摘要
目的:探讨触发点针刺破坏术对前斜角肌综合征的治疗效果。方法:选取收治的前斜角肌综合征患者40例,随机分为A、B两组,两组患者均为口服糖皮质激素和非甾体类止痛药效果欠佳,经过患者同意后A组采用局部注射治疗,B组采用触发点针刺破坏术进行治疗,观察两组患者治疗效果、疼痛视觉模拟评分(VAS)、治疗后3个月回访复发率等指标。结果:B组患者总体治疗效果明显优于A组(P<0.05);VAS疼痛评分治疗前两组无明显差异,治疗后组内对比均有改善,组间对比B组的改善情况明显优于A组(P<0.05);治疗后3个月回访复发率B组则明显优于A组。结论:虽然采用局部封闭治疗能够迅速起到镇痛作用,但针刺肌筋膜疼痛触发点疗法效果更为显著,并且可长时间保证患者的前斜角肌综合征不复发,总体操作相对较为简单,且无任何不良反应和毒副作用,适宜在临床上大范围推广。
Objective： To investigate the effectiveness of dry needling into the myofacial trigger points （MTrPs）in patients with anterior scalene syndrome.Methods： Forty patients with anterior scalene syndrome,responded poorly to glucocorticoid or NSAID treatment,were randomly divided into two groups： 20 patients received partial injection therapy （Group A）,20 patients received dry needling into the trigger points （Group B）.The clinical effectiveness,visual analogue pain scale （VAS） and recurrence rate were assessed before and 3 months after the treatment.Results： All outcomes were improved significantly from baseline.When compared between groups,the overall treatment effects in group B was significantly better than those in the group A （P〈0.05）; VAS of two groups before treatment had no significant difference.The improvement was significantly greater in the group B than group A after treatment （P〈0.05）,and the recurrence rate of group B was significantly better than that of group A after treatment for 3 months.Conclusion： Injection therapy can play analgesic effect quickly,but the dry needling into trigger points may get significantly better treatment effect after the end of treatment without recurrence.Dry needling into MTr Ps treatment proves to be a simple,safe,effective and micropuncture approach for further clinical application for anterior scalene syndrome.
出处
《现代医学》
2017年第9期1275-1278,共4页
Modern Medical Journal
关键词
触发点
干针
注射疗法
前斜角肌综合征
临床疗效
trigger points
dry needling
injection therapy
anterior scalenus syndrome
clinical effectiveness
