标题：激痛点臭氧注射与射频热凝治疗斜方肌肌筋膜疼痛综合征疗效比较

      作者：马钧阳，王立勋，陈友利，程松鹤，杨纲华，蔡永红    (中山市小榄人民医院 南方医科大学附属小榄医院麻醉科，广东 中山 528415)

      卷次： 2017年28卷7期

      【摘要】 目的 比较激痛点臭氧注射与射频热凝两种技术在斜方肌肌筋膜疼痛综合征治疗中的临床效果。方法 选择2014年1月1日至10月31日广东省中山市小榄人民医院疼痛门诊100例斜方肌肌筋膜疼痛综合征患者，年龄17~65岁。按随机数字表法分为臭氧注射治疗组(臭氧组) 50例和射频热凝治疗组(射频组) 50例。比较两组患者治疗前、治疗后1个月、治疗后1年的视觉模拟评分(VAS评分)、六点行为评分(BRS-6评分)，治疗后1个月的疼痛缓解优良率和满意度，治疗后 1年的复发率。结果 臭氧组患者治疗后 1个月的VAS评分为(1.52±1.30)分，BRS-6评分为(1.26±0.72)分，治疗后1年的VAS评分为(2.82±1.41)分，BRS-6评分为(2.59±1.24)分；射频组患者治疗后1个月的VAS评分为(1.51±1.41)分，BRS-6评分为(1.27±0.69)分，治疗后1年的VAS评分为(2.73±1.52)分，BRS-6评分为(2.62±1.21)分。两组VAS评分和BRS-6评分均较治疗前明显降低(P<0.05)，但组间比较差异均无统计学意义(P>0.05)。治疗后1个月，臭氧组患者的优良率为94.0%，射频组为96.0%，两组治疗满意度均为100%。两组的优良率及满意度比较差异均无统计学意义(P>0.05)。治疗后，臭氧组患者的1年复发率为16%，射频组为18%，两组比较差异无统计学意义(P>0.05)。结论 激痛点臭氧注射与射频热凝在斜方肌肌筋膜疼痛综合征的治疗中均有确切疗效，临床上可根据患者的具体情况采用。
      【关键词】 肌筋膜疼痛综合征；激痛点；臭氧；射频热凝；疗效
      【中图分类号】 R442.8 【文献标识码】 A 【文章编号】 1003—6350（2017）07—1073—03

Comparative analysis of the clinical efficacy of medical ozone injection in trigger point and radiofrequencythermocoagulation in treatment of myofascial pain syndrome of trapezius muscle.
MA Jun-yang, WANG Li-xun,CHEN You-li, CHENG Song-he, YANG Gang-hua, CAI Yong-hong. Department of Anesthesiology, Xiaolan People'sHospital of Zhongshan/Xiaolan Hospital Affiliated to Southern Medical University, Zhongshan 528415, Guangdong, CHINA
【Abstract】 Objective To compare the curative effect of medical ozone injection in trigger points and radiofre-quence thermocoagulation in treatment of mayofascial pain syndrome (MPS) of trapezius muscle. Methods A total of100 patients (age: 17 to 65 years) with MPS in Pain Clinic in Xiaolan People's Hospital of Zhongshan from January 1 toOctober 31, 2014 were selected. According to the random number table, all patients were divided into two groups: medi-cal ozone injection group (ozone group, n=50) and radiofrequency thermocoagulation treatment group (RF group, n=50).The visual analogue scale (VAS) and the 6-point behavioral rating scale (BRS-6) before therapy and 1 month after thera-py, 1 year after therapy were compared between the two groups. The excellent rate of pain relief, satisfaction at 1 monthafter therapy, and the recurrence rate one year after treatment were compared between the two groups. Results At 1month after therapy, the VAS scale, BRS-6 scale of patients in ozone group were respectively (1.52±1.30), (1.26±0.72),and the VAS scale, BRS-6 scale in RF group were respectively (1.51±1.41), (1.27±0.69). At 1 year after therapy, the VAS·论 著·doi:10.3969/j.issn.1003-6350.2017.07.015基金项目：广东省中山市医学科研项目(编号：2014A020212)