摘要
目的观察对比无痛无感筋针、臭氧局部注射分别对腰肌筋膜疼痛综合征(MPS)患者肌张力及腰椎关节活动的影响。方法将我院76例MPS患者随机分对照组与治疗组各38例。对照组型行臭氧局部注射治疗,治疗组行无痛无感筋针治疗,比较两组总有效率,治疗前后视觉模拟评分表(VAS)、Oswestry功能障碍调查表(ODI)、Fugl-Meyer(FM)下肢运动功能、Barthel量表(BI)分值、平均肌电波幅(AEMG)、频域分析(MPF)值、腰椎关节前屈、后伸活动度。结果治疗后,治疗组总有效率高于对照组(P<0.05);两组VAS、ODI分值较治疗前降低,FM下肢运动功能、BI分值、AEMG、MPF值、腰椎关节前屈、后伸活动度较治疗前提高(P<0.05),治疗组VAS、ODI分值低于对照组,FM下肢运动功能、BI分值、AEMG、MPF值、腰椎关节前屈、后伸活动度高于对照组(P<0.05)。结论与臭氧局部注射比较,采用无痛无感筋针治疗MPS患者,能降低疼痛和功能障碍,提高下肢功能和独立生活能力,改善肌张力,提高腰部关节活动度,疗效优。
Objective To observe and compare the effects of painless and painless tendon acupuncture and local ozone injection on muscle tension and lumbar joint mobility in patients with psoas myofascial pain syndrome(MPS).Methods A total of 76 MPS patients were randomly divided into control group and treatment group,38 cases in each group.Control group received local injection of ozone,and treatment group received painless and painless tendon acupuncture.The total effective rates,Visual analog scale(VAS),Oswestry dysfunction questionnaire(ODI),Fugl-Meyer(FM)lower extremity motor function,Barthel Index(BI)score,mean electromyographic amplitude(AEMG),frequency domain analysis(MPF)value,lumbar joint flexion and extension range of motion of the two groups before and after treatment were compared.Results After treatment,the total effective rate of treatment group was higher than that of control group(P<0.05);VAS and ODI scores were lower than those before treatment,while FM lower extremity motor function,BI score,AEMG,MPF value,and lumbar flexion and extension range of motion were increased compared with those before treatment in both groups(P<0.05);the VAS and ODI scores of treatment group were lower than those of control group,and the FM lower extremity motor function,BI score,AEMG,MPF value,lumbar flexion and extension range of motion were higher than those of control group(P<0.05).Conclusion Compared with local ozone injection,painless and nonsensory tendon acupuncture could reduce pain and dysfunction,improve lower extremity function and independent living ability,muscle tension,and the range of motion of waist joints with excellent curative effect in treatment of MPS.
作者
关烨欣
张保球
黄海梅
GUAN Ye-xin;ZHANG Bao-qiu;HUANG Hai-mei(Guangzhou University of Chinese Medicine,Guangzhou 510405;Foshan Hospital of TCM,Foshan 528000;Jieyang people’s Hospital,Jieyang 510405)
出处
《湖北中医药大学学报》
2022年第6期77-79,共3页
Journal of Hubei University of Chinese Medicine
基金
广东省佛山市自筹经费类科技计划项目(项目编号:2016AB002701)。
关键词
腰肌筋膜疼痛综合征
无痛无感筋针
臭氧注射
肌张力
腰椎关节活动
Psoas myofascial pain syndrome
Painless and painless tendon acupuncture
Ozone injection
Muscle tension
Lumbar joint activity
