两种不同镇痛方式对肌筋膜炎患者银质针治疗镇痛效果的影响

Comparison of two analgesia methods in silver needle therapy among patients with myofascitis

目的：探讨两种不同镇痛方式对肌筋膜炎患者银质针治疗的镇痛效果。方法本研究于2015年1月—2016年3月将符合纳入标准的181例患者按照随机数字表分为观察组和对照组。对照组90例，在治疗前1 h给予局部利多卡因软膏外涂及双氯芬酸钠盐酸利多卡因肌内注射；观察组91例，治疗前1 h给予局部利多卡因软膏外涂，进针前15 min静推氟比洛芬酯，再用氟比洛芬脂静脉滴注。采用视觉模拟评分法（VAS）评估两组患者治疗前、针刺时、治疗中、拔针时及治疗后1 d的疼痛程度，同时一个疗程结束后评价两组患者的临床疗效。结果对照组在针刺时及治疗中的疼痛评分分别为（7.71±0.80）、（6.71±1.17）分，观察组为（4.14±1.06）、（3.58±0.84）分，差异有统计学意义（P＜0.05）。治疗前、拔针时、治疗后1 d疼痛评分及临床疗效两组比较差异无统计学意义（P＞0.05）。结论肌筋膜炎患者接受银质针治疗时使用氟比洛芬酯注射液超前镇痛可有效缓解患者的疼痛症状，减轻针刺时的不适，提高患者的治疗依从性。

ObjectiveTo compare the effect of two analgesia methods in silver needle therapy among patients with myofascitis.Methods Totally 181 eligible patients with myofascitis were collected from January 2015 to March 2016 and were divided into observation group and control group by random number table. Patients in the control group （n=90） were given partial external lidocaine ointment and diclofenac sodium lidocaine hydrochloride intramuscular injection an hour before the treatment. Patients in the observation group （n=91） first received partial external lidocaine ointment an hour before the treatment,then received flurbiprofen axetil intravenous infusion and intravenous drip 15 minutes before the treatment. Visual analogue scale （VAS） was applied to evaluate the pain that before treatment,at the moment of acupuncture,during the treatment,at the moment of pulling out the needles,and a day after the treatment. Moreover,the clinical effect of two groups was also evaluated after a course of treatment.Results The VAS scores at the moment of acupuncture and during the treatment of the observation group were （7.71±0.80） and （6.71±1.17）,while the data in the control group were （4.14±1.06） and （3.58±0.84） （P〈0.05）. There were no significant differences in the VAS scores before treatment,after pulling out the needles,and a day after treatment,and the clinical effect between two groups （P〉0.05）.Conclusions Flurbiprofen axetil injection can effectively reduce the pain in silver needle therapy among patients with myofascitis and can also improve patients′ compliance.