局部阻滞联合直线偏光近红外线照射用于几种常见软组织损伤痛的疗效观察

THERAPEUTIC EFFECTS OF LOCAL BLOCK COMBINED WITH SUPER-LIZER IRRADIATION ON PAIN INDUCED BY SOFT TISSUE INJURY

目的 :观察局部阻滞和直线偏光近红外线治疗仪照射单独或联合用于治疗几种常见软组织损伤痛的临床效果。方法 :选择诊断明确的几种软组织损伤痛病人 90例 ,随机分为三组 ,每组 30例 ,分别接受局部阻滞 (L组 )、直线偏光近红外线治疗仪 (S L)照射 (S组 )或二者联合应用 (L +S组 )。疗效判定采用视觉模拟评分法 (VAS)。分别记录每个病人治疗前后的最高VAS值、治疗次数及副反应发生情况。随访 3～ 8个月 ,记录复发情况。结果 :三组病人的年龄、性别及治疗前VAS值的差异无统计学意义。三种治疗方法对慢性软组织损伤痛均有较好疗效 ,总有效率均在80 %以上。但L +S组在治疗后VAS下降率及总有效率明显好于L组和S组 ;L +S组的局部阻滞次数明显少于L组的次数 ,S L照射次数少于S组的次数 ,复发率明显低于L组和S组 ;P <0 .0 5。结论 :三种治疗方法对该类疾病均有良好效果 ,但相比较而言 ,局部阻滞和S L照射联合应用优于单独应用 。

Objective: To observe the therapeutic effects of local block combined with Super Lizer(S L) irradiation on pain from soft tissue injury. Methods: 90 patients with soft tissue pain from the pain clinic were randomly divided into 3 groups: local block group(L), S L group(S) and local block combined with S L group(L+S). They were treated by local block, S L or both respectively. The therapeutic effects were evaluated by Visual Analog Scale (VAS). The number of treatment, recurrence rate and complication of each group were recorded. Results: The value of VAS decreased significantly after treatment in all three groups ( P <0.05), but the declined rate and the total effective rate of the L+S group were better than those of the others ( P <0.05). The number of treatment and the recurrence rate were less in the L+S group than the other groups( P <0.05). Conclusions: Local block combined with S L can improve the therapeutic effect, reduce the recurrence rate and shorten the course of disease. This is one of the ideal therapeutic methods to treat soft tissue injury pain.