体外冲击波疗法治疗肌筋膜疼痛综合征研究进展  

Research Overview of Extracorporeal Shock Wave Therapy for Myofascial Pain Syndrome

作　　者：席敬琪 李宏宇 XI Jingqi;LI Hongyu(Guangxi University of Traditional Chinese Medicine,Nanning 530000,Guangxi,China;Guangxi Bone Injury Hospital,Nanning 530000,Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530000 [2]广西骨伤医院,广西南宁530000

出　　处：《辽宁中医药大学学报》2023年第6期123-126,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2020001)。

摘　　要：肌筋膜疼痛综合征是临床常见的慢性肌肉疼痛综合征之一,其发病机制尚不明确,临床上对于该病的诊断及治疗尚无统一的标准,目前对于肌筋膜疼痛综合征的治疗手段多样,大体可分为侵入性治疗和非侵入性治疗,主要有针灸、药物治疗、激痛点注射、推拿、体外冲击波、超声波、冷冻疗法等,或单独或多种治疗方法联合应用,多取得了显著的临床效果。该病复发率高,严重影响患者的日常生活质量,临床上一般采用多种治疗方式联合应用,相对于单一治疗方式有其独特的优势,治疗效果显著,且不易复发,可明显减轻患者疼痛,因此针对不同患者及疾病发展情况应选择适宜的治疗方式。体外冲击波疗法目前已广泛应用于治疗肌筋膜疼痛综合征,并取得良好的临床疗效;其通过传导作用将能量逐层传递,降低病变肌筋膜自发电活动;不仅可以改善肌筋膜触发点区域的血液循环状态,降低肌张力,还可促进损伤肌筋膜的修复;同时体外冲击波疗法还可提高肌肉的机械痛阈。文章将对体外冲击波疗法治疗肌筋膜疼痛综合征的可能机制及治疗效果做一综述。Myofascial pain syndrome is one of the most common chronic myofascial pain syndromes in clinic.Its pathogenesis is still unclear,and there is no unified standard for the diagnosis and treatment of this disease in clinic.Currently,there are various treatment methods for myofascial pain syndrome,which can be roughly divided into invasive treatment and non-invasive treatment.Acupuncture,drug therapy,pain point injection,massage,extracorporeal shock wave,ultrasound,cryotherapy,etc.,or single or multiple therapeutic methods combined application,most of them have achieved significant clinical effects.The disease recurrence rate is high,the serious influence the patients'quality of daily life,generally use a variety of clinical treatment in combination with application,relative to the single treatment has its unique advantages,treatment effect is remarkable,and not easy to relapse,patients can obviously reduce pain,so according to different patients and disease development should choose the suitable treatment.Extracorporeal shock wave therapy has been widely used in the treatment of myofascial pain syndrome and has achieved good clinical efficacy.It can transfer energy layer by layer through conduction and reduce the spontaneous electrical activity of myofascial membrane.It can not only improve the blood circulation in the trigger point area of myofascial membrane,reduce muscle tension,but also promote the repair of injured myofascial membrane.Extracorporeal shock wave therapy can also increase the mechanical pain threshold of muscles.This article reviews the possible mechanism and therapeutic effect of extracorporeal shock wave therapy for myofascial pain syndrome.

关 键 词：体外冲击波疗法 肌筋膜痛综合征 肌筋膜触发点 疼痛 治疗 

分 类 号：R259[医药卫生—中西医结合]