小针刀激痛点治疗颈肩肌筋膜疼痛综合征的临床研究

Clinical study on the treatment of cervical and shoulder muscle fascia pain syndrome with small needle-knife

目的:观察小针刀激痛点(Trigger point,TrPs)治疗颈肩肌筋膜疼痛综合征的临床疗效。方法:将90例颈肩肌筋膜疼痛综合征患者随机分为治疗组和对照组。治疗组采用小针刀TrPs治疗,对照组采用普通针刺治疗。观察治疗前后疼痛视觉模拟评分法(visual analogue scale,VAS)、Roland-Morris功能障碍问卷表(Roland-Morris Dysfunction Questionnaire,RMDQ)评分,分析临床疗效。结果:治疗组治疗后VAS评分、RMDQ评分均较对照组下降明显,差异具有统计学意义(P<0.05)。治疗组总有效率为88.89%(40/45),对照组为75.56%(34/45),两组总有效率差异具有统计学意义(P<0.05)。结论:小针刀TrPs能明显缓解颈肩MPS患者的不适,临床疗效显著。

Objective:To observe the clinical efficacy of cervical and shoulder muscle fascia pain syndrome with small needle-knife.Methods:90 patients with neck and shoulder MPS were randomly divided into treatment group and control group.The treatment group was treated with small needle-knife on TrPs,and the control group was treated with conventional acupuncture for a total of one course of treatment.The changes of the visual analogue scale(VAS)and Roland-Morris Dysfunction Questionnaire(RMDQ)scores of the two groups of MPS patients before and after treatment were observed.The clinical efficacy of the two groups was analyzed.Results:The VAS score and RMDQ score of patients with MPS in the treatment group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The total effective rate of patients with MPS in the treatment group was 88.89%(40/45),and that in the control group was 75.56%(34/45).The difference in total effective rate between the two groups was statistically significant(P<0.05).Conclusion:Small needle-knife TrPs can significantly relieve the symptoms of neck and shoulder MPS patients,and the clinical effect is significant.Worth further research.