悬吊推拿运动技术联合易罐治疗腰背部肌筋膜疼痛综合征临床观察

Clinical Observation of Suspension and Massage Combined Easy Canning Technique on Lumbar Dorsal Myofascial Pain Syndrome Therapy

目的:探讨悬吊推拿运动技术联合易罐疗法对腰背部肌筋膜疼痛综合征(MPS)的临床疗效。方法:将60例腰背部MPS患者按照随机数字表法分为治疗组和对照组各30例。治疗组使用悬吊推拿运动技术联合易罐疗法,对照组只使用易罐疗法,在治疗前、治疗2个疗程末和治疗后1个月,分别用简化Mc Gill量表和肌肉骨骼超声(MSUS)评定患者疼痛程度、患侧腰大肌和腰方肌的肌肉厚度改变情况。结果:治疗2个疗程末,2组患者的简化Mc Gill疼痛量表评分较治疗前均明显降低,治疗组优于对照组(P<0.05);2组患者患侧腰大肌、腰方肌的肌肉厚度较治疗前均有所增加,治疗组优于对照组(P<0.05);治疗后1个月康复回访,治疗组患者疼痛量表评分明显低于对照组,2组患者患侧腰大肌、腰方肌的肌肉厚度虽均有所减少,但治疗组患者肌肉厚度仍明显高于对照组(P<0.05)。结论:悬吊推拿运动技术联合易罐治疗腰背部MPS具有较好的疗效。

Objective： To explore the clinical efficacy of suspension and massage combined easy canning technique on lumbar dorsal myofascial pain syndrome therapy. Methods： A total of 60 patients with lumbar dorsal myofascial pain syndrome were randomly divided into joint therapy group and control group, with 30 cases in each group. The joint therapy group applied suspension and massage combined with easy canning therapy, the control group applied easy canning therapy only. Simplified Mc Gill Scale and Musculoskeletal Ultrasonography（MSUS） were applied before treatment, two courses of treatment and one month after treatment to assess the degree of pain in patients, changes in muscle thickness of the ipsilateral psoas muscle and the lumbar muscle. Results： At the end of second therapeutic course, the simplified Mc Gill pain scale scores of both groups were significantly lower than that before therapy,the efficacy of joint therapy group was superior to that of control group（P〈0.05）. The thickness of ipsilateral psoas muscle, lumbar muscles in both groups increased significantly than that before treatment, the joint therapy group was superior to that of the control group（P〈0.05）; The pain score of the joint therapy group was significantly lower than that of control group after one month of recovery. Although the thickness of ipsilateral psoas muscle and lumbar muscle all decreased, the muscle thickness of joint therapy group was still significantly higher than that of control group（P〈0.05）. Conclusion： Suspension and massage combined with easy canning therapy has a better curative effect on the treatment of lumbar dorsal myofascial pain syndrome.