项背肌筋膜炎发病机制及治疗研究进展  

Advances in the Pathogenesis and Treatment of Collateral Dorsal Fasciitis

作　　者：仉培臻 郭锰[1] Zhang Peizhen;Guo Meng(Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学,吉林长春130117

出　　处：《亚太传统医药》2025年第1期204-209,共6页Asia-Pacific Traditional Medicine

基　　金：吉林省科技发展计划项目(20220203154SF)。

摘　　要：项背肌筋膜炎是近几年全球范围内频发的一种非特异性无菌性炎症,其临床发病特征以项背部肌肉组织疼痛、僵硬、运动受限为主。该病病情复杂,发病机制尚未明确,其病机假说主要涉及炎症因子、致痛物质、肌纤维粘连、痛阈改变等。目前现代医学治疗项背肌筋膜炎大多采用体外冲击波疗法、干扰电流疗法、经皮神经电刺激为主,还涉及运动疗法、药物疗法等。中医学则采用针灸推拿、中药汤剂等疗法进行治疗,主要通过调节组织肌肉血液循环、减轻神经压迫、抑制炎症反应等多种途径达到治疗效果。分析现代医学和中医学治疗项背肌筋膜炎的现状,论述项背肌筋膜炎的发病机制以及治疗方法,探讨现代医学和中医学对于该病的治疗方案以及临床治疗上存在的问题和不足,为防治项背肌筋膜炎提供参考。Myofasciitis is a non-specific aseptic inflammatory disease that has been occurring globally in recent years,and is characterized by pain,stiffness,and limitation of movement of the musculature of the back of the neck and neck.The disease is complex,and the pathogenesis is not yet clear,and its hypothesis mainly involves inflammatory factors,pain-causing substances,muscle fiber adhesions,and pain threshold changes.Currently,most modern medical treatments for dorsal myofasciitis are based on extracorporeal shock wave therapy,interferential current therapy,and transcutaneous electrical nerve stimulation,but also involve exercise therapy,drug therapy,etc.Traditional medicine adopts acupuncture,massage,Chinese herbal medicine,and other treatments,which can achieve therapeutic effects by regulating blood circulation of the tissues and muscles,alleviating neural compression,and inhibiting inflammatory reactions.Because of this,based on analyzing the current situation of modern medicine and traditional medicine in the treatment of dorsiflexion,the pathogenesis and treatment of dorsiflexion will be discussed,and the problems and deficiencies in the treatment of this disease in modern and traditional medicine will be explored,to provide a theoretical basis for the prevention and treatment of dorsiflexion.

关 键 词：项背肌筋膜炎 发病机制 治疗方案 综述 

分 类 号：R247.9[医药卫生—中医临床基础] R686.3[医药卫生—中医学]