Objective To analyze the clinical effect of intrafascial hot acupuncture combined with compound betamethasone in the treatment of knee osteoarthritis and the influence on pain degree and joint function of patients. Methods 120 patients with knee osteoarthritis admitted to our hospital from June 2020 to June 2022 were selected and randomly divided into observation group and control group, with 60cases in each group. The control group was only treated with compound betamethasone, and the observation group was treated with intrafascial hot acupuncture combined with compound betamethasone. The clinical efficacy, pain degree（assessed by VAS score） and knee joint function（assessed by KOOS score） of the two groups were compared. Results The total effective rate of the observation group was91.67%, higher than 73.33% of the control group（P ＜0.05）. Before treatment, no statistical difference shoewed in the VAS and KOOS scores between the two groups（P ＞0.05）. After 4 weeks of treatment, the VAS scores of both groups were lower than those before treatment, and the KOOS scores were higher than those before treatment（P ＜0.05）; The VAS score of the observation group was lower than that of the control group, and the KOOS score was higher than that of the control group（P ＜0.05）. Conclusions Compared with compound betamethasone alone, intrafascial hot acupuncture combined with compound betamethasone has better effect in the treatment of knee osteoarthritis, and can effectively relieve the pain and improve the joint function of patients, which is worthy of clinical promotion.

目的:探讨肌内效贴联合毫米波治疗髌下脂肪垫损伤性膝痛的临床疗效。方法:选取髌下脂肪垫损伤患者66例，采用随机数字表法将其分为实验组和对照组，每组33例。2组患者均接受毫米波治疗，实验组患者在此基础上增加肌内效贴治疗，共治疗4周。分别于治疗前、治疗结束时(治疗4周时)和治疗结束后1周、4周、12周，采用视觉模拟评分法(VAS)、Lysholm膝关节评分量表(LKSS)、压痛阈值(PPT)对2组患者进行疗效评定，并于治疗结束不同时间点比较2组患者的临床疗效。结果:治疗前，2组患者的VAS评分、LKSS评分、PPT值比较，差异无统计学意义( P>0.05)。治疗结束时和治疗结束后1周、4周、12周，2组患者的VAS评分、LKSS评分、PPT值均较组内治疗前显著改善( P<0.05)。实验组治疗结束时和治疗结束后1周、4周、12周，VAS评分、LKSS评分、PPT值均较对照组改善优异( P<0.05)。实验组治疗结束时(72.7%)和治疗结束后1周(78.8%)、4周(87.9%)、12周(90.9%)的总有效率均明显高于对照组，差异有统计学意义( P<0.05)。 结论:肌内效贴联合毫米波治疗可以有效改善髌下脂肪垫损伤性膝痛，且疗效较单一毫米波治疗优异。

目的:观察和分析体外冲击波(ESW)联合内热针治疗肱骨外上髁炎的临床疗效。方法:纳入符合条件的肱骨外上髁炎患者46例，根据患者选择的治疗方式不同(ESW治疗或联合肱骨外上髁及冈下肌内热针治疗)，按随机数字表法分为ESW治疗组和联合治疗组，每组23例。2组患者均给予肱骨外上髁ESW治疗，治疗参数设置为探头直径15 mm，治疗压力2.5~3.5 bar(1 bar＝100 kPa)、频率8.0 Hz；治疗部冲击约1500~2000次，每周治疗1次，共4周；联合治疗组在此基础上给予肱骨外上髁及冈下肌内热针治疗，每部位每周内热针治疗1次，共治疗2次。分别于治疗前、治疗结束后1周、4周及12周时，采用目测类比法(VAS)疼痛评分、无痛握力(PFG)测试分别对2组患者的疼痛程度评分和握力大小进行评定，并于治疗前及治疗结束后12周时，对2组患者的日常生活活动(ADL)能力进行调查问卷评估。结果:治疗前，2组患者的VAS疼痛评分[ESW治疗组(5.91±2.01)分，联合治疗组(5.85±1.89)分]、PFG值[ESW治疗组(14.10±5.96)kg，联合治疗组(14.54±6.92)kg]以及ADL[ESW治疗组(25.50±2.21)分，联合治疗组(24.75±1.72)分]的组间差异均无统计学意义( P>0.05)。治疗结束后1周、4周及12周时，联合治疗组患者的VAS疼痛评分和PFG值均明显优于同时间点的ESW治疗组( P<0.05)；其中治疗结束后12周时组间比较，联合治疗组的VAS疼痛评分[(1.37±0.56)分]、PFG值[(29.69±11.67)kg]及ADL评分[(30.35±1.56)分]均明显优于ESW治疗组[VAS疼痛评分(2.45±1.02)分]、PFG值[(19.39±6.45)kg、ADL评分(28.75±1.07)分]，且组间差异均有统计学意义( P<0.05)。 结论:ESW联合肱骨外上髁及冈下肌内热针较单用ESW治疗肱骨外上髁炎疗效显著。

