斜方肌激痛点活检复合注射疗法治疗肌筋膜疼痛综合征的疗效

被引:4
作者
郭亚秋 [1 ]
齐峰 [1 ]
胡启雅 [1 ]
王姿 [1 ]
郭静旋 [1 ]
黄海真 [1 ]
丁超 [1 ]
潘新 [2 ]
张力 [2 ]
机构
[1] 山东大学齐鲁医院麻醉科
[2] 山东大学齐鲁医院骨外科
关键词
肌筋膜疼痛综合征; 肌筋膜激痛点; 注射; 肌肉活检;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
观察斜方肌激痛点活检复合注射疗法治疗肌筋膜疼痛综合征(MPS)的疗效是否优于单纯注射治疗。选择MPS患者60例,随机分为激痛点活检复合镇痛液注射治疗组(BI组)和单纯镇痛液注射治疗组(IT组),每组30例。BI组患者行激痛点活检,并于活检处行镇痛液注射疗法;IT组患者仅于激痛点处行镇痛液注射治疗。评定患者治疗前和治疗后即刻、7天、14天、21天及28天疼痛视觉模拟评分(VAS),治疗后3个月的临床有效率以及和治疗有关的不良反应。结果两组治疗后VAS评分与治疗前相比均降低(P<0.05),从治疗后14天起BI组VAS评分低于IT组(P<0.05)。治疗3个月后BI组有效率高于IT组(P<0.05)。BI组出现1例不良反应患者。激痛点活检复合注射疗法是治疗肌筋膜疼痛综合征有效的方法,且长期疗效优于单纯注射疗法。
引用
收藏
页码:25 / 27
页数:3
相关论文
共 8 条
[1]   Myofascial Pain Syndrome Treatments [J].
Borg-Stein, Joanne ;
Iaccarino, Mary Alexis .
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA, 2014, 25 (02) :357-+
[2]  
Probable Mechanisms of Needling Therapies for Myofascial Pain Control.[J].Li-Wei Chou;Mu-Jung Kao;Jaung-Geng Lin;Chang-Zern Hong.Evidence-Based Complementary and Alternative Medicine.2012,
[3]   Therapeutic Effects of Lidocaine Patch on Myofascial Pain Syndrome of the Upper Trapezius A Randomized, Double-Blind, Placebo-Controlled Study [J].
Lin, Yu-Ching ;
Kuan, Ta-Shen ;
Hsieh, Pei-Chun ;
Yen, Wei-Jang ;
Chang, Wen-Chen ;
Chen, Shu-Min .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2012, 91 (10) :871-878
[4]   Comparison of High-Power Pain Threshold Ultrasound Therapy With Local Injection in the Treatment of Active Myofascial Trigger Points of the Upper Trapezius Muscle [J].
Unalan, Halil ;
Majlesi, Javid ;
Aydin, Filiz Yildiz ;
Palamar, Deniz .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2011, 92 (04) :657-662
[5]   CHIROPRACTIC MANAGEMENT OF MYOFASCIAL TRIGGER POINTS AND MYOFASCIAL PAIN SYNDROME: A SYSTEMATIC REVIEW OF THE LITERATURE [J].
Vernon, Howard ;
Schneider, Michael .
JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2009, 32 (01) :14-24
[6]  
Myofascial Trigger Points.[J].Elizabeth Demers Lavelle;William Lavelle;Howard S. Smith.Anesthesiology Clinics.2007, 4
[7]   Ropivacaine myotoxicity after single intramuscular injection in rats [J].
Amaniti, E ;
Drampa, F ;
Kouzi-Koliakos, K ;
Kapoukranidou, D ;
Pourzitaki, C ;
Tsalie, E ;
Vasilakos, D .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2006, 23 (02) :130-135
[8]  
Interrater reliability in myofascial trigger point examination.[J].Robert D Gerwin;Steven Shannon;Chang-Zern Hong;David Hubbard;Richard Gevirtz.Pain.1997, 1