三氧自体血+颈交感神经阻滞治疗胸背部MPS的效果

Effect of Ozone Autologous Blood+Cervical Sympathetic Block in the Treatment of Thoracic and Dorsal MPS

目的:探讨胸背部肌筋膜疼痛综合征(myofascial pain syndrome,MPS)患者应用三氧自体血+颈交感神经阻滞的效果。方法:选取2023年2月—2024年5月在钦州市第一人民医院疼痛科治疗的胸背部MPS患者42例,随机分为对照组、治疗组,各21例。对照组实施口服药物治疗+物理治疗,治疗组实施三氧自体血治疗+颈交感神经阻滞治疗。比较两组治疗成功率、生命体征、疼痛程度、炎症因子。结果:治疗组治疗成功率高于对照组,差异有统计学意义(P<0.05);治疗10 d后,治疗组血压、心率、呼吸频率均低于对照组,差异均有统计学意义(P<0.05);治疗前两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗3、7、10 d后,治疗组VAS评分均低于对照组,差异均有统计学意义(P<0.05);两组治疗前白细胞介素-6(IL-6)、白细胞介素-10(IL-10)水平比较,差异均无统计学意义(P>0.05);治疗10 d后,治疗组IL-6、IL-10水平均较对照组低,差异均有统计学意义(P<0.05)。结论:三氧自体血+颈交感神经阻滞在胸背部MPS患者中的应用效果显著,能快速缓解患者疼痛感,降低血压、心率及炎症因子水平。

Objective:To explore the effect of ozone autologous blood+cervical sympathetic block in patients with thoracic and dorsal myofascial pain syndrome(MPS).Method:A total of 42 patients with thoracic and dorsal MPS treated in Department of Pain,the First People's Hospital of Qinzhou from February 2023 to May 2024 were selected and randomly divided into control group and treatment group,with 21 cases in each group.The control group received oral drug therapy+physical therapy,and the treatment group received ozone autologous blood therapy+cervical sympathetic block therapy.The treatment success rate,vital signs,pain degree and inflammatory factors were compared between the two groups.Result:The treatment success rate of treatment group was higher than that of control group,the difference was statistically significant(P<0.05).After 10 days of treatment,the blood pressure,heart rate and respiratory rate of the treatment group were lower than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in visual analogue scale(VAS)score between the two groups before treatment(P>0.05).After 3,7 and 10 days of treatment,VAS scores in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the levels of interleukin-6(IL-6)and interleukin-10(IL-10)between the two groups before treatment(P>0.05).After 10 days of treatment,the levels of IL-6 and IL-10 in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of ozone autologous blood+cervical sympathetic block in patients with thoracic and dorsal MPS has significant effect,which can quickly relieve pain,reduce blood pressure,heart rate and inflammatory factors levels.