改良银质针导热治疗胸背部软组织劳损筋膜病的临床观察(1)
摘 要：目的 评价改良银质针导热疗法治疗胸背部软组织劳损筋膜病的临床疗效。方法 选择2016年6月～2018年6月我院收治的80例胸背肌筋膜炎患者，随机分为治疗组和对照组，各40例，治疗组给予改良银质针导热疗法治疗，对照组用常规银质针导热治疗，观察两组患者治疗前后VAS评分、临床疗效及不良反应情况。结果 治疗组总有效率为90.00%，对照组为87.50%，组间比较，差异无统计学意义(P>0.05)；治疗1周、2周、3周后，两组VAS评分均较前降低，差异有统计学意义(P<0.05)；但两组间VAS评分比较，差异无统计学意义(P>0.05)；治疗组有2例出现心慌、头晕症状，经休息后缓解。对照组有3例出现局部疼痛、瘀血现象，未给予特殊处理，于1周后消失；2例出现晕针，平躺休息后恢复正常。结论 改良银质针疗法与常规银质针疗法均能改善患者疼痛症状，两种方法治疗效果相当，但改良银质针不刺激骨膜，能减轻患者治疗时的疼痛。
关键词：改良银质针；胸背部；软组织劳损；筋膜病
, 百拇医药 中图分类号：R246 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.043
文章编号：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.
, 百拇医药
Key words：Modified silver needle；Throracic and back； Soft tissue strain；Fasciopathy
胸背肌筋膜炎(thoracofascialis myofasciitis)常發生于颈项部、肩背部或腰背部等部位，特点是急性或慢性反复发作的弥漫性疼痛，迁延难愈，并伴肌肉痉挛和运动障碍等，劳累、夜间休息时疼痛可加重，气候、情绪变化也会引起疼痛。随着工作方式的改变，久坐、伏案的工作模式使该病的患病率呈上升趋势，发病年龄趋向低龄化，严重影响患者的生活质量。目前的有效治疗方法大多为针灸、小针刀、银质针等，这些治疗都存在引起气胸等严重并发症，且常规银质针刺激骨膜时引起骨膜反应，常常造成患者不适[1]。根据宣蛰人软组织外科学理论、筋膜链理论及临床相关症候群，我科自2009年开展银质针治疗胸背肌筋膜炎，疗效显著，但在常规银质针施针过程中，尤其是在胸背部，初学者操作不当极易造成气胸，且银质针针尖触及骨膜时，可引起骨膜反应，造成患者剧烈疼痛，对治疗过程产生恐惧，影响疗效。因此将常规银质针针具及操作过程进行改良，治疗效果同样显著，现将我院2016年6月～2018年6月治疗情况报告如下。, http://www.100md.com(胡海平 高瑜 李昌隆)
关键词：改良银质针；胸背部；软组织劳损；筋膜病
, 百拇医药 中图分类号：R246 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.043
文章编号：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.
, 百拇医药
Key words：Modified silver needle；Throracic and back； Soft tissue strain；Fasciopathy
胸背肌筋膜炎(thoracofascialis myofasciitis)常發生于颈项部、肩背部或腰背部等部位，特点是急性或慢性反复发作的弥漫性疼痛，迁延难愈，并伴肌肉痉挛和运动障碍等，劳累、夜间休息时疼痛可加重，气候、情绪变化也会引起疼痛。随着工作方式的改变，久坐、伏案的工作模式使该病的患病率呈上升趋势，发病年龄趋向低龄化，严重影响患者的生活质量。目前的有效治疗方法大多为针灸、小针刀、银质针等，这些治疗都存在引起气胸等严重并发症，且常规银质针刺激骨膜时引起骨膜反应，常常造成患者不适[1]。根据宣蛰人软组织外科学理论、筋膜链理论及临床相关症候群，我科自2009年开展银质针治疗胸背肌筋膜炎，疗效显著，但在常规银质针施针过程中，尤其是在胸背部，初学者操作不当极易造成气胸，且银质针针尖触及骨膜时，可引起骨膜反应，造成患者剧烈疼痛，对治疗过程产生恐惧，影响疗效。因此将常规银质针针具及操作过程进行改良，治疗效果同样显著，现将我院2016年6月～2018年6月治疗情况报告如下。, http://www.100md.com(胡海平 高瑜 李昌隆)