CAJ | 학술논문

目的探讨三氧痛点阻滞及康复治疗急性枕部肌筋膜炎的疗效.方法对急性枕部肌筋膜炎患者120例进行前瞻性研究,随机分为A组和B组,A组(60例)采用局部药物阻滞及颈部功能康复治疗,B组(60例)采用医用三氧痛点阻滞、局部药物阻滞、颈部功能康复治疗.比较治疗前后2组视觉模拟评分(VAS)、颈部活动度、头晕及恶心的情况.结果 A组VAS评分治疗前为(8.7±1.3)分、治疗后为(5.2±1.2)分,B组VAS评分治疗前为(8.8±1.2)分、治疗后为(0.8±0.4)分,治疗前后两组患者的VAS评分较治疗前均显著降低,治疗后2组间差异有统计学意义(P＜0.05).A组治疗后的VAS评分改善程度、局部活动度缓解幅度均低于B组(P值均＜0.05),A组治疗后头晕及恶心明显缓解所需要的时间均高于B组(P＜0.05).两组均未见明显不良反应.结论三氧痛点阻滞治疗急性枕部肌筋膜炎的疗效显著.
목적 탐토삼양통점조체급강복치료급성침부기근막염적료효.방법 대급성침부기근막염환자120례진행전첨성연구,수궤분위A조화B조,A조(60례)채용국부약물조체급경부공능강복치료,B조(60례)채용의용삼양통점조체、국부약물조체、경부공능강복치료.비교치료전후2조시각모의평분(VAS)、경부활동도、두훈급악심적정황.결과 A조VAS평분치료전위(8.7±1.3)분、치료후위(5.2±1.2)분,B조VAS평분치료전위(8.8±1.2)분、치료후위(0.8±0.4)분,치료전후량조환자적VAS평분교치료전균현저강저,치료후2조간차이유통계학의의(P＜0.05).A조치료후적VAS평분개선정도、국부활동도완해폭도균저우B조(P치균＜0.05),A조치료후두훈급악심명현완해소수요적시간균고우B조(P＜0.05).량조균미견명현불량반응.결론 삼양통점조체치료급성침부기근막염적료효현저.
Objective To analyze the effects of medical ozone pain spot block coordination functional rehabilitation to treat patients'occiput with acute myofascitis.Methods A prospective study was performed in 120 patients with acute occiput myofascitis.They were randomly divided into group A and group B.Sixty cases in each group.In group A,simple local drug block plus neck functional rehabilitation.In group B,medical ozone pain spot block plus simple local drug block plus neck functional rehabilitation.Visual analogue Scale (VAS),the range of motion of neck,the degree of dizziness and nausea were compared pre-and post-treatment.Results In group A,VAS was 8.7 ± 1.3 before the treatment; VAS was 5.2 ± 1.2 after the treatment.In group B,VAS was 8.8 ± 1.2 before the treatment,AS was 0.8 ± 0.4 after the treatment.Compared with pre-treatment,VAS was significantly reduced in two groups after treatment.The differences between the two groups were significant (P ＜ 0.05).After the treatment,the improvement in VAS and the range of motion of neck were lower than group B (all P values ＜ 0.05).The time that dizziness and nausea obviously alleviated were longer than group B (P ＜ 0.05).There were no obvious adverse reactions in two groups.Conclusions Medical ozone pain spot block coordination functional rehabilitation to treat patients' occiput with acute myofascitis have a good effect.