激痛点按压治疗肌筋膜疼痛综合征的Meta分析

目的:对激痛点按压技术治疗肌筋膜疼痛综合征(MPS)的临床疗效进行Meta分析。方法:计算机检索2010年1月至2020年3月范围内,PubMed,EMbase,Cochrane Library,中国知网(CNKI),中国生物医学文献数据库(CBM)和万方数据库中,查找激痛点按压技术与其他疗法比较治疗MPS患者的随机对照试验(RCT)。由2位评价员依据纳入和排除标准对文献进行独立筛选、提取数据和评价纳入研究的方法学质量后,通过RevMan5.2软件对单次治疗前后VAS评分,压痛阈值(PPT)等评分变化进行Meta分析。结果:最终纳入8篇RCT,共计352名受试者。Meta分析结果显示,使用激痛点按压技术的治疗组VAS评分改善显著优于其他疗法的治疗/对照组MD=-8.38;95%CI(-11.31,-5.44);Z=5.60;P=<0.00001];使用激痛点按压的治疗组PPT改善显著优于其他疗法的治疗/对照组MD=0.56;95%CI(0.33, 0.70);Z=5.53;P<0.00001]。结论:激痛点按压技术在改善肌筋膜疼痛综合征的疼痛症状方面存在一定的疗效和优势。

Trigger Point Compression Therapy in the Treatment of Myofascial Pain Syndrome: A Meta-analysis

Objective: To examine the effects of trigger point compression(TPC) therapy in the treatment of myofascial pain syndrome. Methods: The PubMed, EMbase, Cochrane Library, China national knowledge network(CNKI), China biomedical literature database(CBM) and wanfang database were searched by computer from January 2010 to March 2020, for randomized controlled trials(RCTs) of MTRP techniques in comparison with other therapies in the treatment of MPS. After two reviewers independently screened the literature according to inclusion and exclusion criteria, extracted data and evaluated the methodological quality of the included study, the changes of VAS score, press pain threshold(PPT) and other scores before and after a single-session treatment were Meta analyzed by RevMan5.2 software. Results: A total of 352 subjects were enrolled in 8 RCTs. The results of meta-analysis showed that the improvement of VAS score in the MTRP treatment group was significantly better than that in the other treatment/control groups MD=-10.34;95%CI(-16.07,-4.61);Z=3.54;P=0.0004].The improvement of PPT in MTRP treatment group was significantly better than that in other treatment/control groups MD=0.51;95%ci(0.33, 0.70);Z=5.53;P<0.00001]. Conclusion: Compared with other treatments, TPC technique is effective and advantageous in improving the pain symptoms of myofascial pain syndrome.