[1]王世尧,黄玉,杨代鑫,等.超声引导下刃针治疗腰臀部肌筋膜疼痛综合征30例[J].西部中医药,2025,38(08):133-137.[doi:10.12174/j.issn.2096-9600.2025.08.25]
　WANG Shiyao,HUANG Yu,YANG Daixin,et al.Ultrasound-guided Treatment of Lumbar and Gluteal Myofascial Pain Syndrome with Sharp-edged Needle: A Report of 30 Cases[J].Western Journal of Traditional Chinese Medicine,2025,38(08):133-137.[doi:10.12174/j.issn.2096-9600.2025.08.25]
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超声引导下刃针治疗腰臀部肌筋膜疼痛综合征30例

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年08期
页码:
133-137
栏目:
特色医疗
出版日期:
2025-08-15

文章信息/Info

Title:
Ultrasound-guided Treatment of Lumbar and Gluteal Myofascial Pain Syndrome with Sharp-edged Needle: A Report of 30 Cases
作者:
王世尧1, 黄玉2, 杨代鑫1, 范翔1, 李汉2, 李佳2, 孙晴2
1.陕西中医药大学，陕西 咸阳 712046
2.西安市中医医院，陕西 西安 710021
Author(s):
WANG Shiyao1, HUANG Yu2, YANG Daixin1, FAN Xiang1, LI Han2, LI Jia2, SUN Qing2
1.Shaanxi University of Chinese Medicine, Xianyang 712046, China
2.Xi'an Traditional Chinese Medicine Hospital 710021, China
关键词:
肌筋膜疼痛综合征; 超声; 弹性模量（E）; 激痛点; 刃针
Keywords:
myofascial pain syndrome; ultrasound; elastic modulus; myofascial trigger points; sharp-edged needle
分类号:
R255.6
DOI:
10.12174/j.issn.2096-9600.2025.08.25
文献标志码:
B
摘要:
目的观察超声引导下刃针激痛点（myofascial trigger points，MTrPs）治疗腰臀部肌筋膜疼痛综合征（myofascial pain syndrome，MPS）的临床疗效。 方法回顾性分析采取超声引导下刃针MTrPs治疗腰臀部MPS患者30例，记录患者在治疗前、首次治疗后与疗程结束后疼痛视觉模拟量表评分（visual analogue score，VAS）、MTrPs处弹性模量（E）、MTrPs感兴趣区和同一水平周围肌肉组织的感兴趣区应变比（strain ratio，SR）。 结果首次治疗后与疗程结束后患者VAS评分、MTrPs处弹性模量（E）均较治疗前降低，差异有统计学意义（P＜0.05）；首次治疗后与疗程结束后患者SR较治疗前更趋于比值1，差异有统计学意义（P＜0.05）。 结论超声引导下刃针治疗腰臀部MPS能有效地缓解疼痛，修复局部软组织弹性，增强局部形变能力。
Abstract:
ObjectiveTo observe clinical effects of ultrasound-guided sharp-edged needle activation of myofascial trigger points (MTrPs) in the treatment of lumbar and gluteal myofascial pain syndrome (MPS). MethodsA retrospective analysis was conducted on 30 patients suffering lumbar and gluteal MPS treated with ultrasound-guided sharp-edged needle activation of MTrPs, to record VAS scores, elastic modulus (E) of MTrPs, strain ratio (SR) in the region of interest of MTrPs and in the region of interest of surrounding muscle tissue at the same level before the treatment, after the initial treatment and by the end of the treatment. ResultsCompared with before the treatment, VAS scores and E of MTrPs were lowered after the initial treatment and by the end of the treatment, and the difference had statistical meaning (P<0.05); after the initial treatment and by the end of the treatment, SR moved towards a ratio of 1 than before the treatment, and the difference showed statistical meaning (P<0.05). ConclusionUltrasound-guided sharp-edged needle activation of MTrPs in the treatment of lumbar and gluteal MPS could effectively relieve pain, repair local soft tissue elasticity and improve local deformability.

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备注/Memo

备注/Memo:
王世尧（1998—），男，在读硕士研究生，医师。研究方向：骨伤疾病的中医药诊治。陕西省技术创新引导专项（2021QFY01-05）；西安市科技计划项目（23YXYJ0030）。
更新日期/Last Update: 2025-08-15