目的 探究基于健康行动过程取向(HAPA)的护理模式对膝关节疼痛患者疾病认知及自我管理能力的影响.方法 选取郑州大学第二附属医院2020年10月至2022年3月膝关节疼痛拟行手术治疗的134例患者,根据入院时间分为对照组、观察组,各67例.对照组接受常规护理,观察组在此基础上,接受基于HAPA的护理模式.对比两组疾病认知度、美国特种外科医院(HSS)膝关节评分、视觉模拟评分法(VAS)评分、成年人健康自我管理能力测评表(AHSMSRS)评分、护理满意度.结果 观察组疾病认知度较好高于对照组(P<0.05);护理1个月后观察组VAS评分低于对照组(P<0.05);护理1个月后观察组HSS、AHSMSRS评分高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05).结论 基于HAPA的护理模式可提高膝关节疼痛患者疾病认知,缓解患者疼痛,增强自我管理能力,改善膝关节功能,提升护理满意度.

小腿后侧疼痛是中老年人常见的症状,但临床中有些病人并不能得到有效的诊断和治疗.如腓肠肌损伤所致的小腿后侧疼痛并未引起足够的重视,经常会被误诊为腰椎间盘突出症、坐骨神经痛及膝关节退变等而延误治疗 [1].目前国内外关于腓肠肌损伤所致的小腿后侧疼痛的研究并不多见 [2],临床中针对小腿后侧疼痛治疗方法有冷气雾剂冷喷法、局部注射治疗及拉伸康复治疗等.近年来,冲击波对慢性软组织损伤有明显的效果 [3],但尚未见有关治疗腓肠肌慢性损伤导致的小腿后侧疼痛的报道.我科采用冲击波对小腿后侧疼痛病人进行治疗取得了较好地临床效果,现报道如下.

Objective:To evaluate the effect of orexin-A on programmed necrosis during cerebral ischemia-reperfusion (I/R) in rats.Methods:Thirty clean-grade healthy adult male Spraugue-Dawley rats, weighing 280-320 g, were divided into 3 groups ( n=10 each) using a random number table method: sham operation group (Sham group), cerebral I/R group (I/R group) and orexin-A group (OA group). In I/R and OA groups, a rat model of global cerebral I/R injury was established by transesophageal cardiac pacing-induced cardiac arrest and cardiopulmonary resuscitation in anesthetized animals.Orexin-A 30 μg/kg (diluted to 0.5 ml in phosphate buffer solution) was intravenously injected at 10 min before establishing the model in OA group.Phosphate buffer solution 0.5 ml was intravenously injected at 10 min before establishing the model in Sham and I/R groups.The neurological deficit score (NDS) was assessed at 24 h of reperfusion, then the rats were sacrificed, and bilateral hippocampal tissues were obtained.The morphological structure of pyramidal cells in the hippocampal CA1 region was examined after HE staining, and normal pyramidal cells were counted.Western blot was used to detect the expression of receptor-interacting protein 1 (RIP1), RIP3 and mixed-lineage kinase domain-like protein (MLKL). Immuno-histochemistry was used to count RIP1, RIP3 and MLKL positive cells in the hippocampal CA1 region.The activity of superoxide dismutase (SOD) in hippocampi was determined by xanthine oxidase method, and the content of malondialdehyde (MDA) in hippocampi was determined by thiobarbituric acid method. Results:Compared with Sham group, the normal pyramidal cell count in the hippocampal CA1 region was significantly decreased, NDS was increased, the expression of RIP1, RIP3 and MLKL protein was up-regulated, the positive cell count was increased, the content of MDA in hippocampi was increased, and the activity of SOD in hippocampi was decreased in I/R and OA groups ( P<0.05). Compared with I/R group, the count of normal pyramidal cells in the hippocampal CA1 region was significantly increased, NDS was decreased, the expression of RIP1, RIP3 and MLKL protein was down-regulated, the count of positive cells was decreased, the content of hippocampal MDA was decreased, and the activity of hippocampal SOD was increased in OA group ( P<0.05). Conclusion:The mechanism by which orexin-A reduces cerebral I/R injury may be related to inhibiting programmed necrosis in rats.

