TY - JUR A2 - ABLIN，Jacob Au - Lu，Xiang-Hong Au - Chang，萧岚Au - Liu，Si-Lan Au - 徐，京雅·奥 - 苟，萧君PY - 2020 DA - 2020 /05/18 TI - 超声引导的触发点的失活与肌肉筋膜剥离液体刀，治疗腹部神经痛复杂腹部肌菌疼痛综合征：一项潜在和控制的临床研究SP - 4298509 VL - 2020 AB - 客观的。为了评估MyoFascial触发点（MTRP）与腹部肌肉剥离的超声引导灭活（MTRP）与液体刀具剥离，治疗腹部肌肉疼痛综合征（AMPS）。 方法。从2015年1月到2018年7月，苏州大学第一个附属医院痛苦部门的非头颈疫苗患者被常规口腔药物和每周肩膀神经阻滞治疗两周。2 N = 33) including those with PHN and without myofascial pain syndrome (MPS) and control group 2 (C2, N = 33) including those with PHN complicated with MPS and observation group 1 (PL, N = 33) including those with PHN complicated with limb myofascial pain syndrome (LMPS) and observation group 2 (PA, N = 33) including those with PHN complicated with AMPS. All groups received zero-grade treatment: routine oral drugs and weekly paraspinal nerve block. PL and PA groups were also treated step by step once a week: primary ultrasound-guided inactivation of MTrPs with dry needling, secondary ultrasound-guided inactivation of MTrPs with dry and wet needling, and tertiary ultrasound-guided dry and wet needling combined with muscle fascia stripping by liquid knife. At one week after primary treatment, patients with a VAS score > 2 proceeded to secondary treatment. If the VAS score was <2, the treatment was maintained, and so on, until the end of the four treatment cycles. Pain assessment was performed by specialized nurses at one week after each treatment, including VAS score, McGill pain questionnaire (MPQ) score, pressure pain sensory threshold (PPST), and pressure pain tolerance threshold (PPTT). VAS score was used as the main index and VAS <2 indicated effective treatment. At 3 months after treatment, outpatient and/or telephone follow-up was performed. The recurrence rate was observed and VAS > 2 was regarded as recurrence. 结果。在初级治疗后一周，PL组有效率为66.7％，明显高于PA组（15.2％， P. < 0.05 ）。在继发治疗后一周，PL和PA组的有效率为100％和37.5％，组之间的显着差异（ P. < 0.05 ）。第三次治疗后，有效率在PA群中增加至90.6％。在治疗循环结束后一周，C1，PL和PA组的VAS和MPQ的分数显着低于C2组（ P. < 0.05 ），而PPST和PPTT显着高于C2组（ P. < 0.05 ）。C1组和PL组之间没有显着差异（ P. > 0.05 ）。在治疗后3个月的随访时，每组复发率低，组之间没有显着差异（ P. > 0.05 ）。 结论。大约57％的PHN患有轻度至中等疼痛的患者是复杂的MPS，并且具有干燥和湿针的MTRP的超声引导灭活可以有效地治疗与LMP合并的PHN患者。然而，HPN患者复杂的AMPS需要用超声引导的MTRPS灭活治疗，结合肌肉筋膜，尽快剥离液体刀。SN - 1203-6765 UR - https://doi.org/10.1155/2020/4298509 do - 10.1155 / 2020/4298509 JF - 疼痛研究和管理PB - Hindawi Kw - ER -