本文選題：肌筋膜疼痛綜合征　切入點：激痛點　出處：《海南醫(yī)學(xué)》2017年07期

【摘要】：目的比較激痛點臭氧注射與射頻熱凝兩種技術(shù)在斜方肌肌筋膜疼痛綜合征治療中的臨床效果。方法選擇2014年1月1日至10月31日廣東省中山市小欖人民醫(yī)院疼痛門診100例斜方肌肌筋膜疼痛綜合征患者,年齡17~65歲。按隨機(jī)數(shù)字表法分為臭氧注射治療組(臭氧組)50例和射頻熱凝治療組(射頻組)50例。比較兩組患者治療前、治療后1個月、治療后1年的視覺模擬評分(VAS評分)、六點行為評分(BRS-6評分),治療后1個月的疼痛緩解優(yōu)良率和滿意度,治療后1年的復(fù)發(fā)率。結(jié)果臭氧組患者治療后1個月的VAS評分為(1.52±1.30)分,BRS-6評分為(1.26±0.72)分,治療后1年的VAS評分為(2.82±1.41)分,BRS-6評分為(2.59±1.24)分;射頻組患者治療后1個月的VAS評分為(1.51±1.41)分,BRS-6評分為(1.27±0.69)分,治療后1年的VAS評分為(2.73±1.52)分,BRS-6評分為(2.62±1.21)分。兩組VAS評分和BRS-6評分均較治療前明顯降低(P0.05),但組間比較差異均無統(tǒng)計學(xué)意義(P0.05)。治療后1個月,臭氧組患者的優(yōu)良率為94.0%,射頻組為96.0%,兩組治療滿意度均為100%。兩組的優(yōu)良率及滿意度比較差異均無統(tǒng)計學(xué)意義(P0.05)。治療后,臭氧組患者的1年復(fù)發(fā)率為16%,射頻組為18%,兩組比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論激痛點臭氧注射與射頻熱凝在斜方肌肌筋膜疼痛綜合征的治療中均有確切療效,臨床上可根據(jù)患者的具體情況采用。
[Abstract]:Objective to compare the clinical effects of ozone injection and radiofrequency thermocoagulation in the treatment of trapezius myofascial pain syndrome.Methods from January 1 to October 31, 2014, 100 patients with trapezius myofascial pain syndrome, aged 17 to 65 years, were selected from the pain clinic of Xiaolan people's Hospital in Zhongshan City, Guangdong Province.Randomly divided into ozone injection group (ozone group, n = 50) and radiofrequency thermocoagulation group (radiofrequency group, n = 50).The visual analogue score (VAS), six point behavior score (BRS-6), the excellent and good rate of pain relief and satisfaction, and the recurrence rate of 1 year after treatment were compared between the two groups before treatment, one month after treatment and one year after treatment.緇撴灉鑷哀緇勬?zhèn)ｈ�呮不鐤楀悗1涓湀鐨刅AS璇勫垎涓，

本文編號：1703679