咬肌神经阻滞与触发点注射及干针疗法治疗肌筋膜疼痛的疗效比较
The effectiveness of the masseteric nerve block compared with trigger point injections and dry needling in myofascial pain.
作者信息
Taşkesen Fatih, Cezairli Burak
机构信息
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erzincan Binali Yildirim University, Erzincan, Turkey.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, Ordu, Turkey.
出版信息
Cranio. 2023 Mar;41(2):96-101. doi: 10.1080/08869634.2020.1820686. Epub 2020 Sep 16.
OBJECTIVE
To compare the efficacy of three different treatment methods in the management of myofascial pain: masseteric nerve block (MNB), trigger point injection with local anesthetic (LA), and dry needling (DN).
METHODS
Forty-five patients diagnosed with myofascial pain and trigger points in masseter muscles were treated with MNB (n = 15), DN (n = 15), and trigger point injection with LA (n = 15). Pain on palpation (PoP), pain on function (PoF), and maximum mouth opening (MMO) scores were measured and compared before the injections and all follow-ups after the injections.
RESULTS
MMO values were significantly increased in each group. The decrease in PoF values was statistically significant between the groups at 12 weeks (baseline time period).
DISCUSSION
Results of the present study indicate that MNB was not as effective as trigger point injection with local anesthetic or dry-needling in the management of masticatory myofascial pain.
目的
比较三种不同治疗方法治疗肌筋膜疼痛的疗效：咬肌神经阻滞（MNB）、局部麻醉剂触发点注射（LA）和干针疗法（DN）。
方法
45例被诊断为咬肌肌筋膜疼痛并伴有触发点的患者，分别接受MNB治疗（n = 15）、DN治疗（n = 15）和LA触发点注射治疗（n = 15）。在注射前以及注射后的所有随访中，测量并比较触诊疼痛（PoP）、功能疼痛（PoF）和最大开口度（MMO）评分。
结果
每组的MMO值均显著增加。在12周（基线期）时，各组之间PoF值的降低具有统计学意义。
讨论
本研究结果表明，在咀嚼肌肌筋膜疼痛的治疗中，MNB不如局部麻醉剂触发点注射或干针疗法有效。
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