毫火针结合循经走罐法对颈肩肌筋膜疼痛综合征患者疼痛缓解及功能改善的临床疗效分析

Randomized controlled study on pain relief and functional improvement in patients with cervical and shoulder myofascial pain syndrome treated with fire needle therapy combined with meridian-based cupping

摘要:

目的 探讨毫火针结合循经走罐法对颈肩肌筋膜疼痛综合征患者疼痛缓解及功能改善的临床疗效。方法 选取2023年1月—2024年12月天津市天津医院接收的82例颈肩肌筋膜疼痛综合征患者作为研究对象。通过随机数字表法将患者分为对照组（常规治疗）和观察组（对照组基础上采用毫火针结合循经走罐法），各41例。比较两组患者的疼痛指标、颈椎功能指标、炎症指标、生活质量评分（SF-36评分）和不良反应发生情况。结果 观察组治疗后颈部、肩部视觉模拟评分法（VAS）评分均低于对照组（P <0.05）。观察组治疗前后颈部、肩部VAS评分的差值均大于对照组（P <0.05）。观察组治疗后颈椎关节活动度（CROM）评分、颈椎活动度均高于对照组（P <0.05），颈椎功能障碍指数（NDI）评分低于对照组（P <0.05）。观察组治疗前后CROM评分、NDI评分和颈椎活动度的差值均大于对照组（P <0.05）。观察组治疗后C反应蛋白（CRP）、红细胞沉降率（ESR）、降钙素原（PCT）均低于对照组（P <0.05）。观察组治疗前后CRP、ESR、PCT的差值均大于对照组（P <0.05）。观察组治疗后生理功能、生理职能、躯体疼痛、总体健康评分均高于对照组（P <0.05）。观察组治疗前后生理功能、生理职能、躯体疼痛、总体健康评分的差值均大于对照组（P <0.05）。两组患者不良反应总发生率比较，差异无统计学意义（P >0.05）。结论 毫火针结合循经走罐法可显著缓解颈肩肌筋膜疼痛综合征患者的疼痛程度，改善功能状态，降低肌肉紧张度，提升生活质量，治疗安全，有利于临床推广应用。

Abstract:

Objective To investigate the clinical efficacy of fire needle therapy combined with meridian-based cupping on pain relief and functional improvement in patients with cervical and shoulder myofascial pain syndrome.Methods From January 2023 to December 2024, 82 patients with cervical and shoulder myofascial pain syndrome admitted to our hospital were selected as the study subjects. Using a random number table, the patients were divided into a control group (n = 41, receiving conventional treatment) and an observation group (n = 41, receiving fire needle therapy combined with meridian-based cupping in addition to the conventional treatment). Pain-related indicators, cervical function indicators, inflammatory markers, quality of life [using the SF-36 scale], and the incidence of adverse reactions were compared between the two groups.Results In the observation group, post-treatment Visual Analog Scale (VAS) scores for neck and shoulder pain were significantly lower than those in the control group (P < 0.05), with significantly greater pre-post treatment differences in VAS scores (P < 0.05). Cervical Range of Motion (CROM) scores and cervical mobility were significantly higher in the observation group post-treatment compared with the control group (P < 0.05), whereas Neck Disability Index (NDI) scores were significantly lower (P < 0.05). The pre-post treatment differences in CROM, NDI, and cervical mobility were significantly greater in the observation group (P < 0.05). Serum levels of C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and procalcitonin (PCT) were significantly lower in the observation group post-treatment (P < 0.05), with significantly greater reductions (pre-post differences) observed compared with the control group (P < 0.05). Regarding quality of life assessments, the observation group demonstrated significantly higher post-treatment scores in physical functioning, role-physical, bodily pain, and general health compared with the control group (P < 0.05), with significantly greater improvements (pre-post differences) in these domains (P < 0.05). No statistically significant difference was observed in the overall incidence of adverse reactions between the two groups (P > 0.05).Conclusion Fire needle therapy combined with meridian-based cupping significantly alleviates pain, improves functional status, reduces muscle tension, and enhances the quality of life in patients with cervical and shoulder myofascial pain syndrome. The treatment is safe and readily applicable in clinical practice.