骨关节炎(osteoarthritis,OA)是中老年人的常见病和多发病,其中膝关节受累最为常见.多种细胞因子在骨关节炎发生发展过程中起重要作用,尤以血管内皮生长因子(vascular endothelial growth factor,VEGF)、白细胞介素-6(Interleukin-6,IL-6)、白细胞介素-1β (Interleukin-1β,IL-1β)和肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)最为重要.膝骨关节炎(knee osteoarthritis,KOA)是以关节的疼痛、僵硬肿胀,甚至功能丧失为临床表现的一种慢性退行性疾病[1].目前治疗方法很多,其中关节内激素注射在临床中应用最为广泛,且疗效确切,但由于激素的不良反应及在糖尿病等疾病中应用的限制,迫切需要一种新的治疗方法来替代.

Objective To evaluate the therapeutic effect by the combination of silver needle and pulsed radiofrequency applied to C2 dorsal root ganglion in the treatment of patients with cervicogenic headache.Methods Eighty-six patients with cervicogenic headache of both sexes,aged 14-71,from October 2013 to August 2015 in the Second Affiliated Hospital of Zhengzhou University,were randomly divided into radiofrequeucy group (43 cases) and combined group (43 cases).Patients were treated with pulsed radiofrequency at C2 dorsal root ganglion in the radiofrequency group.Silver needle treatment was used after the pulsed radiofrequency at C2 dorsal root ganglion in the combined group.VAS and pressure pain threshold (PPT) were evaluated at 1 day,3 months and 12 months after the treatment.Results No differences were found in VAS and PPT before the treatment between the two groups (P＞0.05).Compared with pre-treatment,VAS decreased significantly at 1 day,3 months,12 months after the treatment in the two groups (P＜0.05).VAS was even lower significantly at 3,12 months after the treatment in the combined group than that in the radiofrequency group (P＜0.05).Compared with pre-treatment,PPT increased significantly at 3,12 months after the treatment in the two groups (P＜0.05).PPT and the effective rate were even higher significantly at 3,12 months after the treatment in the combined group than those in the radiofrequency group (P＜0.05).Conclusion Silver needle and pulsed radiofrequency at C2 dorsal root ganglion is effective in the treatment of patients with cervicogenic headache,and its long-term effect is better than C2 dorsal root ganglion pulse radiofrequency therapy alone.

带状疱疹是由于水痘 - 带状疱疹病毒引起的急性皮肤病,当患者感染该病毒后部分患者将会引起水痘,但是部分患者感染后不会出现水痘,成为隐性感染 [1].国内学者研究表明 [2]:水痘 - 带状疱疹病毒感染后能沿着神经移动到脊髓后根神经节中,并潜伏在该部位,当宿主细胞免疫下降后,病毒将会被激活,引起神经节发炎、坏死.同时,再次激活的病毒能沿着周围神经纤维再次移动到皮肤发生带状疱疹并伴有疼痛,且患者年龄越大疼痛越重,严重影响患者健康及生活 [3].带状疱疹皮疹愈合后持续 1 个月及以上的疼痛称为带状疱疹后神经痛,是带状疱疹最常见的严重并发症.目前,临床上对于带状疱疹后神经痛主要给予甲钴胺、普瑞巴林、维生素 B1 支持治疗为主,虽然能减轻患者疼痛,但是部分病人治疗过程中由于缺乏有效的护理干预,导致患者心理波动较大,影响患者治疗预后 [4].医护一体化疼痛管理属于是一种新型的护理模式,更加强调医护各尽其责、分工协作;而心理干预是指在心理学理论指导下有计划、按步骤地对一定对象的心理活动、个性特征或心理问题进行影响,朝着预期目标变化的过程 [5].因此,本研究旨在探讨医护一体化疼痛管理联合心理干预在带状疱疹后神经痛患者中的护理效果及对患者疼痛程度及负性情绪的影响,报道如下.

