超声引导下Pecs Ⅰ阻滞结合肌筋膜松解治疗胸小肌综合征的效果  

Effect of ultrasound-guided Pecs Ⅰ block combined with myofascial release on pectoralis minor syndrome

作　　者：吕海霞 胡玲 彭锦锦 Lyu Haixia;Hu Ling;Peng Jinjin(Department of Ultrasound,the First Afiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院超声科,河南洛阳471000

出　　处：《临床医学》2025年第2期6-9,共4页Clinical Medicine

基　　金：2024年度河南省医学科技攻关计划联合共建项目(LHGJ20240418)。

摘　　要：目的 探讨超声引导下PecsⅠ阻滞结合肌筋膜松解在胸小肌综合征中的应用效果,分析胸小肌治疗前后超声相关参数的变化。方法 选择2020年12月至2024年6月在河南科技大学第一附属医院确诊的60例胸小肌综合征患者为研究对象,按照随机数字表法分为观察组与对照组,每组30例。观察组采用超声引导下PecsⅠ阻滞结合肌筋膜松解,对照组采用传统封闭的方法,比较两组治疗后1、2、4周视觉模拟评分法(VAS)评分,比较两组治疗前后胸小肌厚度及厚度差值、治疗前后胸小肌羽状角及羽状角差值。结果 治疗前,两组VAS评分比较,差异未见统计学意义(P>0.05);治疗后1、2、4周,观察组VAS评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组胸小肌厚度及羽状角均小于治疗前,且观察组胸小肌厚度及羽状角均小于对照组,胸小肌厚度差值及羽状角差值均大于对照组,差异有统计学意义(P<0.05)。结论 胸小肌综合征患者采用超声引导下PecsⅠ阻滞结合肌筋膜松解疗法疗效确切,镇痛作用明显,胸小肌相关参数恢复确切,评估直观。Objective To investigate the application effect of ultrasound-guided Pecs Ⅰ block combined with myofascial release on pectoralis minor syndrome,and to analyze the changes of related parameters of ultrasound of pectoralis minor muscle before and after treatment.Methods A total of 60 patients with pectoralis minor syndrome diagnosed in the First Affiliated Hospital of Henan University of Science and Technology from December 2020 to June 2024 were selected and randomly divided into experimental group and control group,with 30 cases in each group.The experimental group was treated with Pecs I block combined with myofascial release under ultrasound guidance,while the control group was treated with traditional closure.The pain VAS scores of 1 week,2 weeks and 4 weeks after treatment were compared between the two groups,and the thickness and thickness difference of pectoralis minor muscle before and after treatment,and the feather angle and feather angle difference of pectoralis minor muscle before and after treatment were compared between the two groups.Results Before treatment,there was no significant difference in VAS scores between the two groups(P>0.05).At 1,2 and 4 weeks after treatment,the VAS scores in the observation group were lower than those in the control group,with significant differences(P<0.05).After treatment,the thickness and feathery angle of pectoralis minor muscle in both groups were lower than those before treatment,and the thickness and feathery angle of pectoralis minor muscle in the observation group were lower than those in the control group,and the thickness difference and feathery angle difference of pectoralis minor muscle were greater than those in the control group,with significant differences(P<0.05).Conclusions The ultrasound guided Pecs Ⅰ block combined with myofascial release therapy in patients with pectoralis minor syndrome has definite efficacy,obvious analgesic effect,accurate recovery of pectoralis minor related parameters,and intuitive evaluation.

关 键 词：PecsⅠ阻滞 胸小肌综合征 肌筋膜松解 超声引导 肌骨超声 

分 类 号：R614[医药卫生—麻醉学] R687.4[医药卫生—外科学]