针刺与利多卡因阻滞治疗颈背部肌筋膜扳机点比较研究

A Comparative Study Between Acupuncture and Lidocaine Block Treatment for Back of the Neck Myofascial Trigger Point

目的比较运用针刺与利多卡因阻滞治疗颈背部肌筋膜扳机点的临床疗效。方法收集菏泽市第二人民医院2013年5—12月MPS患者100例,通过PEMS3.1软件按照1:1的比例获取随机数字,随机将患者分为针刺组和对照组,每组50例。结果针刺组与对照组在治疗前VAS比较差异无统计学意义(P>0.05),两组治疗后1次以及治疗后3次均较治疗前降低(P<0.05)。针刺组与对照组在治疗后1次和3次差异无统计学意义(P>0.05)。针刺组与对照组在治疗前NDI比较差异无统计学意义(P>0.05),两组治疗后1次以及治疗后3次均较治疗前降低(P<0.05)。针刺组与对照组在治疗后1次和3次差异无统计学意义(P>0.05)。针刺组与对照组在治疗前PPDT与PPTO比较差异无统计学意义(P>0.05),两组治疗1次后以及治疗3次后PPDT与PPTO均较治疗前降低(P<0.05)。针刺组与对照组在治疗后1次和3次差异无统计学意义(P>0.05)。结论针刺扳机点可降低VAS和NDI,提高患者的压痛阈和耐痛阈,临床效果明显,且无明显的不良反应,是治疗颈背部MPS的一种有效的可供选择的方法。

Objective To compare the clinical efficacy between acupuncture and lidocaine block for the treatment of back of the neck myofascial trigger point. Methods 100 cases of patients with MPS admitted in Heze Second People＆#39;s Hospital from May, 2013 to December, 2013 were selected. A random number was obtained by PEMS3.1 software in accordance with the ratio of 1：1, and the patients were randomly divided into acupuncture group and control group with 50 cases in each. Results The difference in pre-treatment VAS between the acupuncture group and the control group was statistically significant （P〉0.05）, and after 1 time, 3 times of treatment, VAS of both groups were lower than before treatment（P〈0.05）. After 1 time and 3 times of treatment, the differences in VAS between the two groups were not statistically significant（P〉0.05）. Before treatment, the difference in NDI between the acupuncture group and the control group was statistically significant（P〉0.05）, after 1 time and 3 times of treatment, the NDI of both groups were lower than those before treatment （P〈0.05）. The differences in NDI between the two groups after 1 time and 3 times of treatment were not statistically significant （P〉0.05）. Before treatment, the difference in PPDT and PPTO between the acupuncture group and the control group was statistically significant（P〉0.05）, after 1 time and 3 times of treatment, the PPDT and PPTO of both groups were lower than those before treatment （P〈0.05）. The differences in PPDT and PPTO between the two groups after 1 time and 3 times of treatment were not statistically significant （P〉0.05）. Conclusion Acupuncture the trigger point can reduce VAS and NDI, improve patient pressure threshold and pain tolerance threshold, the clinical effect is obvious with no significant adverse reactions, which is an effective method can be selected for the treatment of back of the neck MPS.