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.%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 of 100 patients (age:17 to 65 years) with MPS in Pain Clinic in Xiaolan People's Hospital of Zhongshan from January 1 to October 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 month after therapy, and the recurrence rate one year after treatment were compared between the two groups. Results At 1 month 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 scale, BRS-6 scale of patients in ozone group were respectively (2.82 ± 1.41), (2.59 ± 1.24), and the VAS scale, BRS-6 scale in RF group were respectively (2.73±1.52), (2.62±1.21). Compared with before therapy, the VAS scale and BRS-6 scale in the two groups after therapy were significantly decreased (P<0.05). However, there were no significant differenc-es between the two groups (P>0.05). At 1 month after therapy, the excellent rate in ozone group and RF group were re-spectively 94.0%, 96.0%, and the treatment satisfaction rate was 100%in both of two groups. There were no significant differences between the two groups in excellent rate and treatment satisfaction rate (P>0.05). After treatment, the 1-year recurrence rate of the patients was 16%in the ozone group and the 18%in RF group. There were no significant differenc-es between the two groups (P>0.05). Conclusion Medical ozone injection in trigger points and radiofrequence thermo-coagulation both have definite effect in the treatment of MPS of trapezius muscle, which can be used according to the specific circumstances of patients in clinic.
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