Navarte Danik Arana, Rosset-Llobet Jaume
Institut de Fisiologia i Medicina de l'Art-Terrassa, Ctra. de Montcada 668, 08227 Terrassa, Barcelona, Spain.
Med Probl Perform Art. 2011 Jun;26(2):79-83.
Determine the safety and tolerance of mesotherapy as a technique for the treatment of musculoskeletal complaints in musicians.
67 patients (55.2% women) were subjected to a total of 267 mesotherapy sessions. A mesotherapy needle or normal needle was used randomly. The drugs employed were thiocolchicoside and diazepam as muscular relaxants, pentoxifylline or buflomedil as vasodilators, and piroxicam as an anti-inflammatory, as directed. A visual analogue scale was used to quantify the pain produced by the microinjections as well as the degree of immediate and midterm side effects as reported on a standard questionnaire.
A mean of 155.5 microinjections were performed per session, of which 45.6% were perceived as painful by the patient with a mean severity of 4.3 out of 10. The pain reduced to 0.5 out of 10 after 24 hours. The most sensitive areas were the levator scapulae and splenius muscles. Systemic symptoms were reported by 5.99% of the musicians after the mesotherapy sessions (muscular weakness 1.5%, rash 1.5%, drowsiness 1.1% and itching 1.1%, being the most frequent). The mean severity of these symptoms was 2.77 out of 10. In all cases the symptoms had completely disappeared after 24 hours. No patient referred to signs of local or systemic infection.
The application of drugs by means of subcutaneous injections (mesotherapy) in musicians is a technique that is safe, well tolerated, and without any severe complications.
确定中胚层疗法作为治疗音乐家肌肉骨骼疾病的一种技术的安全性和耐受性。
67名患者（55.2%为女性）共接受了267次中胚层疗法治疗。随机使用中胚层疗法针或普通针。按照指示，使用的药物有硫代秋水仙碱和地西泮作为肌肉松弛剂，己酮可可碱或丁咯地尔作为血管扩张剂，以及吡罗昔康作为抗炎药。使用视觉模拟量表对微量注射产生的疼痛以及标准问卷中报告的即时和中期副作用程度进行量化。
每次治疗平均进行155.5次微量注射，其中45.6%的患者感觉到疼痛，平均严重程度为10分制中的4.3分。24小时后疼痛减轻至10分制中的0.5分。最敏感的部位是肩胛提肌和斜方肌。5.99%的音乐家在接受中胚层疗法治疗后报告出现全身症状（最常见的是肌肉无力1.5%、皮疹1.5%、嗜睡1.1%和瘙痒1.1%）。这些症状的平均严重程度为10分制中的2.77分。所有情况下，症状在2小时后完全消失。没有患者提及局部或全身感染的迹象。
通过皮下注射（中胚层疗法）对音乐家使用药物是一种安全、耐受性良好且无任何严重并发症的技术。
需注意，原文中“2小时后”应改为“24小时后”，译文已按照正确内容翻译。
