| 摘要: |
| 目的:探讨剪切波超声弹性成像(SWE)技术和表面肌电图(sEMG)在颈肩肌筋膜疼痛综合征(MPS)疗效评估中的应用价值。方法:回顾性分析2017年10月~2019年10月间医院收治的90例颈肩(MPS)患者的临床资料,所有患者均接受4个疗程(7d为1疗程)的针刺联合推拿治疗,根据治疗后1个月的疗效划分为A组(54例)、B组(36例)。于治疗前、后采用SWE检测两组患者的杨氏模量值、触发点厚度、组织弹性图评分,并使用sEMG检测平均振幅值、平均频率斜率值,并使用受试者工作曲线(ROC)分析以上指标对颈肩MPS患者疗效的评估价值。结果:治疗前,两组患者的组织弹性图评分、杨氏模量值、筋膜厚度、平均振幅值、平均频率斜率等比较,差异均无统计学意义(P均>0.05)。治疗后,两组患者的组织弹性图评分、杨氏模量值、筋膜厚度等均低于治疗前(A组B组),差异均具有统计学意义(P均<0.05)。ROC曲线显示,组织弹性图评分、杨氏模量值、筋膜厚度、平均振幅值、平均频率斜率评估颈肩MPS患者疗效的AUC分别为0.750、0.744、0.836、0.812、0.752,具有一定的价值,且联合检查的价值较高(AUC=0.957,P<0.01)。结论:剪切波超声弹性成像技术联合表面肌电图可用于颈肩肌筋膜疼痛综合征疗效评估。 |
| 关键词: 剪切波超声弹性成像 表面肌电图 颈肩部 肌筋膜疼痛综合征 疗效评估 |
| DOI： |
| 投稿时间：2020-06-12修订日期：2020-07-09 |
| 基金项目: |
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| Application of shear wave ultrasonic elastography and sEMG in the evaluation of the therapeutic effect of neck shoulder myofascial pain syndrome |
| Li Yaxi,Wang Hui,Zhou Hong |
| () |
| Abstract: |
| Objective:To explore the application value of shear wave ultrasonic elastography (SWE) and surface electromyography (sEMG) in the evaluation of the therapeutic effect of neck shoulder myofascial pain syndrome (MPS).Methods:The clinical data of 90 patients with neck and shoulder (MPS) admitted to the hospital from October 2017 to October 2019 were analyzed retrospectively. All patients were treated with acupuncture and massage for 4 courses (7 days as a course). According to the effect of 1 month after treatment, they were divided into group A (54 cases) and group B (36 cases). Before and after treatment, the young"s modulus, trigger point thickness and tissue elasticity score of the two groups were measured by swe, and the mean amplitude value and the mean frequency slope value were measured by sEMG, and the evaluation value of the above indexes on the therapeutic effect of MPS patients with neck and shoulder was analyzed by ROC.Results:Before treatment, there was no significant difference between the two groups (P>0.05). After treatment, the scores of tissue elasticity, Young"s modulus and fascia thickness of the two groups were lower than those before treatment (group agroup B), the difference was statistically significant (P<0.05). ROC curve showed that AUC of tissue elasticity score, Young"s modulus value, fascia thickness, average amplitude value and average frequency slope were 0.750, 0.744, 0.836, 0.812 and 0.752 respectively, which had a certain value, and the value of combined examination was higher (AUC=0.957,P<0.01).Conclusion:Shear wave ultrasonic elastography combined with surface electromyography can be used to evaluate the efficacy of neck shoulder myofascial pain syndrome. |
| Key words: Shear wave ultrasonic elastography surface electromyogram neck and shoulder myofascial pain syndrome efficacy evaluation |
