亚甲蓝痛点阻滞治疗腰部疼痛性疾病的临床观察  

Clinical observation of trigger point block with methylene blue on pain diseases in lumbar region

作　　者：杨德荣[1] 刘芳[1] 胡静[1] 

机构地区：[1]沈阳市辽宁省人民医院麻醉科,疼痛科,110016

出　　处：《实用疼痛学杂志》2006年第3期150-152,共3页Pain Clinic Journal

摘　　要：目的亚甲蓝加镇痛液与单纯镇痛液进行痛点阻滞治疗腰部疼痛性疾病的效果对比观察。方法选择120例腰部疼痛性疾病患者,用随机、单盲方法分成两组。Ⅰ组为试验组,60例,用亚甲蓝加镇痛液阻滞；Ⅱ组为对照组,60例,单用镇痛液阻滞。每组根据患者自诉和术者按压选1～3个压痛点,每点注射2～3ml。镇痛液由局麻药、维生素、激素组成。结果两组注射点数和注射镇痛液量差异无统计学意义(P＞0.05)。经3次阻滞后试验组治愈55例占91.7%,对照组治愈50例占83.3%,两组相比差异有统计学意义(P＜0.05)。结论亚甲蓝加镇痛液行痛点阻滞用于治疗疼痛性腰部疾病有很好的疗效。Objective To observe the curative effect of trigger point block with and without methylene blue on pain diseases in lumbar region. Methods 120 cases with pain diseases in lumbar region were selected and divided into two groups at random In group Ⅰ,an experimental group there were 60 cases handled trigger points block with methylene blue and analgesic mixture; in Group H,a controlled group there were 60 cases handled trigger points block with analgesic mixture only. According to complaints of the patients and the doctor＇s press 1 to 3 trigger points were selected for 2-3 ml of injection each point. Results There was neither obvious difference with trigger points of both groups nor with number of milliliters of analgesic mixture injected（P〉0. 05）. After three-time block the curative ratio in experimental group was 91.7% （55 cases） ,in group Ⅱ 83. 3% （50 cases）, and there was obvious difference in both groups （ P 〈0. 05 ）. Conclusion Good curative effects are taken by analgesic mixture trigger point block with methylene blue to treat pain diseeses in lumbar region.

关 键 词：亚甲蓝 触痛点 肌筋膜 神经传导阻滞 腰痛 

分 类 号：R402[医药卫生—临床医学]