脊柱肌筋膜疼痛综合征的研究现状与方向  

Research status and direction of spine myofascial pain syndrome

作　　者：郭瑛[1] 云雄[1] GUO Ying YUN Xiong(Department of Orthopedics ,No.187 Hospital of CPLA, Haikou Hainan,571159 ,China)

机构地区：[1]中国人民解放军第187中心医院脊柱外科,海南海口571159

出　　处：《职业与健康》2017年第16期2294-2296,共3页Occupation and Health

基　　金：海南省自然科学基金(20168345);海南省医药卫生科技项目(1440320.27A2004)

摘　　要：肌筋膜疼痛综合征主要指局部区域的肌肉因对抗被动牵张而产生的可重复性的肌紧张及触压痛等症状,肌筋膜疼痛的显著特征是局部存在可触及的敏感区域称之为激发点,脊旁肌肉僵硬、休息时的自发性收缩活动、血流量变少及肌肉力量变弱均认为是激发点的标志,而前两者表明激发点紧张带已经形成。肌筋膜疼痛综合征具体的病因及发病机制至今仍未完全阐明,推测可能与隐匿性因素如姿势不良、持续肌紧张及生物力学失衡等相关,也可能由椎间关节活动度减少后肌肉负荷增大引起。其治疗主要由对症的保守治疗为主,包括制动、理疗、局部注射药等。该文将目前对于肌筋膜疼痛综合征相关研究热点问题和取得的成果及未来的工作方向进行综述。The myofascial pain syndrome（MPS）refers to repetitive muscle tension and touch tenderness of the local area of the muscles due to fight against the passive stretch. A significant feature of myofascial pain is the presence of a palpable sensory region called myofascial trigger points（MTr Ps）. Spinal paraspinal muscle stiffness,resting spontaneous contraction,less blood flow and muscle strength are considered to be a sign of MTr Ps,while the first two indicate the MTr Ps of tension has been formed.The specific etiology and pathogenesis of MPS has not yet fully elucidated,presumably is related to some occult factors,such as poor posture,sustained muscle tension and biomechanical imbalances,also may be caused by decreased intervertebral joint activity resulting in increased muscle load. The main therapy is conservative treatment,including braking,physical therapy and local injection. The article reviews the hot spot question,as well as the achievement,and the future work direction of MPS.

关 键 词：脊柱 肌筋膜 疼痛 

分 类 号：R181.32[医药卫生—流行病学]