局部阻滞联合刮痧治疗早期非特异性肋软骨炎的疗效评价(1)
[摘要] 目的 观察局部阻滞联合刮痧治疗早期非特异性肋软骨炎的疗效。 方法 选择2012年5月～2014年3月我科确诊的早期非特异性肋软骨炎患者120例，随机分成两组：局部阻滞联合刮痧为A组与单纯局部阻滞为B组各60例。比较两组治疗后1个月的疗效、总费用、治疗后疼痛症状明显缓解需要的天数和满意度是否有差异。 结果 两组治疗后1个月的疗效及总费用差异无统计学意义(P>0.05)；A组治疗后疼痛症状明显缓解需要天数明显少于B组(P<0.05)，A组的满意度明显优于B组(P<0.05)。 结论 局部阻滞联合刮痧治疗早期非特异性肋软骨炎疗效确切、疗程短、费用廉价、患者满意度高，值得临床推广。
[关键词] 局部阻滞；刮痧；肋软骨炎；满意度
[中图分类号] R274.2 [文献标识码] B [文章编号] 1673-9701(2015)29-0106-03
Efficacy of local block combined with scraping therapy in treatment of early nonspecific costochondritis
LI Guobin ZHOU Liangjun LIN Ruibo
Department of Pain Management，Guzhen People's Hospital of Zhongshan City in Guangdong Province，Zhongshan 528421，China
[Abstract] Objective To observe the efficacy of local block combined with scraping therapy in treatment of early nonspecific costochondritis. Methods 120 cases being confirmed as early nonspecific costochondritis from May 2012 to March 2014 were randomly divided into two groups，patients with local block combined with scraping therapy were defined as group A(n=60)； other patients with local block as group B(n=60). Efficacy， all-in cost， days of pain relief needed and satisfaction were adapted to evaluate both groups in the first month after treatment. Results There was no significant difference in efficacy and all-in cost between both groups in the first month after treatment(P>0.05)；Days of pain relief needed of group A was less than group B，and satisfaction of group A was superior to group B(P<0.05). Conclusion Local block combined with scraping therapy in treatment of early nonspecific costochondritis has the advantages of significant effect，short course，less costs，high satisfaction，and worth clinical promotion.
[Key words] Local block； Scraping therapy； Costochondritis； Satisfaction
非特异性肋软骨炎是引起胸痛的常见原因，也是疼痛门诊常见疾病。其病程长短不一，数天、数月甚至数年，更有迁延不愈形成顽固性肋软骨炎。传统无创疗法治疗顽固性肋软骨炎效果均不理想。姚晓等[1]认为运用针刀闭式松解综合疗法治疗顽固性肋软骨炎方能取得良好效果。李智勇等[2]认为对保守治疗无效且疼痛难忍、心理负担重的顽固性肋软骨炎患者，手术治疗是最后的理想方法。因此，早期治愈非特异性肋软骨炎有重要临床意义。目前，治疗非特异性肋软骨炎的方法众多，如药物、针灸、理疗和局部阻滞等，但疗程均较长，约10～15 d。本研究主要探讨局部阻滞联合刮痧治疗早期非特异性肋软骨炎是否能缩短疗程和提高疗效，现报道如下。
1 资料与方法
1.1 一般资料
选取2012年5月～2014年3月我科确诊的符合下述标准的非特异性肋软骨炎患者120例，均告知治疗风险并签署知情同意书。按随机成组设计分为两组：A组60例，男29例，女31例，年龄20～43岁，平均(28.0±2.5)岁，平均病程(1.2±0.5)个月，共涉及病变肋软骨84处，单发于1处肋软骨者42例，≥2处肋软骨者18例，行局部阻滞联合刮痧治疗；B组60例，男28例，女32例，年龄18～45岁，平均(29.0±3.0)岁，平均病程(1.3±0.6)个月，共涉及病变肋软骨82处，单发于1处肋软骨者44例，≥2处肋软骨者16例，行单纯局部阻滞。两组在性别、年龄、病程和病变肋软骨处等方面比较，差异无统计学意义(P>0.05)。
