竖脊肌平面阻滞治疗竖脊肌肌筋膜疼痛综合征的效果  

Therapeutic Effect of Erector Spinae Plane Block on Treatment of Erector Spi⁃nae Myofascial Pain Syndrome

作　　者：刘露 金星[1] 闫清华[1] 邱绍雷 金文哲[1] LIU Lu;JIN Xing;YAN Qinghua;QIU Shaolei;JIN Wenzhe(Department of Pain,Affiliated Hospital of Yanbian University,Yanji,Jilin Province 133000;Department of Orthopedics,Antu Traditional Chinese Medicine Hospital,Antu,Jilin Province 133600,China)

机构地区：[1]延边大学附属医院疼痛科,吉林延吉133000 [2]安图县中医医院骨科,吉林安图133600

出　　处：《吉林医药学院学报》2024年第4期261-263,268,共4页Journal of Jilin Medical University

基　　金：延边大学校企合作项目(ydxq202314);吉林省卫生与健康适宜技术推广项目(2020S001;2016S037);吉林省卫生计生适宜技术扶贫项目(No2018FP047)。

摘　　要：目的探讨超声引导下竖脊肌平面阻滞治疗竖脊肌肌筋膜疼痛综合征的疗效。方法选择2021年6月至2023年6月期间在医院治疗的60例竖脊肌肌筋膜疼痛综合征患者,随机分为传统痛点阻滞组(F组)和筋膜平面阻滞组(FB组),每组30例,比较两组治疗后视觉模拟评分法(visual analogue scale,VAS)和疼痛缓解有效率。结果两组患者的VAS评分较治疗前评分均下降(P<0.05)。与F组比较,治疗后的各时间点,FB组治疗效果较好,疼痛缓解率高(P<0.05)。结论竖脊肌平面阻滞可有效缓解竖脊肌肌筋膜疼痛综合征患者的疼痛,治疗效果优于痛点阻滞。Objective To explore the therapeutic effect of ultrasound-guided plane block of the erector spinae muscle in the treatment of erector spinae myofascial pain syndrome.Methods Sixty patients with erector spinae myofascial pain syndrome who were treated in the hospital between June 2021 and June 2023 were randomly divided into a traditional pain point block group(F group)and a fascial plane block group(FB group),with 30 cases in each group.The visual analog scale(VAS)and pain relief efficacy were compared between the two groups after treatment.Results The VAS scores of both groups of patients decreased compared to before treatment(P<0.05).Compared with Group F,the FB group showed better therapeutic effects and higher pain relief rates at various time points after treatment(P<0.05).Conclusion Vertical spinal plane block can effectively alleviate pain in patients with vertical spinal myofascial pain syndrome,and the treatment effect is better than pain point block.

关 键 词：竖脊肌平面阻滞 肌筋膜疼痛综合征 麻醉 传导阻滞 慢性疼痛 

分 类 号：R614[医药卫生—麻醉学]