三氧痛点阻滞及康复治疗急性枕部肌筋膜炎疗效观察

Clinical observation of ozone pain spot block plus rehabilitation in patients′ occiput with acute myofascitis

目的 探讨三氧痛点阻滞及康复治疗急性枕部肌筋膜炎的疗效。方法 对急性枕部肌筋膜炎患者120例进行前瞻性研究,随机分为A组和B组,A组（60例）采用局部药物阻滞及颈部功能康复治疗,B组（60例）采用医用三氧痛点阻滞、局部药物阻滞、颈部功能康复治疗。比较治疗前后2组视觉模拟评分（VAS）、颈部活动度、头晕及恶心的情况。结果 A组VAS 评分治疗前为（8.7±1.3）分、治疗后为（5.2±1.2）分,B组VAS 评分治疗前为（8.8±1.2）分、治疗后为（0.8±0.4）分,治疗前后两组患者的VAS 评分较治疗前均显著降低,治疗后2组间差异有统计学意义（P＜0.05）。A组治疗后的VAS评分改善程度、局部活动度缓解幅度均低于B组（P值均＜0.05）,A组治疗后头晕及恶心明显缓解所需要的时间均高于B组（P＜0.05） 。两组均未见明显不良反应。结论 三氧痛点阻滞治疗急性枕部肌筋膜炎的疗效显著。

Objective To analyze the effects of medical ozone pain spot block coordination functional rehabilitation to treat patients＇ occiput with acute myofascitis. Methods A prospective study was performed in 120 patients with acute occiput myofascitis. They were randomly divided into group A and group B. Sixty cases in each group. In group A, simple local drug block plus neck functional rehabilitation. In group B, medical ozone pain spot block plus simple local drug block plus neck functional rehabilitation.Visual analogue Scale（VAS）, the range of motion of neck, the degree of dizziness and nausea were compared pre- and post- treatment. Results In group A, VAS was 8.7±1.3 before the treatment; VAS was 5.2±1.2 after the treatment. In group B, VAS was 8.8±1.2 before the treatment,AS was 0.8±0.4 after the treatment. Compared with pre-treatment, VAS was significantly reduced in two groups after treatment. The differences between the two groups were significant （P＜0.05）.After the treatment, the improvement in VAS and the range of motion of neck were lower than group B （all P values＜0.05）. The time that dizziness and nausea obviously alleviated were longer than group B （P＜0.05）. There were no obvious adverse reactions in two groups. Conclusions Medical ozone pain spot block coordination functional rehabilitation to treat patients′ occiput with acute myofascitis have a good effect.