尺骨茎突腱鞘炎又名尺侧腕伸肌腱鞘炎,在所有发病的腱鞘炎病人中较为少见,约占5％左右,其临床症状主要表现为尺骨茎突处疼痛,疼痛可沿尺侧向肘部延伸,或延伸至第3至5掌骨手背侧,疼痛性质多表现为钝痛 [1].体格检查发现尺骨茎突处压痛强阳性,前臂旋后、腕关节背伸等动作可加重疼痛.由于较低的发病率及临床医生经验不足,常引起误诊.

延迟性肌肉酸痛(delayed onset muscle soreness, DOMS)是指人体进行不习惯的运动或肌肉高强度离心收缩,运动结束12～48 h后出现的肌肉酸痛,可持续5～7天,是一种特殊的肌肉疲劳.虽然DOMS随着时间推移可自愈,但轻者可出现肌肉轻度发僵,活动时减轻;严重者疼痛剧烈,肌肉肿胀,严重影响活动和日常生活 [1].目前许多学者致力于研究 DOMS的相关机制,也取得了一定的成果,提出了各自的假说,比如机械损伤学说、肌肉痉挛学说、乳酸堆积学说以及炎症理论、能源物质消耗与代谢调节酶系失活理论等.但这些假说并不足以全面说明 DOMS的发生、演变、转归的规律.DOMS机制尚不明确,其治疗尚未有较好的方法.目前DOMS的治疗临床多采用维生素E/C、中药、按摩、针灸、冷热疗法等 [2],但并没有一种方法能够完全消除 DOMS的症状.冲击波是新兴的康复治疗手段,在软组织疼痛中应用非常广泛,但在DOMS的治疗方面鲜有报道.将冲击波引入DOMS治疗领域是本研究的创新之处,本研究使用冲击波治疗了32例DOMS,初步表现出良好的治疗效果.现报告如下.

Objective To investigate the effect of Kinesio Taping on interleukin-1β(IL-1β),tumor necrosis factor α(TNF-α)and matrix metalloproteinase-3 (MMP-3)in synovial fluid of patients with knee osteoarthritis in early and middle stage.Methods A total of 84 patients with knee osteoarthritis who met the inclusion/exclusion criteria were randomly selected and divided into the control group treated with placebo(kinesiology tape without elasticity)and the experimental group treated with Kinesio Tape.Both two tapes were changed every two days,with 15 times of changes as a course of treatment.Synovial fluid sample was drawn before and one week after treatment,and was used for measuring Levels of 1L-1β,TNF-α and MMP-3 by enzyme-linked immunosorbent assay (ELISA).and knee function was evaluated before and 1 week after treatment.Results Compared with pre-treatment,the levels of IL-1β,TNF-α and MMP-3 in synovial fluid were significantly decreased in the experimental group after treatment [(20.07 ± 6.94) ng/Lvs.(38.12 ± 5.93) ng/L,(42.42±8.76)ng/Lvs.(58.23±9.54)ng/L,(11.28±1.99)μg/L vs.(15.67±2.21)μg/L,t =12.81,7.91 and 9.57,all P＜0.05].The levels of IL-1β,TNF-α and MMP-3 in synovial fluid were lower in the experimental group after treatment than before treatment[(20.07±6.94)ng/L vs.(38.12±5.93)ng/L,(42.42±8.76)ng/L vs.(58.23±9.54)ng/L,(11.28 ±1.99)μg/L vs.(15.67±2.21)ng/L,t =12.81,7.91 and 9.57,all P＜0.05],and were lower in the experimental group after treatment than in control after treatment[(20.07±6.94)ng/L vs.(37.97±6.21)ng/L,(42.42±8.76)ng/L vs.(57.04 ±8.73)ng/L,(11.28± 1.99)μg/Lvs.(15.01± 2.56)μg/L,t =12.46,7.66 and 7.46,all P＜0.05]Lysholm score was significantly higher in the experimental group after treatment than before treatment[(74.5 ± 2.6) vs.(44.7 ± 2.8),t =50.54,P ＜0.05],and was also higher in the experimental group after treatment than in the control group after treatment[(74.5±2.6) vs.(50.2± 2.3),t =45.37,P＜0.05].Conclusions Kinesio Taping can significantly reduce the levels of IL-1β,TNF-α and MMP-3 in synovial fluid of patients with knee osteoarthritis through inhibiting the inflammatory response in articular cavity.

