针刀治疗枕下肌肌筋膜疼痛综合征临床观察

Clinical Observation of Suboccipital Myofascial Pain Syndrome by Needle-knife

目的观察小针刀治疗枕下肌肌筋膜疼痛综合征的临床疗效。方法将60例患者按随机数字表法分为两组,各30例。治疗组运用小针刀松解枕下肌方法治疗,对照组予经筋针刺治疗,对比治疗前后临床症状的改善情况。结果治疗组临床总有效率为96.67%,高于对照组的70.00%(P<0.05),两组治疗后视觉模拟量表(VAS)评分、颈椎活动度以及伴随症状总评分均较治疗前明显降低(P<0.05),治疗组改善优于对照组(P<0.01)。结论小针刀松解枕下肌治疗可明显改善枕下肌筋膜疼痛综合征临床症状,疗效确切。

Objective： To observe the clinical curative effect of treating the suboccipital myofascial pain syndrome by releasing the suboccipital muscles using the small needle-knife. Methods： 60 cases of suboccipital muscles myofascial pain syndrome were randomly divided into two groups,the treatment group with small needle knife suboccipital muscles loose solution treatment,and the control group with the reinforcement of acupuncture treatment. The clinical symptoms were compared in two groups before and after treatment. Results： The total effective rate was 96.67% in the treatment group, and it was 70.00% in the control group. These indicators in two groups were decreased obviously in two groups including the VAS pain score, the cervical spine mobilitya and the concomitant symptom scores （P 〈 0.05）. Their improvments in the treatment group were superior to those in the control group （P〈 0.01 ）. Conclusion： It is effective of the small needle-knife therapy in the clinical symptoms improvments of the suboccipital myofascial pain syndrome.