缺血性按压治疗肌筋膜疼痛综合征的研究现状

Research Status of Ischemic Compression for Myofascial Pain Syndrome

肌筋膜疼痛综合征又称肌筋膜炎,是由肌筋膜触发点引起的常见的软组织疼痛疾病,形成原因包括各种急慢性损伤、营养缺乏、遗传及心理压力等。其临床症状包括自发性疼痛、局部或远处的牵涉痛、关节活动受限及一些自主神经反应,对患者的生活、工作与学习造成了一定的影响。灭活触发点是治疗肌筋膜疼痛综合征的关键,治疗方式包括针刺、注射、肌肉能量技术及超声等,其中缺血性按压因其非介入性、安全可靠等特点越来越多地被应用到临床上,其是通过治疗者手指或借助其它器械对触发点处进行持续按压,依靠力学的作用松解挛缩的结节并改善局部血液循环。本文就缺血性按压的一些相关机制、方法及治疗效果进行了研究,结果显示缺血性按压有着比对照组更好的治疗效果,而与其它治疗方式相比,不同的研究结果有所差异,需要进一步定量分析。

Myofascial pain syndrome also known as myofascitis is a kind of common soft tissue pain disease caused by myofascial trigger points,which causes include acute and chronic injuries, nutritional deficiency, genetic factors, mental pressure and so on. The symptoms of myofascial pain syndrome include spontaneous pain, local or distant referred pain, limited joint movement and some vegetative reactions, which will impact on patients＇ lives, work and study. Inactivation of trigger points is the key of treatment for myofascial pain syndrome, acupuncture, injection, muscle energy techniques and ultrasound are its common methods, among which ischemic compression, a kind of treatment that continuously pressing the trigger points by therapist＇s fingers or other instruments to loose contracted nodules and improve local blood circulation depends on the effect of mechanics, has been more and more used in clinical practice because of its characteristics of non-invasive, safe and reliable. The article has studied on the related mechanism, methods and effect of ischemic compression, and the result shows that the ischemic compression has better therapeutic effect than control groups; but compared with other treatments, results of different studies have divergence, which means further quantitative analysis is needed.