(P<0.05),A组与B组差异无统计学意义(P>0.05)。结论浮针疗法与度洛西汀治疗持续性躯体形式疼痛障碍疗效相当,能较好地缓解疼痛和提高患者的生活质量。更多还原

【Abstract】 Objective To explore the clinical effectiveness of Floating Needle Therapy to the pain in treatment of persistent somatoform pain disorder(PSPD) and its effect to the quantity of life of the patients.Methods Totally 108 patients with PSPD were randomly divided into 3 groups(group A,group B,group C),group A received Floating needle therapy and placebo,group B received duloxetine and imitated Floating needle therapy,and group C received the placebo and imitated Floating needle therapy.All the patients were evaluated using the simple McGill pain scale(SF-MPQ) and health questionnaire(SF-12 Chinese version) to assess the efficacy for pain relief and the quality of life of the patients before and after the 6th weekend of the treatment.Results Compared with the pre-treatment SF-MPQ scores,the post-treatment ones significantly decreased,and there was significant difference among all groups(P < 0.01)and no difference between group A and B(P > 0.05);Physical component scale(PCS) and mental component scale(MCS) of SF- 12 in all groups increased after treatment,and the significant difference was found among three groups(P < 0.05) while no difference between group A and B(P > 0.05).Conclusion Both Floating Needle Therapy and duloxetine have similar effect in pain relief and improving the quality of life in the treatment of patient with persistent somatoform pain disorder.更多还原