银质针联合乙哌立松治疗腰部肌筋膜炎患者的临床疗效  

Clinical effects of silver needle combined with oral eperisone in the treatment of patients with psoas myofascitis

作　　者：胡琴琴 魏远江 李宜红 胡柳生 严雄 童赟 王礼彬 Hu Qinqin;Wei Yuanjiang;Li Yihong;Hu Liusheng;Yan Xiong;Tong Yun;Wang Libin(Department of Pain Medicine,Hospital of Jiujiang University,Jiujiang City,Jiangxi Province 332000,China)

机构地区：[1]九江学院附属医院疼痛科,江西省九江市332000

出　　处：《中华疼痛学杂志》2020年第4期282-285,共4页Chinese Journal Of Painology

摘　　要：目的探讨银质针联合乙哌立松治疗腰部肌筋膜炎的疗效与安全。方法收集2016年1月至2017年6月在九江学院附属医院疼痛科住院确诊为腰部肌筋膜炎的患者共80例,按随机数字表法分为银质针组和联合治疗组,每组40例。银质针组采用单纯银质针治疗;联合治疗组在银质针治疗的同时给患者口服乙哌立松。分别采用视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评分法在患者治疗前,治疗后1 d、1周及1、3、6个月时对患者腰背部疼痛及功能情况进行评估。治疗结束后1个月时根据VAS改善情况评价疗效。结果治疗前两组患者VAS评分及ODI评分比较差异无统计学意义(P均>0.05);治疗结束后1周及1、3、6个月时两组患者VAS评分及ODI评分均较治疗前明显降低(P均<0.05);联合治疗组VAS评分及ODI评分均低于银质针组(P均<0.05)。治疗结束后1个月时银质针组优效21例,良效12例,优良率82.5%;联合治疗组优效25例,良效11例,优良率90.0%;联合治疗组优良率明显高于银质针组(P<0.05)。两组均未见明显不良反应。结论银质针联合口服乙哌立松可有效缓解腰部肌筋膜炎患者临床症状,改善腰肌功能,治疗安全、有效。Objective To investigate the therapeutic effect and safety of silver needle combined with eperisone on psoas myofascitis.Methods Eighty patients with psoas myofascitis in the Department of Pain Medicine,Hospital of Jiujiang University from January 2016 to June 2017 were selected in this study.Patients were randomly divided into the combined group and the silver needle group with a random number table,40 cases in each group.Patients were treated with silver needle combined with oral eperisone in combined group,while patients were treated with silver needle only in silver needle group.Visual analogue scale(VAS)and Oswestry disability index(ODI)were used to evaluate the pain and function of patients'waist back before the treatment and at 1 day,1 week,1 month,3 months and 6 months after the treatment.The efficacy was evaluated according to the improvement of VAS at 1 month after the treatment.Results There was no statistically significant difference in VAS and ODI between the two groups before the treatment(all P>0.05).VAS and ODI were significantly lower in the two groups at 1 week,1 month,3 months and 6 months after the treatment than those before the treatment,with significant differences(all P<0.05).VAS and ODI were lower in the combined group than those in the silver needle group,with significant differences(all P<0.05).One month after the end of the treatment,the curative effect was evaluated by VAS.In the silver needle group,21 patients were excellent effect,12 good,and excellent and good rate of 82.5%.In the combined group,there were 25 cases excellent,11 cases good,and excellent and good rate of 90.0%,which was significantly higher than that in silver needle group(P<0.05).No serious complications were found during the treatment.Conclusion Silver needle combined with oral eperisone can effectively and safely relieve the clinical symptoms and improve psoas muscle function of patients with psoas myofascitis.

关 键 词：肌松弛药 中枢性 乙哌立松 腰骶部 筋膜炎 银质针 临床研究 

分 类 号：R686.3[医药卫生—骨科学]