1.2 纳入标准
①伴有不明原因的胸痛，咳嗽或活动时呼吸加重，疼痛部位位于胸肋关节，局部可见隆起，压痛明显、伴有肿胀，血象、血沉、胸片、心电图等检查排除化脓性感染、心脏、胸腔和肋骨等其他器质性病变[3]。②病程0～3个月。, 百拇医药(李国斌 周良军 林锐波)
[关键词] 局部阻滞；刮痧；肋软骨炎；满意度
[中图分类号] R274.2 [文献标识码] B [文章编号] 1673-9701(2015)29-0106-03
Efficacy of local block combined with scraping therapy in treatment of early nonspecific costochondritis
LI Guobin ZHOU Liangjun LIN Ruibo
Department of Pain Management，Guzhen People's Hospital of Zhongshan City in Guangdong Province，Zhongshan 528421，China
[Abstract] Objective To observe the efficacy of local block combined with scraping therapy in treatment of early nonspecific costochondritis. Methods 120 cases being confirmed as early nonspecific costochondritis from May 2012 to March 2014 were randomly divided into two groups，patients with local block combined with scraping therapy were defined as group A(n=60)； other patients with local block as group B(n=60). Efficacy， all-in cost， days of pain relief needed and satisfaction were adapted to evaluate both groups in the first month after treatment. Results There was no significant difference in efficacy and all-in cost between both groups in the first month after treatment(P>0.05)；Days of pain relief needed of group A was less than group B，and satisfaction of group A was superior to group B(P<0.05). Conclusion Local block combined with scraping therapy in treatment of early nonspecific costochondritis has the advantages of significant effect，short course，less costs，high satisfaction，and worth clinical promotion.
[Key words] Local block； Scraping therapy； Costochondritis； Satisfaction
非特异性肋软骨炎是引起胸痛的常见原因，也是疼痛门诊常见疾病。其病程长短不一，数天、数月甚至数年，更有迁延不愈形成顽固性肋软骨炎。传统无创疗法治疗顽固性肋软骨炎效果均不理想。姚晓等[1]认为运用针刀闭式松解综合疗法治疗顽固性肋软骨炎方能取得良好效果。李智勇等[2]认为对保守治疗无效且疼痛难忍、心理负担重的顽固性肋软骨炎患者，手术治疗是最后的理想方法。因此，早期治愈非特异性肋软骨炎有重要临床意义。目前，治疗非特异性肋软骨炎的方法众多，如药物、针灸、理疗和局部阻滞等，但疗程均较长，约10～15 d。本研究主要探讨局部阻滞联合刮痧治疗早期非特异性肋软骨炎是否能缩短疗程和提高疗效，现报道如下。
1 资料与方法
1.1 一般资料
选取2012年5月～2014年3月我科确诊的符合下述标准的非特异性肋软骨炎患者120例，均告知治疗风险并签署知情同意书。按随机成组设计分为两组：A组60例，男29例，女31例，年龄20～43岁，平均(28.0±2.5)岁，平均病程(1.2±0.5)个月，共涉及病变肋软骨84处，单发于1处肋软骨者42例，≥2处肋软骨者18例，行局部阻滞联合刮痧治疗；B组60例，男28例，女32例，年龄18～45岁，平均(29.0±3.0)岁，平均病程(1.3±0.6)个月，共涉及病变肋软骨82处，单发于1处肋软骨者44例，≥2处肋软骨者16例，行单纯局部阻滞。两组在性别、年龄、病程和病变肋软骨处等方面比较，差异无统计学意义(P>0.05)。
1.2 纳入标准
①伴有不明原因的胸痛，咳嗽或活动时呼吸加重，疼痛部位位于胸肋关节，局部可见隆起，压痛明显、伴有肿胀，血象、血沉、胸片、心电图等检查排除化脓性感染、心脏、胸腔和肋骨等其他器质性病变[3]。②病程0～3个月。, 百拇医药(李国斌 周良军 林锐波)