改良銀質針導熱治療胸背部軟組織勞損筋膜病的臨床觀察

胡海平 高瑜 李昌隆

摘 要：目的 評價改良銀質針導熱療法治療胸背部軟組織勞損筋膜病的臨床療效。方法 選擇2016年6月～2018年6月我院收治的80例胸背肌筋膜炎患者，隨機分為治療組和對照組，各40例，治療組給予改良銀質針導熱療法治療，對照組用常規銀質針導熱治療，觀察兩組患者治療前后VAS評分、臨床療效及不良反應情況。結果 治療組總有效率為90.00%，對照組為87.50%，組間比較，差異無統計學意義（P>0.05）；治療1周、2周、3周后，兩組VAS評分均較前降低，差異有統計學意義（P<0.05）；但兩組間VAS評分比較，差異無統計學意義（P>0.05）；治療組有2例出現心慌、頭暈癥狀，經休息后緩解。對照組有3例出現局部疼痛、瘀血現象，未給予特殊處理，于1周后消失；2例出現暈針，平躺休息后恢復正常。結論 改良銀質針療法與常規銀質針療法均能改善患者疼痛癥狀，兩種方法治療效果相當，但改良銀質針不刺激骨膜，能減輕患者治療時的疼痛。

關鍵詞：改良銀質針；胸背部；軟組織勞損；筋膜病

中圖分類號：R246 文獻標識碼：A DOI：10.3969/j.issn.1006-1959.2018.23.043

文章編號：1006-1959（2018）23-0149-03

Abstract：Objective To evaluate the clinical effect of modified silver needle heat conduction therapy on thoracic and back soft tissue strain fasciopathy.Methods From June 2016 to June 2018， 80 patients with thoracic dorsal myofascitis were randomly divided into treatment group and control group， 40 cases in each group.The treatment group was treated with modified silver needle heat conduction therapy， and the control group was treated with routine silver needle heat conduction therapy. The VAS scores， clinical efficacy and adverse reactions were observed before and after treatment.Results The total effective rate was 90.00% in the treatment group and 87.50% in the control group，there was no significant difference between the two groups （P>0.05）.After 1 week， 2 weeks and 3 weeks of treatment， the VAS scores of the two groups were significantly lower than those of the former，the difference was statistically significant （P<0.05）.However， there was no significant difference in VAS score between the two groups （P>0.05）.In the treatment group， there were 2 cases of palpation and dizziness， which were relieved after rest.In the control group， there were 3 cases of local pain and blood stasis， which disappeared after 1 week without special treatment， and 2 cases appeared halo needle and returned to normal after lying flat and resting.Conclusion Both the modified silver needle therapy and the routine silver needle therapy can improve the pain symptoms of the patients， and the two methods have the same effect， but the modified silver needle can not stimulate the periosteum and alleviate the pain of the patients.

Key words：Modified silver needle；Throracic and back； Soft tissue strain；Fasciopathy

胸背肌筋膜炎（thoracofascialis myofasciitis）常發生于頸項部、肩背部或腰背部等部位，特點是急性或慢性反復發作的彌漫性疼痛，遷延難愈，并伴肌肉痙攣和運動障礙等，勞累、夜間休息時疼痛可加重，氣候、情緒變化也會引起疼痛。隨著工作方式的改變，久坐、伏案的工作模式使該病的患病率呈上升趨勢，發病年齡趨向低齡化，嚴重影響患者的生活質量。目前的有效治療方法大多為針灸、小針刀、銀質針等，這些治療都存在引起氣胸等嚴重并發癥，且常規銀質針刺激骨膜時引起骨膜反應，常常造成患者不適[1]。根……