渐进式肌肉放松训练治疗纤维肌痛综合征疗效观察

Efficacy of progressive muscular relaxation for patients with fibromyalgia syndrome

目的探讨渐进式肌肉放松训练对纤维肌痛综合征(FS)患者的疗效。方法将60例FS患者按随机数字表法分为实验组和对照组,各30例。两组患者均接受常规治疗。对照组患者接受常规护理,实验组患者在常规护理基础上进行渐进式肌肉放松训练,在治疗前、治疗后1周运用疼痛视觉模拟量表(VAS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)分别评估疼痛、焦虑、抑郁情况,比较两组疗效的差异。结果治疗前两组患者VAS、HAMA、HAMD评分比较均无统计学差异(均P>0.05)。组内治疗前后比较,实验组VAS、HAMA、HAMD评分均低于治疗前(均P<0.05);对照组VAS、HAMA评分均低于治疗前(均P<0.05),而HAMD评分治疗前后比较无统计学差异(P>0.05)。治疗后两组比较,实验组VAS、HAMA、HAMD评分均低于对照组(均P<0.05)。结论渐进式肌肉放松训练不仅可以缓解FS患者的疼痛症状,也能改善患者的焦虑和抑郁情绪,值得在临床中推广应用。

Objective To assess the efficacy of progressive muscular relaxation for patients with fibromyalgia syndrome. Methods Sixty patients with fibromyalgia syndrome were randomly allocated in two group： 30 patients received routine nursing （control group）, and 30 patients received progressive muscular relaxation in addition to routine nursing（study group）. Visual Ana- log Scales for pain（VAS）, Hamilton Anxiety Scale （HAMA） and Hamilton Depression Scale（HAMD） were used for assessment be- fore and one week after treatment. Results There were no significant differences in scores of three scales before treatment be- tween two groups （all P 〉0.05）. In study group, the scores of three scales were significant decreased after rehabilitation training （all P〈0.05）; in control group, VAS and HAMA scores were improved after nursing （P〈0.05, respectively）, but there was no change in HAMD score. VAS, HAMA, HAMD scores in study group were significantly lower than those in control group after inter- vention （all P〈0.05）. Conclusion Progressive muscular relaxation can effectively improve pain, anxiety and depression in pa- tients with fibromyalgia.