| 摘要: |
| 目的：探索剪切波弹性成像对肌筋膜疼痛综合征患者MTrPs处肌肉弹性改变的评估及在中医手法治疗中的应用。方法：回顾性分析2018年6月至2020年4月期间收治的观察组60例肌筋膜疼痛综合征患者、对照组60例健康体检者,均进行实时剪切波弹性成像检测,以ROC曲线分析实时剪切波弹性成像诊断价值,并对比两组杨氏模量值(E)、组织剪切波速度(SWV)、上斜方肌厚度、目测类比等级(VAS)评分。同时根据观察组患者治疗方式分为两组,即常规组(30组)、辅助组(30组),对比两者疼痛缓解率和简化McGill疼痛(简化SF-MPQ)评分。结果：观察组E、SWV、上斜方肌厚度、VAS评分高于对照组(P＜0.05)。经ROC曲线分析,SWE的AUC为0.948,敏感性为95.24,特异性为94.44,具有一定准确率。同时对比两组疗效时,辅助组1个疗程、2个疗程、3个疗程的疼痛缓解显效率均显著高于常规组,治疗后15d的VAS评分、PPI评分、PRI评分低于常规组(P＜0.05)。结论：剪切波弹性成像在评估、诊断肌筋膜疼痛综合征患者MTrPs处肌肉弹性改变时具有较高特异性和敏感性,辅助用于中医手法治疗,更好缓解疼痛感。 |
| 关键词: 剪切波弹性成像 肌筋膜疼痛综合征 MTrPs 中医手法 |
| DOI： |
| 投稿时间：2021-01-08修订日期：2021-06-17 |
| 基金项目: |
|
| Evaluation of Shear Wave Elastography on the Changes of Muscle Elasticity at MTrPs in Patients with Myofascial Pain Syndrome and Its Application in Traditional Chinese Medicine Manipulation |
| fang xiangqin,deng haoyue,jin kexin,xu peng,pengxiaoyu |
| () |
| Abstract: |
| Objective: Exploring the evaluation of shear wave elastography on the changes of muscle elasticity at MTrPs in patients with myofascial pain syndrome and its application in traditional Chinese medicine manipulation. Methods: A retrospective analysis of 60 patients with myofascial pain syndrome in the observation group and 60 healthy persons in the control group who were admitted from June 2018 to April 2020, all underwent real-time shear wave elastography detection, and real-time analysis by ROC curve The diagnostic value of shear wave elastography, and the comparison of Young"s modulus (E), tissue shear wave velocity (SWV), upper trapezius muscle thickness, and visual analog scale (VAS) scores between the two groups. At the same time, patients in the observation group were divided into two groups according to the treatment methods, namely the conventional group (30 groups) and the auxiliary group (30 groups). The pain relief rate and simplified McGill pain (simplified SF-MPQ) score of the two were compared.. Results: The E, SWV, upper trapezius thickness, and VAS scores of the observation group were higher than those of the control group (P<0.05). After ROC curve analysis, SWE"s AUC is 0.948, sensitivity is 95.24, specificity is 94.44, and it has a certain accuracy. When comparing the effects of the two groups at the same time, the pain relief rate of 1 course, 2 courses, and 3 courses of the auxiliary group was significantly higher than that of the conventional group, and the VAS score, PPI score, and PRI score of 15 days after treatment were lower than those of the conventional group (P< 0.05). Conclusion: Shear wave elastography has high specificity and sensitivity in assessing and diagnosing changes in muscle elasticity at MTrPs in patients with myofascial pain syndrome. It is assisted in the treatment of traditional Chinese medicine to better relieve pain. |
| Key words: : Shear wave elastography Myofascial pain syndrome MTrPs TCM manipulation |