目的:以筋膜线理论为依据,本着解剖与功能的整体观,探讨冲击波法治疗肱骨外上髁炎的疗效.方法:将80例肱骨外上髁炎患者随机分为对照组和观察组,每组40例,对照组采用传统的方法(肱骨外上髁局部)进行冲击波治疗,观察组采用肌筋膜经线理论(沿臂表浅线)进行冲击波治疗.每3天1次治疗,共治疗5次.分别于治疗前、治疗后1周、1、3、6个月对2组进行视觉模拟评分(VAS)、上肢功能评分(DASH)及肱骨外上髁压痛阈值(PPT)评价.结果:治疗后1周、1、3、6个月,2组在VAS及DASH评分均较治疗前明显降低(均P＜0.05),观察组在治疗后各时间点VAS及DASH评分均更低于对照组(均P＜0.05).2组在治疗后1周PPT与治疗前无明显变化,在治疗后1、3、6个月PPT明显提高(均P＜0.05),尤以观察组提高更显著(P＜0.05).对照组在治疗后6个月时VAS、DASH评分及PPT较前轻度反弹,而观察组相对稳定.结论:以肌筋膜经线理论为依据,沿臂表浅线进行冲击波治疗的效果优于单纯肱骨外上髁局部治疗.

[Objective] To compare the outcomes of two different shock wave regimens for chronic plantar fasciitis.[Methods] According to the shock wave regimen applied,112 patients with chronic plantar fasciitis were randomly divided into two groups:the plantar group had shock wave applied only in the plantar area,whereas the composite group had the treatment utilized in the triceps surae besides the plantar area.The visual analogue scale (VAS) and pressure pain threshold (PPT) of plantar area were compared between the two groups.[Results] Compared with those before treatment,the VAS in both groups significantly decreased immediately after treatment,at 1 week,4 weeks and 12 weeks after treatment,especially in the composite group (P＜0.05).The VAS in the composite group at each time point after treatment was lower than that in the plantar group (P＜ 0.05),although no significant difference was noted between them before treatment (P＞0.05).Additionally,the PPT significantly increased at 4 weeks and 12 weeks after treatment,especially in the composite group (P＜0.05),in spite of no statistically distinguishable PPT change between the two groups among the time points before treatment,immediately after treatment and 1 week after treatment (P＞0.05).The PPT in the composite group at 4 weeks and 12 weeks after treatment was significantly higher than that in the plantar group (P＜0.05).[Conclusion] For treatment of plantar fasciitis,shock wave applied on the triceps surae combined with plantar fascia is superior to that used only on the plantar fascia.

Objective To evaluate the efficacy of transcutaneous electrical nerve stimulation(TENS) in the treatment of diabetic peripheral neuropathy(DPN).Methods Sixty patients with DPN were randomly divided into treatment group and control group.The control group was treated with oral administration of epalrestat.The treatment group was treated with TENS on the basis of the control group.The motor conduction velocity and sensory nerve conduction velocity were measured before and after treatment.The effective rate was calculated after treatment.Results The motor and sensory conduction velocity of the two groups were significantly improved after treatment;the treatment group after treatment was improved more obvious differences were statistically significant,compared with the control group.Conclusion TENS is safe and effective in the treatment of DPN.

目的 探讨神经妥乐平联合星状神经节阻滞治疗偏头痛的疗效.方法 将112例偏头痛患者随机分为试验组和对照组,对照组采用星状神经节阻滞治疗,试验组在星状神经节阻滞治疗的基础上口服神经妥乐平.分别于治疗前、治疗结束时、治疗后1个月记录头痛发作频率、止痛药使用次数、VAS评分并进行比较.结果 与治疗前比较,2组治疗结束时及治疗结束后1个月的头痛发作频率、止痛药使用次数、VAS评分均较低(P<0.05).与对照组同时间点比较,试验组治疗结束时和治疗后1个月的头痛发作频率、止痛药使用次数、VAS评分较低(P<0.05).结论 神经妥乐平联合星状神经节阻滞治疗偏头痛效果显著.

