超声引导银质针目标靶向治疗慢性肌筋膜疼痛综合征的疗效观察

Efficacy observation of ultrasound-guided silver needle acupuncture in the targeted treatment of chronic myofascial pain syndrome

目的观察超声引导银质针目标靶向治疗慢性肌筋膜炎的临床疗效。方法60例慢性肌筋膜炎患者采用数字随机法分为观察组和对照组各30例;观察组采用超声引导银质针目标靶向治疗,对照组采用密集型银质针治疗,两周1次,2次为一疗程。评价治疗后两组患者疗效、治疗前后Oswestry功能障碍指数(ODI)、血前列素E2、缓激肽浓度和治疗后不良反应发生情况。结果两组治疗后有效率均为100%;两组治疗后ODI均低于治疗前,且观察组低于对照组(P<0.05);血前列腺素E2及缓激肽浓度较治疗前降低,差异有统计学意义(P<0.05),两组治疗前后组间比较差异无统计学意义(P>0.05);两组均未发生感染病例,观察组血肿例数、麻木/运动神经损害例数低于对照组(P<0.05)。结论超声引导银质针目标靶向治疗慢性肌筋膜疼痛综合征与密集型银质针均能有效缓解疼痛症状,但前者功能改善更好,不良反应更少,值得临床推广。

Objective To observe the clinical efficacy of ultrasound-guided silver needle acupuncture in the targeted treatment of chronic myofasciitis.Methods Sixty patients with chronic myofasciitis were randomly divided into an observation group and a control group,30 in each group.The observation group received ultrasound guided silver needle target therapy,while the control group was used intensive silver needle treatment.The therapy was one time per two weeks,two times as a course.The curative effect,Oswestry disability index(ODI),blood prostaglandin E2,bradykinin concentration and the occurrence of adverse reactions after treatment were evaluated after treatment.Results The effective rate after treatment in both groups was 100%.After treatment,ODI in both groups was decreased significantly when compared with before treatment,and the observation group was lower than the control group(P<0.05).Blood prostaglandin E2 and bradykinin concentrations were lower than those before treatment,and the difference was statistically significant(P<0.05),but there was no significant difference between the two groups before and after treatment(P>0.05).There was no infection in both groups.The hematoma and numbness or motor nerve injury in the observation group were less than those in the control group(P<0.05).Conclusion Both ultrasound-guided targeted treatment and intensive silver acupuncture for chronic myofascial pain syndrome can effectively relieve pain.However,the former has better function improvement and fewer adverse reactions.It is worthy of clinical promotion.