· 758 ·中国疼痛医学杂志Chine Journal of Pain Medicine 2020, 26 (10) doi:10.3969/j.issn.1006-9852.2020.10.007
基于软组织外科学理论体外冲击波治疗译马网>静配中心
脊柱源性腹痛的疗效观察*
王 帅1 陈凯雄1 王震生2 刘荣国1△
其系念什么
（1福建医科大学省立临床医学院福建省立医院疼痛科，福州 350001；2天津市武清区东蒲洼医院疼痛科，
天津301700）
摘要目的：观察根据软组织外科学理论实施体外冲击波疗法 (radial extracorporeal shockwave thera-py, rESWT)治疗脊柱源性腹痛(abdominal pain of spinal origin, APSO)的有效性及安全性。方法：23例APSO病人，在患侧下段胸椎 (T6-12) 和腰椎的棘突旁、椎板、关节突关节、横突、骶骨背面、髂嵴缘、肋弓下缘及耻骨联合上缘的敏感压痛点进行rESWT，每7天治疗1次，共4次，比较病人每次治疗前、4次治疗结束后4周、12周及24周的疼痛数字评分法(numerical rating scale, NRS)并作疗效评价。
结果：治疗结束后4周、12周、24周的NRS较首次治疗前明显降低，差异有统计学意义(P < 0.01)。
童话故事作文200字
在首次治疗前至治疗结束后12周相邻时间点中，后一个时间点NRS均较前一个时间点降低，差异有统计学意义(P < 0.05)。病人治疗结束后4周、12周的显效率均为87.0%，治疗结束后24周的显效率为91.3%，未见与治疗相关不良反应发生。结论：依据软组织外科学理论实施体外冲击波治疗APSO 安全、有效，值得临床推广应用。伞下
关键词体外冲击波疗法；脊柱源性腹痛；软组织外科学理论
Efficacy of radial extracorporeal shockwave therapy guided by theory of soft tissue surgery for treatment of abdominal pain of spinal origin *
W ANG Shuai 1, CHEN Kai-Xiong 1, W ANG Zhen-Sheng 2, LIU Rong-Guo 1△
(1 Department of Pain Management, Fujian Provincial Hospital, Shengli Clinical Medical College of Fu-
举哀jian Medical University, Fuzhou 350001, China; 2 Department of Pain Management, Dongpuwa Hospital, Wuqing District, Tianjin 301700, China)
Abstract Objective: To obrve the efficacy and safety of radial extracorporeal shockwave therapy (rESWT) followed theory of soft tissue surgery in the treatment of abdominal pain of spinal origin. Me
thods: A prospective study was performed in patients with APSO (n = 23) treated with rESWT in our hospital. The treatment of rESWT was applied to the specific tenderness points involving the Lower thoracic gment (T6-12) and the lumbar spinal gment including spinous process, vertebral lamina, facet joints, transver process, the back of the sacrum, the upper margin of iliac ridge, the lower costal margin and the superior margin of symphysis pubis of affected side. All patients were followed up with numerical rating scale (NRS) before each treatment and at 4, 12 and 24 weeks follow-up after rESWT to evaluate the efficacy. Results: The scores of NRS at 4, 12 and 24 weeks after 4 times of rESWT were significantly improved compared with the preoperative baline (P < 0.01). From the first treatment to 12 weeks follow-up, the score of NRS at the next time point was significantly lower than that at the in turn previous time point (P < 0.05). The effective rates (pain relief ex-ceeding 50%) at 4, 12 weeks follow-up were up to 87.0%, and that at 24 weeks follow-up was up to 91.3%. No rious adver events were obrved in the cour of treatment. Conclusion: The rESWT for APSO under the guidance of the theory of soft tissue surgery is a safe, effective and worthy of clinical application.
Key words Extracorporeal shockwave therapy; Abdominal pain of spinal origin; Theory of soft tissue surgery
唐昭宗
种类英文*基金项目：福建医科大学启航基金项目资助（2019QH1180）
△通讯作者
