悬吊推拿运动技术联合易罐治疗腰背肌筋膜疼痛综合征的临床疗效探究.docVIP

悬吊推拿运动技术联合易罐治疗腰背肌筋膜疼痛综合征的临床疗效探究 目的探究悬吊推拿运动技术结合易罐疗法对腰背肌筋膜疼痛综合征(MPS)的临 床治疗效果。方法收集60例患者，依照随机数字表法分为两组，治疗组进行悬吊推拿运 动技术联合易罐疗法，对照组只进行易罐疗法，每组各30例。分别在治疗前、治疗后和治 疗后1个月，用McGill简化量表和肌骨超声(MSUS)评定。结果在结束治疗后，运用 McGill简化量表主观评定和肌骨超声(MSUS)客观评定，变化量比较差异有统计学意义(P 0.05),且治疗组改变较对照组更加明显(P0.05) o治疗后1个月进行康复冋访，主 观量表评定与客观肌肉厚度评定均有所改变，但治疗组优于对照组(P0?05)。结论悬 凤推拿运动技术联合易罐治疗腰背肌筋膜疼痛综合征(MPS)无论在短期还是长期临床效果 都很显著，值得临床推广。 关键词 悬吊推拿运动技术；易罐；肌骨超声；腰背部肌筋膜疼痛综合征 Abstract Objective:To explore the clinical effect of suspension massage technique combined with easy can therapy on the pain syndrome (MPS) of lumbar dorsal muscle fascia? Methods: A total of 60 patients were collected, and the treatment group was divided into two groups according to the random number table method.McGill simplified and musculoskeletal ultrasound (MSUS) were evaluated before, after and after treatment for 1 month. Results:At the end of treatment, use of McGill simplify inventory of subjective evaluation and musculoskeletal ultrasound (MSUS) objective evaluation, change a quantity difference was statistically significant (P0.05), and the treatment group change relatively more obvious than control (P0.05).After 1 month of treatment, the evaluation of subjective scale and objective muscle thickness were changed, but the treatment group was better than the control group (PV0.05). Conclusion:The treatment of lumbar dorsal muscle fascial pain syndrome (MPS) is significant in both short-term and long-term clinical effects, and is worthy of clinical promotion. Key words suspension and massage technique； easy to tank； musculoskeletal ultrasound； pain syndrome of lumbar back muscle fascia 肌筋膜疼痛综合myofascial pain syndrome, MPS),又称肌筋膜炎，是原发于肌肉、 筋膜、肌腱等结缔组织以疼痛为特征的症候群⑴。它主耍是市肌筋膜疼痛触发点(myofascial trigger point, MTrP, B|J “激痛点”)所引发的一种临床非常普遍的且具有慢性、复杂性等 特点的全身性疾病。激痛点(MTrP)是指，在肌肉内、肌纤维中，通过触诊可触及到的一 种紧张性条索状结节，它具有易激惹、敏感性强、压痛性等特点。当激痛点受到寒冷刺激、 长期肌肉张力过高或者按压时，多表现为特异性放射痛、远端肌肉牵扯痛和交感现象等⑵。 而激痛点(MTrP)的长期的存在会引起活动范围受限、局部抽出反应、睡眠差和肌力差 等一系列临床表现⑶。在国外的一项最新研究屮，疼痛屮心的病人约有85%初步诊断为 MPS⑷。随着社会的