CAJ | 학술논문

观察斜方肌激痛点活检复合注射疗法治疗肌筋膜疼痛综合征（MPS）的疗效是否优于单纯注射治疗。选择MPS患者60例，随机分为激痛点活检复合镇痛液注射治疗组（BI组）和单纯镇痛液注射治疗组（IT组），每组30例。BI组患者行激痛点活检，并于活检处行镇痛液注射疗法；IT组患者仅于激痛点处行镇痛液注射治疗。评定患者治疗前和治疗后即刻、7天、14天、21天及28天疼痛视觉模拟评分（VAS），治疗后3个月的临床有效率以及和治疗有关的不良反应。结果两组治疗后VAS评分与治疗前相比均降低（P＜0．05），从治疗后14天起BI组VAS评分低于IT组（P＜0．05）。治疗3个月后BI组有效率高于IT组（P＜0．05）。BI组出现1例不良反应患者。激痛点活检复合注射疗法是治疗肌筋膜疼痛综合征有效的方法，且长期疗效优于单纯注射疗法。
관찰사방기격통점활검복합주사요법치료기근막동통종합정（MPS）적료효시부우우단순주사치료。선택MPS환자60례，수궤분위격통점활검복합진통액주사치료조（BI조）화단순진통액주사치료조（IT조），매조30례。BI조환자행격통점활검，병우활검처행진통액주사요법；IT조환자부우격통점처행진통액주사치료。평정환자치료전화치료후즉각、7천、14천、21천급28천동통시각모의평분（VAS），치료후3개월적림상유효솔이급화치료유관적불량반응。결과량조치료후VAS평분여치료전상비균강저（P＜0．05），종치료후14천기BI조VAS평분저우IT조（P＜0．05）。치료3개월후BI조유효솔고우IT조（P＜0．05）。BI조출현1례불량반응환자。격통점활검복합주사요법시치료기근막동통종합정유효적방법，차장기료효우우단순주사요법。
The aim was to observe the efficacy of trigger point biopsy combined with injection therapy on the upper trapezius muscle for myofascial pain syndrome (MPS). Sixty patients of MPS were recruited and randomly divided equally into two groups. Group BI groupreceived myofascial trigger point (MTrP) biopsy plus injection therapy and group IT treated with MTrP injection therapy alone. The Visual Analogue Scale (VAS) was measured before the treatment, after the treatment immediately, and the day 7, 14, 21 and 28 after the treatment. The efficacy rate was evaluated up to three months after the treatment. Side effects were also observed during the treatment. The VAS in both groups decreased significantly after treatment (P<0. 05). The VAS in the group BI decreased significantly as compared to that in the group IT at day 14, 21, 28 after treatment (P< 0. 05). The effective rate was significantly higher than that in group IT three months after treatment (P<0. 05). Only one side effect appeared in group BI. Myofascial trigger point biopsy combined with analgesic injection therapy can provide an effective treatment for MPS than injection therapy alone.