冲击波复合激痛点注射对颈肩肌筋膜疼痛综合征的治疗效果观察

Treatment Effects Observation of Neck and Shoulder Myofascial Pain Syndrome Treated by Blast Waves Combined with Trigger Point Injections

目的探讨和分析冲击波复合激痛点注射对颈肩肌筋膜疼痛综合征的治疗效果。方法选取2013年10月-2016年10月期间在巴州人民医院接受治疗的48例资料完整的颈肩肌筋膜疼痛综合征患者作为研究对象,随机分为两组,每组24例患者。实验组进行冲击波复合激痛点注射治疗,对照组进行激痛点注射治疗,对两组患者进行治疗前(T_前)、治疗后(T_后)及3周后(T_1-T_3)的疼痛评分、治疗效果对比评价。结果与治疗前相比,两组T_后~T_3VAS评分均表现降低(P﹤0.05);随着治疗时间延长和治疗次数的增加,两组的VAS评分呈逐渐降低的趋势(P<0.05);各治疗时间不同治疗观察组VAS评分显示,实验组均明显低于对照组(P<0.05)。实验组的优良率和有效率均明显高于对照组,组间差异明显(P<0.05);所有患者均安全耐受治疗过程,无不良事件发生。结论冲击波复合激痛点注射治疗具有损伤性小、安全、简便、疗效显著等优点,是治疗颈肩肌筋膜疼痛综合征较好的方法。

Objective To evaluate the treatment effects of neck and shoulder myofascial pain syndrome treated by blast waves combined with trigger point injections. Methods 48 patients with neck and shoulder myofascial pain syndrome were randomly divided into the treatment group （treated by blast waves combined with trigger point injections, n=24） and the control group （treated by trigger point injections, n=24）from October 2013 and October 2016 in the Xinjiang Bazhou People＇s Hospital. The visual analog scale（VAS） was used to evaluate the severity of the pain , the VAS of two groups were compared before treatment （T0）, after treatment （T1） and 3 weeks after treatment（T1-T3）. Results Compared with before treatment, the T1 - T3 VAS scores of two groups were lower（P 〈 0.05）; with the increase of treatment time and frequency, the VAS scores of two groups showed a tendency of deereasing（P 〈 0.05 ）; there were statistical differences in the VAS scores at different time points after the treatment in two groups , the treatment group were significantly lower than that of the control group （P〈 0.05）, the good rate and effective rate of the treatment group were higher than that of the control group （ P 〈 0.05 ）. All patients were successfully treated with no adverse events. Conduslon As a new effective method to treat neck and shoulder myofaseial pain syndrome, blast waves combined with trigger point injections had the advantages of little tissue damage, safety, convenience and high curative effect.