【摘要】 [目的]探讨运动处方治疗慢性颈肌筋膜疼痛综合征的疗效。[方法]将144名患者随机分为Ⅰ组、Ⅱ组、Ⅲ组,Ⅰ组为药物治疗组,Ⅱ组为推拿治疗组,Ⅲ组为运动处方治疗组。在治疗前、治疗1个疗程后、治疗结束后3个月用视觉模拟评分法(visual analogue scale,VAS)记录患者的疼痛程度,并进行评价。[结果]Ⅰ组50例,治疗后2周:显效24例,有效18例,显效率48.00%,总有效率84.00%。3个月后复发20例,复发率47.6%;Ⅱ组46例,治疗后2周:显效25例,有效18例,显效率54.35%,总有效率93.48%。3个月后复发18例,复发率41.86%;Ⅲ组48例,治疗后2周:显效28例,有效15例,显效率58.35%,总有效率89.59%。3个月后复发5例,复发率11.63%。Ⅲ组总有效率与Ⅰ组、Ⅱ组相当,经统计学处理,无显著性差异(P>0.05);Ⅲ组复发率低于Ⅰ组、Ⅱ组,经统计学处理,有显著性差异(P<0.05)。[结论]运动处方既是治疗慢性颈肌筋膜疼痛综合征的有效手段,也是预防其复发的有效措施。更多还原

【Abstract】 [Objective]To investigate the efficacy of exercise prescription for treating chronic cervical myofascial pain syndrome. [Methods]One hundred and forty-four patients were randomly allocated to group Ⅰ(50 treated by drug),group Ⅱ(46 treated by tunia) and group Ⅲ(48 treated by exercise prescription).Visual analogue scale(VAS) was used to record the severity of pain before treatment,after one treatment course(two weeks) and three months after the end of treatment. [Results]The marked effective rate,effective rate and relapse rate were 48.00%(24/50),84.00 %(18/50) and 47.6%(20/42) respectively in group Ⅰ,54.35 %(25/46),93.48 %(18/46) and 41.86%(18/43) respectively in group Ⅱ,58.35%(28/48),89.59%(15/48) and 11.63%(5/43) respectively in group Ⅲ.Statistical analysis showed no significant difference of the effective rate in group Ⅲ compared with group Ⅰ and group Ⅱ(P>0.05),but the relapse rate in group Ⅲ was significantly lower than that in group I and group Ⅱ(P<0.05). [Conclusion]Exercise prescription has good efficacy in treating and preventing chronic cervical myofascial pain syndrome.更多还原