Objective To observe the efficacy of acupuncture combined with rehabilitation training in treatment of upper limb disorder after senile stroke.Methods Totally 112 patients with stroke combined with upper limb disorder in our hospital from September 2015 to November 2016 were selected,and they were divided into two groups by using random number table,56 cases in each group.Control group was treated by routine rehabilitation training,and observation group was treated by acupuncture therapy.The clinical efficacy,activity of daily living scale,pain score,score of upper extremity motor function and neurological score were compared between the two groups.Results After treatment,the clinical efficacy of observation group was higher than that of control group (P <0.05).Before treatment,the scores of ADL,FAL,VAS,NDS between the two groups had no statistical differences (P >0.05).After treatment,the scores of ADL,FAL,VAS,NDS in two groups were better than those before treat-ment,and these scores in observation group were better than control group (P <0.05).Conclusion Acupuncture combined with rehabilitation training can improve upper limb disorder,reduce neurologic function deficit and pain,and increase activity of daily living in senile stroke.

目的 探讨不同封闭治疗方案对桡骨茎突狭窄性腱鞘炎疗效的影响.方法 选取72例桡骨茎突狭窄性腱鞘炎患者,随机分为2组.对照组采用传统方案对桡骨茎突进行局部封闭治疗,观察组则在对照组基础上对患侧的前臂桡侧近端进行封闭治疗.比较治疗前、治疗后1周、4周、8周2组患者的视觉疼痛评分(VAS)及Cooney腕关节评分.结果 2组治疗后1周、4周、8周的VAS评分均较治疗前降低,Cooney腕关节评分较治疗前升高;但观察组治疗后各时间点的VAS评分显著低于对照组,Cooney腕关节评分明显高于对照组,差异均有统计学意义(P<0.05).2组患者Finkelstein征阳性率治疗后8周分别降为33.3%、11.1%,观察组有效率明显高于对照组,差异均有统计学意义(P<0.05).结论 桡骨茎突局部与患侧前臂桡侧近端同时封闭,治疗效果优于单纯桡骨茎突局部封闭.

Objective To explore clinical efficacy of ultrasound-guided brachial plexus blockade for upper limb pain from acute herpes zoster and postherpetic neuralgia.Methods Fifty-six patients were assigned to receive a brachial plexus block using either Traditional anatomical (Group A) or ultrasound-guided localization method (Group B).All patients received pregabalin in a dose of 150 mg twice daily.Pain assessment using the visual analog scale and amount of pregabalin being taken was measured at the initial visit (basal),weekly for 6 weeks after the procedure and after 2,3,and 6 months.The time of complete resolution of pain and incidence of PHN was reported.Each patient's satisfaction was evaluated.Results There was a significantly shorter duration of pain noticed in Group B.A significantly lower incidence of PHN was encountered in Group B after 3 months and 6 months.Significantly more patient satisfaction was reported in Group B after 3 and 6 months.By the fourth week,29 patients in Group B reported no pain.Two patients reported mild pain after 3 months which was resolved by the sixth month.In Group A,22 patients reported no pain by the sixth week and 8 patients reported moderate pain after 2 and 3 months;by the sixth month,4 out of those 8 patients showed spontaneous remission of pain.There was a significant reduction in the doses of pregabalin in Group B.Conclusion Ultrasound-guided brachial plexus blockade is a very effective treatment modality for acute herpes zoster of the upper limb and PHN.

目的 观察并评价聚焦式超声对于腰骶部慢性软组织损伤的治疗效果.方法 采用随机数字法把152例腰骶部软组织损伤患者随机分为对照组73例与超声治疗组79例.对照组采用局部痛点阻滞进行治疗,每周治疗1次,持续治疗3周.超声治疗组采用聚焦式超声进行治疗,每日治疗1次,隔日治疗,连续治疗5次.选取治疗前、首次治疗10 min后、疗程结束1d后与疗程结束3个月后进行VAS评分,并进行统计、分析临床疗效.结果 超声组与对照组在首次治疗后10 min、疗程结束后1d、疗程结束后3个月的VAS评分均比治疗前有所降低(P＜0.01),但超声组在疗程结束后td与疗程结束后3个月的VAS评分明显低于对照组(P＜0.01),且超声组在3个时间点的总体疗效明显高于对照组(P＜0.05).结论 聚焦式超声在治疗腰骶部软组织损伤中疗效持久、显著,相比于局部痛点阻滞疼痛复发率显著降低,值得临床推广.