| 摘要: |
| 目的 探讨实时剪切波弹性成像（SWE）对颈肩部肌筋膜疼痛综合征（MPS）患者经阿是穴针刺治疗后的效果评估价值。方法 应用SWE技术定量测量30例颈肩部肌筋膜疼痛综合征（MPS）患者经阿是穴针刺治疗前后斜方肌疼痛触发点的弹性模量值及弹性评分，并且测量患者治疗前后的疼痛视觉模拟评分（VAS）。结果 针刺治疗前患者VAS评分与斜方肌MTrPs杨氏模量值及弹性评分均呈明显正相关(r=0.572, P<0.001；r=0.474, P=0.008)，经阿是穴针刺治疗后，MPS患者VAS评分较治疗前减低(t=10.02, P<0.001)，斜方肌MTrPs超声弹性成像评分 (t=6.34, P<0.001)及杨氏模量值(t=33.36,P<0.001)明显降低，差异均具有统计学意义；经针刺治疗后?VAS、?杨氏模量值与?弹性评分均呈明显正相关(r=0.611, P<0.001；r=0.561, P=0.001)。 结论 实时剪切波弹性成像能客观有效评估颈肩部肌筋膜膜疼痛综合征阿是穴针刺疗效。 |
| 关键词: 肌筋膜疼痛综合征 剪切波弹性成像 针灸 肌筋膜触发点 |
| DOI： |
| 投稿时间：2018-11-01修订日期：2018-11-29 |
| 基金项目:西安市卫生科研人才项目 |
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| Effect evaluation of acupuncture on ahshi-point in neck-shoulder myofascial pain syndrome using real-time shear wave elastography |
| huanglizhen,kang ya ning |
| () |
| Abstract: |
| Objective To study the evaluation value of real-time shear wave elastography(SWE) on acupuncture on ahshi-point in neck-shoulder myofascial pain syndrome(MPS) patients. Methods 30 patients with neck-shoulder MPS were received acupuncture on ahshi-point. the pain visual analogue scale(VAS) and the SWE was used to measured the values of Yang’s modulus and tissue elasticity of myofascial trigger points(MTrPs) before and after treatment. Results The significant positive correlations between the VAS score and the values of Young''s modulus and elasticity score in MTrPs (r=0.572, P<0.001; r=0.474, P=0.008) were showed before acupuncture treatment. The VAS score was reduced after the treatment (t=10.02, P<0.001), also the MTrPs of ultrasound elasticity imaging score (t = 6.34, P < 0.001) and Young''s modulus value (t = 33.36, P < 0.001) were significantly reduced. The significant positive correlations between ?VAS and ?Yang''s , ?elasticity score were showed (r=0.611, P<0.001;r = 0.561, P = 0.001). Conclusion The real-time SWE can objectively and effectively evaluate the effect of ahshi-point acupuncture in neck-shoulder MPS patients. |
| Key words: myofascial pain syndrome shear wave elastography acupuncture myofascial trigger points |
