体外冲击波治疗肌筋膜疼痛综合征的效果

Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain Syndrome

目的:研究体外冲击波疗法(ESWT)治疗肌筋膜疼痛综合征(MPS)的效果。方法:选取2022年1月—2023年3月建德市第一人民医院收治的MPS患者124例作为研究对象,其中颈肩部疼痛61例,随机分为NI组(n=30,颈部注射治疗)、NS组(n=31,颈部ESWT联合注射治疗);腰背部疼痛63例,随机分为BI组(n=32,腰部注射治疗)与BS组(n=31,腰部ESWT联合注射治疗)。比较注射治疗组(NI与BI组,n=62)、体外冲击波组(NS与BS组,n=62)疼痛数字评分(NRS)、炎性因子水平,BI组与BS组Oswestry功能障碍指数(ODI),NI组与NS组颈部运动范围(ROM)。结果:治疗后,注射治疗组与体外冲击波组NRS评分、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)水平均低于治疗前,注射治疗组NRS评分、TNF-α与IL-1β水平高于体外冲击波组,差异有统计学意义(P<0.05);治疗后,BI组与BS组ODI评分均低于治疗前,且BS组ODI评分低于BI组,差异有统计学意义(P<0.05);治疗后,NI组与NS组屈曲、伸展、旋转ROM均高于治疗前,且NS组高于NI组,差异有统计学意义(P<0.05)。结论:与单独实施注射治疗相比,联合应用ESWT有助于促进MRS患者缓解疼痛、炎性反应,治疗效果显著。

Objective:To investigate the effect of extracorporeal shock wave therapy(ESWT)on myofascial pain syndrome(MPS).Methods:A total of one hundred MPS patients admitted to the Jiande First People's Hospital from January 2022 to March 2023 were selected as the study objects.Sixty-one patients with neck and shoulder pain were randomly divided into NI group(n=30,neck injection treatment)and NS group(n=31,neck ESWT combined with injection treatment).Sixty-three patients with low back pain were randomly divided into BI group(n=32,lumbar injection)and BS group(n=31,lumbar ESWT combined with injection).The Numerical Rating Scale(NRS)and the levels of inflammatory factors were compared between the injection treatment group(NI group and BI group,n=62)and the extracorporeal shock wave group(NS group and BS group,n=62),Oswestry disability index(ODI)was compared between BI group and BS group,and range of motion(ROM)was compared between NI group and NS group.Results:After treatment,NRS scores,tumor necrosis factor-α(TNF-α)and interleukin-1β(IL-1β)levels in injection treatment group and extracorporeal shock wave group were lower than before treatment,the NRS score,TNF-αand IL-1βlevels in injection treatment group were higher than those in extracorporeal shock wave group,and the differences were statistically significant(P<0.05);after treatment,ODI scores in BI group and BS group were lower than before treatment,and ODI scores in BS group were lower than BI group,the difference was statistically significant(P<0.05);after treatment,the flexion,extension and rotation ROM in NI group and NS group were higher than before treatment,and NS group was higher than NI group,the difference was statistically significant(P<0.05).Conclusion:Compared with injection therapy alone,the combined application of ESWT can promote the relief of pain and inflammatory response in MRS Patients,and the therapeutic effect is significant.