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探讨了830 nm半导体微激光光灸穴位和肌筋膜扳机点(MTr Ps)治疗背肌筋膜炎患者的疗效。预实验收集背肌筋膜炎患者,分为光灸1组4例、光灸2组6例、光灸3组7例和针灸组6例,光灸组采用自主研发的半导体激光光灸仪治疗(中心波长为830 nm,功率密度0.335 W/cm2),时间分别为每次1、2和4 min对患者的养老穴、承山穴背部MTr Ps进行照射;针刺组选用毫针对养老穴、承山穴常规针刺,MTr Ps处斜刺进针贯穿结节得气后留针20 min,中间行针1次。光灸组和针刺组每周治疗3次,一周1个疗程,共治疗4个疗程。正式试验背肌筋膜炎患者38人,治疗方法如预实验光灸3组。采用视觉模糊量表评分(VAS)和简易麦吉尔量表-2(SFMPQ-2)对患者主观症状进行评定,手持式压力测痛仪测定MTr Ps的压力疼痛阈值(PPT)。预实验VAS评分结果表明,除光灸1 min外,其他三组治疗后均有显著减低(P<0.05),组间比较显示,针刺组疗效最好,其次为光灸3组;SFMPQ-评分显示,只有针刺组治疗后有显著减低(P<0.05)。光灸组可显著提高MTr Ps的PPT数值。正式试验结果发现,830 nm微激光可显著降低患者的VAS评分和SFMPQ-2评分,改善患者酸痛、轻压痛和疲惫无力感症状,且可提高肌筋膜扳机点的压力疼痛阈值。该课题组自主研发的半导体激光光灸仪对背肌筋膜炎患者无论从主观评分和半客观的压痛阈值改善方面均有良好的疗效,可被广泛应用于临床。
To investigate the curative effect of 830 nm semiconductor micro-laser light moxibustion points and MTr Ps on patients with dorsal fasciitis. Pre-experimental collection of patients with myofascial fasciitis, divided into 4 groups of optical moxibustion in 1 group, 6 cases of optical moxibustion in 2 cases, 7 cases of optical moxibustion in 3 cases and 6 cases in acupuncture group, using moxibustion group independently developed semiconductor laser light moxibustion apparatus (Center wavelength of 830 nm and power density of 0.335 W / cm2) for 1, 2 and 4 min, respectively. The MTr Ps of Yangling and Chengshan acupoints in each group were irradiated respectively. , Chengshan acupuncture routine acupuncture, MTr Ps oblique needle into the needle through the nodules get the needle 20 min after the needle, the middle line needle 1. Moxibustion group and acupuncture group three times a week, a week of treatment, a total of 4 courses of treatment. 38 patients with formal-test fasciitis of the back, the treatment methods such as pre-experimental light moxibustion 3 groups. Subjective symptom scores were assessed by visual ambiguity scale (VAS) and simpler McGill Scale-2 (SFMPQ-2), and pressure pain threshold (PPT) of MTr Ps was measured by hand pressure angiograph. The pre-experimental VAS score showed that except for 1 min light-moxibustion, the other three groups were significantly reduced after treatment (P <0.05). Comparisons between groups showed that acupuncture group had the best curative effect, followed by moxibustion group 3, SFMPQ- Scores showed that only acupuncture group after treatment was significantly reduced (P <0.05). The moxibustion group could significantly increase the PPT value of MTr Ps. The formal test results showed that the 830 nm laser can significantly reduce the patient’s VAS score and SFMPQ-2 score, improve the patient’s pain, mild tenderness and fatigue symptoms, and can increase the pressure pain threshold of myofascial trigger point. The self-developed semiconductor laser light moxibustion device has good curative effect on patients with dorsal fasciitis, both in terms of subjective grading and semi-objective improvement of the tenderness threshold, and can be widely used in clinical practice.