徐小柳李殿宁△周建斌李开平（.南京中医药大学，江苏南京003；.江苏省南京市中西医结合医院，江苏南京004）

针刀治疗枕下肌肌筋膜疼痛综合征临床观察*

徐小柳1李殿宁1△周建斌2李开平1
（1.南京中医药大学，江苏南京210023；2.江苏省南京市中西医结合医院，江苏南京210014）

目的观察小针刀治疗枕下肌肌筋膜疼痛综合征的临床疗效。方法将60例患者按随机数字表法分为两组，各30例。治疗组运用小针刀松解枕下肌方法治疗，对照组予经筋针刺治疗，对比治疗前后临床症状的改善情况。结果治疗组临床总有效率为96.67%，高于对照组的70.00%（P《0.05），两组治疗后视觉模拟量表（VAS）评分、颈椎活动度以及伴随症状总评分均较治疗前明显降低（P《0.05），治疗组改善优于对照组（P《 0.01）。结论小针刀松解枕下肌治疗可明显改善枕下肌筋膜疼痛综合征临床症状，疗效确切。

针刀枕下肌肌筋膜疼痛综合征经筋

【Abstract】Objective：To observe the clinical curative effect of treating the suboccipitalmyofascial pain syndrome by releasing the suboccipitalmuscles using the small needle-knife.M ethods：60 cases of suboccipital musclesmyofascial pain syndrome were randomly divided into two groups，the treatment group with small needle knife suboccipitalmuscles loose solution treatment，and the control group with the reinforcement of acupuncture treatment.The clinical symptoms were compared in two groups before and after treatment.Results：The total effective rate was 96.67%in the treatment group，and it was 70.00%in the control group.These indicators in two groups were decreased obviously in two groups including the VAS pain score，the cervical spinemobilitya and the concomitant symptom scores（P《0.05）.Their improvments in the treatment group were superior to those in the control group（P《0.01）.Conclusion：It is effective of the small needle-knife therapy in the clinical symptoms improvments of the suboccipitalmyofascial pain syndrome.

【Key words】Needle-knife；SuboccipitalMuscles；Myofascial Pain Syndrome；Divergentmeridians

肌筋膜疼痛综合征是一种以骨骼肌功能失调产生激痛点（TrP）引起疼痛为主要特征的临床多发疾病，是软组织及骨关节周围痛的常见病因。肌筋膜疼痛激痛点流行病学调查显示，疼痛门诊患者中85%以上都与肌筋膜疼痛有关［1］。颈部肌肉激痛点是颈椎病致病的一个重要原因［2］。现今颈肌劳损和颈椎病患病率升高，因此诱发的枕下肌群的激痛点和引传痛非常普遍［3］。由枕下肌急性损伤或慢性劳损引起的头痛、头昏、眩晕［4］等头颈症状，多见于中老年和运动人群，既往该病通常易被误诊为枕神经痛或紧张性头痛等疾病。……