肌筋膜疼痛触发点治疗技术治疗腰背肌筋膜疼痛综合征疗效分析  

Effect of Trigger Point of Myofascial Pain for Treatment of Low Back Myofascial Pain Syndrome

作　　者：龙佳佳[1] 庄小强[1] 谭树生[1] 

机构地区：[1]广西民族医院,南宁530001

出　　处：《中国中医骨伤科杂志》2011年第12期36-37,40,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广西科学基金项目(合同编号:桂科自0832200)

摘　　要：目的:评价利用肌筋膜疼痛触发点治疗腰背肌筋膜疼痛综合征临床疗效的优越性。方法:将500例符合诊断标准的患者随机分为治疗组和对照组,每组250例,治疗组采用肌筋膜疼痛触发点治疗技术(针刺和推拿疗法)进行治疗,对照组采用替扎尼定进行治疗;2组治疗均隔日1次,7d为1个疗程;治疗8个疗程后,进行2组自身治疗前后对照,以及2组间疗效的比较。结果:2组自身治疗前后对照,各组疼痛指数、功能状态指数和硬结条索状物指数均降低(P<0.05);治疗组总有效率为95.60%;对照组总有效率为85.20%;2组疗效比较差异有统计学意义(P<0.05)。结论:采用肌筋膜疼痛触发点治疗技术治疗腰背肌筋膜疼痛综合征疗效明显,且优于替扎尼定的治疗效果,值得临床进一步研究和推广。Objective：To evaluate the superiority effect of trigger point of myofascial pain for treatment of low back myofascial pain syndrome. Methods： All 500 patients met the diagnostic criteria were randomly divided into treatment group and control group, with 250 cases in each group. The patients of treatment group were treated with trigger point of myofascial pain technology （acupuncture and massage therapy）, while the control group were treated with tizanidine, all the patients were treated every other day, for 7 days was a course of treatment. The two groups were compared each other before and 8 courses after treatment. Results： The index of pain, functional status, and induration cords were decreased after treatment in both groups （P〈0.05）. There were 100 cases cured （accounting for 40.00%）, 78 cases effective （accounting for 31.20%）, 61 cases improved （accounting for 24.40%）, and 11 cases ineffective （accounting for 4.40%）, with the total efficiency of 95.60% in the treatment group. While, there were 80 cases cured （accounting for 32.00%）, 92 cases effective （accounting for 36.80%）, 41 cases improved （accounting for 16.40%）, and 37 cases ineffective （accounting for 14. 80%）, with the total efficiency of 85.20% in the control group. The therapeutic effects was significant difference between two groups （P〈0.05）. Conclusion：It is effective for using trigger point of myofascial pain for treatment of low back myofascial pain syndrome, and which is superior to tizanidine therapeutic, so it is worthy for further research and extension.

关 键 词：肌筋膜疼痛触发点 肌筋膜疼痛综合征 针刺 推拿 替扎尼定 

分 类 号：R686.3[医药卫生—骨科学]