肌骨超声引导下微针刀联合中药离子导入治疗腰背肌筋膜疼痛综合征临床研究
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Clinical Study on Micro-acupotomology Guided by Musculoskeletal Ultrasound Com⁃ bined with Ion Conduction with Chinese Herbs for Myofascial Pain Syndrome
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    摘要:

    目的:观察在肌骨超声引导下微针刀联合中药离子导入治疗腰背肌筋膜疼痛综合征(MPS) 的临床效果。方法:将MPS患者74例随机分为对照组与治疗组,每组37例;对照组给予中药离子导入联合常规微针刀治疗,治疗组给予中药离子导入联合肌骨超声引导下微针刀治疗;2 组均以6 d 为1 个疗程,共治疗4 个疗程;观察比较2 组临床疗效及疼痛视觉模拟评分法(VAS) 评分、腰椎JOA 评分。结果:临床疗效优良率治疗组为81.1%,对照组为59.5%,2 组比较,差异有统计学意义(P<0.05)。治疗1 个疗程、4 个疗程,2 组疼痛VAS 评分均较治疗前明显降低(P<0.05),且治疗组VAS 评分均低于对照组(P<0.05)。治疗1 个疗程、4 个疗程,2 组患者JOA 评分均较治疗前明显升高(P<0.05),且治疗组JOA 评分高于对照组(P<0.05)。结论:应用肌骨超声精确定位进行微针刀联合中药离子导入治疗MPS,可有效提高临床疗效,减轻腰背疼痛,改善腰部功能。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of micro- acupotomology guided by musculoskeletal ultrasound combined with ion conduction with Chinese herbs for myofascial pain syndrome(MPS). Methods: A total of 74 MPS patients were randomly divided into the control group and the treatment group, 37 cases in each group. The control group was treated with ion conduction with Chinese herbs combined with conventional micro-acupotomology;the treatment goup was treated with ion conduction with Chinese herbs combined with micro- acupotomology guided by musculoskeletal ultrasound. Both groups were treated for four courses,6 days being one course. The clinical effect and the score of Visual Analogue Scale(VAS) and Japanese Orthopaedic Association in the two groups were observed and compared. Results:The excellent and good rate of clinical effect was 81.1% in the treatment group and 59.5% in the control group,the difference being significant(P<0.05). After one course and four courses of treatment,the VAS scores in both groups were significantly decreased when compared with those before treatment(P<0.05),and the VAS score in the treatment group was lower than that in the control group(P<0.05). After one course and four courses of treatment, JOA scores in both groups were significantly significantly increased when compared with those before treatment(P<0.05), and JOA score in the treatment group was higher than that in the control group(P < 0.05). Conclusion : The therapy of micro-acupotomology guided by musculoskeletal ultrasound combined with ion conduction with Chinese herbs for MPS,can effectively improve the clinical effect,reduce the lower back pain and improve the function of the waist.

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张磊,金春强,黄莉莉,李吉胜,高峰,汪海东.肌骨超声引导下微针刀联合中药离子导入治疗腰背肌筋膜疼痛综合征临床研究[J].新中医,2020,52(10):65-67

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  • 在线发布日期: 2020-05-26
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