小针刀对颈背部肌筋膜炎患者疼痛及肌电图影响的临床研究

目的：探讨分析小针刀治疗颈背部肌筋膜炎的临床疗效及对肌电活动的影响.方法：选取在我院接受治疗的80例颈背部肌筋膜炎患者,经诊断均符合颈背部肌筋膜炎诊断标准,将这80例患者随机分为实验组与对照组,每组各40例,实验组患者采用小针刀治疗,对照组使用药物治疗即口服盐酸乙哌立松片,观察对比两组患者治疗前后疼痛 VAS 评分、疼痛积分、压痛积分及颈背部肌肉肌电活动情况,以及治疗效果.结果：两组患者经治疗后病情均较治疗前有所好转,实验组的疗效明显优于对照组,治疗后主要症状、体征得到改善,疼痛积分及肌肉痉挛均优于对照组,P〈0.05,差异具有统计学意义.结论：小针刀治疗操作简单,疗效显著,费用低廉,且作用于病灶准确,兼具针与刀的优势,创伤小,可迅速解除局部粘连,缓解肌肉痉挛,缓解疼痛,是一种治疗颈背部肌筋膜炎的有效方法,值得进一步推广应用.

Objective： To investigate the clinical efficacy analysis of small knife back of the neck muscle fasciitis and its influence on myoelectric activity.Methods：Select in our hospital treated 80 cases of neck and back muscle fasciitis patients diagnosed are in line with neck and back muscle fasciitis diagnostic criteria, these 80 patients were randomly divided into experimental and control groups, each group 40 cases, small experimental group were treated with acupuncture therapy, the control group treated with drugs that is eperisone hydrochloride oral tablets, compared two groups of patients before and after treatment of pain VAS score, pain score, tenderness integration integral part of the back and neck muscles myoelectric activity , as well as treatment. Results：Two groups of patients after a course of treatment before the condition has improved than before treatment, the efficacy of the experimental group than the control group after treatment, the main symptoms and signs improved, pain score, integration and muscle spasms than the control group, P 〈0.05, the difference was statistically significant. Conclusion：Small knife treatment for operation, a significant effect, low cost, and the role of the lesion accurately, the advantages of both needles and knives, trauma, rapidly relieve local adhesions, relieve muscle spasms, relieve pain, is a treatment for neck and back muscles effective way fasciitis is worthy of further promotion and application.