| 摘要: |
| 目的 研究实时组织弹性成像（RTE）引导下针刺肌筋膜激痛点（MTrPs）治疗肌筋膜疼痛综合征（MPS）的应用价值。方法 研究对象为2017年8月至2018年8月在我院就诊的60例MPS患者，随机平均分为RTE组和传统针刺组，对患者进行随访1年，比较两组患者治疗前后MTrPs弹性评分、疼痛评分的差异并研究两者的相关性。比较两组患者的治疗效果及远期预后。结果 治疗后RTE组的弹性评分、视觉模拟评分(VAS) 和疼痛评定指数均明显低于传统针刺组（P＜0.05），弹性评分与VAS、PRI、现时疼痛强度 (PPI)均呈正相关（均r＞0且P＜0.05），其中弹性评分与VAS的相关程度最强（r=0.673, P=0.000）。MTrPs弹性评分与VAS在不同疗程中的变化趋势近似，均呈下降趋势（P＜0.05）。RTE组的显效率为86.7%，累计无复发率为93.33%，传统针刺组的显效率为60%，累计无复发率为57.14%，RTE组的显效率及累计无复发率均明显高于传统针刺组（P＜0.05）。结论 RTE引导下针刺MTrPs的治疗效果及预后均明显优于传统触诊法针刺。 |
| 关键词: 实时组织弹性成像 肌筋膜激痛点 肌筋膜疼痛综合征 弹性评分 |
| DOI： |
| 投稿时间：2019-10-10修订日期：2020-04-03 |
| 基金项目:上海市卫生和计划生育委员会科研课题计划 |
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| Efficacy of elastography guides the acupuncture myofascial trigger points in the treatment of myofascial pain syndrome |
| maxiaolin,liushunchao,zhuangjun,daijun,guxingang |
| () |
| Abstract: |
| Objective To investigate the value of real-time tissue elastography (RTE)-guided acupuncture myofascial trigger points (MTrPs) in the treatment of myofascial pain syndrome (MPS). Methods A total of 60 patients with MPS who were admitted to our hospital from August 2017 to August 2018 were randomly divided into RTE group and traditional acupuncture group. The patients were followed up for 1 years. The elastic score of MTrPs and pain scores before and after treatment was compared between the two groups，and study the correlation between the elastic score and pain scores. The treatment outcome and long-term prognosis of the two groups were compared. Results After treatment, the elasticity scores , visual analogue scale (VAS) and pain assessment index (PRI) of RTE group is significantly lower than the traditional acupuncture group（P<0.05）, the elasticity score was positively correlated with VAS, PRI and current pain intensity (PPI) (both r>0 and P<0.05), and the elasticity score was the strongest correlation with VAS (r=0.673, P=0.000). The MTrPs elasticity score and the VAS change trend in different courses are similar, both show a downward trend (P<0.05). The effective rate of RTE group was 86.7%,the cumulative no-recurrence rate was 93.33%, the effective rate of traditional acupuncture group was 60%, and the cumulative no-recurrence rate was 57.14%. The significant rate and cumulative no-recurrence rate of RTE group were significantly higher than that of traditional acupuncture group (P<0.05).Conclusion The therapeutic effect and prognosis of acupuncture MTrPs guided by RTE are significantly better than traditional hand palpation acupuncture. |
| Key words: Real-time Elastography Myofascial trigger points Myofascial pain syndrome Elastic score |
