联合治疗腰背肌筋膜炎综合征的疗效观察

发布时间：2018-02-01 01:27

本文关键词： 慢性腰背肌筋膜炎综合征体外冲击波联合治疗消炎镇痛药　出处：《中国现代医生》2016年29期 　论文类型：期刊论文

【摘要】：目的探讨发散式冲击波联合扶他林治疗腰背肌筋膜炎综合征的疗效。方法将门诊32例慢性腰背肌筋膜炎综合征患者随机分为两组,对照组仅服用扶他林等消炎镇痛药;治疗组给予体外发散式冲击波(extracorporeal shock wave therapy,ESWT)和服用扶他林等消炎镇痛药。治疗组接受2周的冲击波治疗(每周2次,两周为1个疗程)和扶他林药物口服治疗。分别在治疗前及治疗后1周、2周、4周进行随访,采用疼痛视觉模拟评分(VAS评分)和改良Macnab标准进行观察。同时记录患者在治疗过程中的不良事件。结果两组患者治疗后疼痛VAS评分均较治疗前显著降低(P0.05)。改良Macnab标准:对照组优良率达到66.7%,治疗组优良率达到85.7%,全部病例无不良事件发生。结论治疗组和对照组均具有减轻患者疼痛的效果。而与对照组比较,治疗组改善患者疼痛更加显著,且无任何不良反应。体外冲击波联合扶他林治疗慢性腰背肌筋膜炎综合征具有良好疗效。
[Abstract]:Objective to investigate the efficacy of divergent shock wave combined with Futaline in the treatment of lumbar dorsal myofascitis syndrome. Methods 32 patients with chronic lumbar dorsal fasciitis syndrome were randomly divided into two groups. In the control group, only the antiinflammatory and analgesic drugs such as Futalin were taken. The treatment group was treated with extracorporeal shock wave therapy. Treatment group received 2 weeks of shock wave therapy (2 times a week, 2 weeks as a course of treatment) and oral treatment of Fentalin, respectively, before and 1 week after treatment. The patients were followed up for 2 weeks and 4 weeks. Using pain visual analogue score and VAS score). The adverse events in the course of treatment were also recorded. Results the VAS scores of pain after treatment in both groups were significantly lower than those before treatment (P 0.05). Improved Macnab standard: the excellent and good rate of control group reached 66.7%. The excellent and good rate of the treatment group reached 85.7 and there were no adverse events in all cases. Conclusion both the treatment group and the control group have the effect of alleviating the pain of the patients. Compared with the control group, the treatment group can improve the pain more significantly. Extracorporeal shock wave combined with Fentalin was effective in the treatment of chronic lumbar dorsal myofascitis syndrome.
【作者单位】：南京大学医学院附属鼓楼医院疼痛科;
【分类号】：R686.3
【正文快照】： 腰背肌筋膜炎疼痛综合征是一种常见的非特异性临床综合征,常在慢性腰肌劳损基础上,出现腰背部酸痛、乏力和僵硬等,以体力劳动者居多,时重时轻,反复发作,常导致患者生活质量下降[1]。以中、壮年为主,并呈年轻化趋势。临床上以推拿、按摩、针灸等中医方法居多,辅以非甾体类消炎

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