气压弹道式冲击波复合激痛点臭氧注射对颈肩肌筋膜疼痛综合征的疗效观察

Therapeutic effect of pneumatic ballistic shock wave combined with painful point ozone injection on neck and shoulder muscle fascia pain syndrome

目的:观察体外气压弹道式冲击波复合激痛点臭氧注射对颈肩肌筋膜疼痛综合征的治疗效果。方法:收治颈肩肌筋膜疼痛综合征患者75例,随机平分3组,即F组(ESWT复合激痛点臭氧注射组)、C组(激痛点臭氧注射组)、Q组(气压弹道式冲击波组)。比较相关指标。结果:F组的优良率和有效率均明显高于C组和Q组(P<0.05);3组患者T_1～T_4不同时点与T_0时间点的VAS评分相比均有降低(P<0.05);在T_1～T_4各时点,F组均比C组及Q组同一时间点VAS评分低(P<0.05);F组及Q组治疗局部略红肿各2例,但无主观不适感;C组臭氧注射后不适感1例,经治疗室留观休息0.5 h后缓解。结论:ESWT复合激痛点臭氧注射治疗颈肩MPS结合了冲击波和臭氧的优点,是一种疗效确切、安全、患者易接受的治疗方式。

Objective:To observe the therapeutic effect of pneumatic ballistic shock wave combined with painful point ozone injection on neck and shoulder muscle fascia pain syndrome.Methods:75 patients with cervical and fascia fascia pain syndrome were randomly divided into the three groups,namely,the group F(the ESWT complex pain point ozone injection group),the group C(the exciting pain point ozone injection group),and the Q group(the pneumatic ballistic shock wave group).We compared relevant indicators.Results:The excellent rate and effective rate of the group F were significantly higher than those of the group C and the group Q(P<0.05).The T1~T4 at different time points of the three groups were lower than the VAS score at the T0 time point(P< 0.05).At each time point from T1 to T4,the F group had lower VAS scores than the C group and the Q group at the same time point(P<0.05).In the group F and the group Q,there were 2 cases of local redness and swelling,but no subjective discomfort,and 1 case of discomfort after ozone injection in the group C.After half an hour rest in the therapeutic room,the patients were relieved. Conclusion:ESWT combined with painful ointment injection for neck and shoulder MPS combined with the advantages of shock wave and ozone is an effective,safe and patient-acceptable treatment.