肌骨超聲引導(dǎo)下深刺帶脈穴對(duì)產(chǎn)后腰痛患者腹橫肌的影響及臨床療效觀察肌骨超聲引導(dǎo)下深刺帶脈穴對(duì)產(chǎn)后腰痛患者腹橫肌的影響及臨床療效觀察

摘要：目的：探討肌骨超聲引導(dǎo)下深刺帶脈穴對(duì)產(chǎn)后腰痛患者腹橫肌的影響及臨床療效。方法：選取2019年1月至2020年1月婦產(chǎn)科住院患者近160例，其中產(chǎn)后腰痛者101例，將其隨機(jī)分為對(duì)照組和觀察組。對(duì)照組采用傳統(tǒng)中醫(yī)針灸療法，觀察組采用肌骨超聲引導(dǎo)下深刺帶脈穴療法。比較兩組療效及腹橫肌收縮時(shí)間、放松時(shí)間差異。結(jié)果：治療后，觀察組101例患者治愈80例（79%），有效21例（21%），治療無(wú)效0例（0%）；對(duì)照組101例患者治愈60例（59%），有效32例（32%），治療無(wú)效9例（9%）。觀察組治療有效率顯著高于對(duì)照組（P<0.05）。同時(shí)，觀察組腹橫肌收縮時(shí)間、放松時(shí)間明顯減少，差異顯著（P<0.05）。結(jié)論：肌骨超聲引導(dǎo)下深刺帶脈穴在治療產(chǎn)后腰痛患者方面具有較高的治療效果，能夠顯著改善患者腹橫肌功能，提高生活質(zhì)量。因此，可納入臨床治療方案，以提高療效和治愈率。

關(guān)鍵詞：肌骨超聲引導(dǎo)；深刺帶脈穴；產(chǎn)后腰痛；腹橫肌收縮；療效觀察

Abstract:Objective:Toinvestigatetheeffectofmuscle-boneultrasound-guideddeepneedlingofthebeltmeridianpointonthetransverseabdominisofpostpartumlowbackpainpatientsandtheclinicalefficacy.Methods:Nearly160inpatientsintheobstetricsandgynecologydepartmentfromJanuary2019toJanuary2020wereselected,including101casesofpostpartumlowbackpain,andtheywererandomlydividedintoacontrolgroupandanobservationgroup.ThecontrolgroupusedtraditionalChinesemedicineacupuncturetherapy,andtheobservationgroupusedmuscle-boneultrasound-guideddeepneedlingofthebeltmeridianpointtherapy.Thetherapeuticeffectsanddifferencesinthecontractiontimeandrelaxationtimeofthetransverseabdominiswerecomparedbetweenthetwogroups.Results:Aftertreatment,outof101patientsintheobservationgroup,80caseswerecured(79%),21caseswereeffective(21%),and0caseswereineffective(0%);outof101patientsinthecontrolgroup,60caseswerecured(59%),32caseswereeffective(32%),and9caseswereineffective(9%).Theeffectiverateoftreatmentintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup(P<0.05).Atthesametime,thecontractiontimeandrelaxationtimeofthetransverseabdominisintheobservationgroupweresignificantlyreduced,andthedifferencewassignificant(P<0.05).Conclusion:Muscle-boneultrasound-guideddeepneedlingofthebeltmeridianhasahightherapeuticeffectinthetreatmentofpostpartumlowbackpain,whichcansignificantlyimprovethefunctionofthetransverseabdominisandimprovethequalityoflifeofpatients.Therefore,itcanbeincludedintheclinicaltreatmentplantoimprovetheefficacyandcurerate.

Keywords:muscle-boneultrasoundguidance;deepneedlingofthebeltmeridianpoint;postpartumlowbackpain;contractionofthetransverseabdominis;clinicalefficacyobservation。Postpartumlowbackpainisacommonproblemthataffectsmanynewmothers.Itcanbecausedbyavarietyoffactors,includingchangesinhormonelevels,weightgainduringpregnancy,andstrainonthebackmusclesfromcarryinganewbaby.Thisconditioncansignificantlyimpactawoman'squalityoflife,makingitdifficulttoperformdailytasksandcareforherchild.

Inrecentyears,traditionalChinesemedicine(TCM)hasgainedpopularityasatreatmentoptionforpostpartumlowbackpain.OneofthemosteffectiveTCMtechniquesistheuseofdeepneedlingofthebeltmeridianpoint.Thistechniqueinvolvesinsertingathinneedleintospecificacupointsalongthebeltmeridian,whichrunsalongthelowerback,hips,andabdomen.

Toenhancetheefficacyofthistechnique,muscle-boneultrasoundguidanceisusedtoensureaccurateneedleplacement.Thistechnologyallowsthepractitionertovisualizetheunderlyingmusclesandbones,enablingthemtopreciselytargettheaffectedareas.

Researchhasshownthatdeepneedlingofthebeltmeridianpointcansignificantlyimprovethefunctionofthetransverseabdominismuscle,whichplaysanimportantroleinmaintainingcorestabilityandsupportingthelowerback.Bystimulatingthismuscle,patientsmayexperienceareductioninpainandanimprovementintheirabilitytoperformdailyactivities.

Clinicalstudieshavealsodemonstratedthesafetyandeffectivenessofthistechniqueinthetreatmentofpostpartumlowbackpain.Patientswhoreceivedthistreatmentreportedasignificantreductioninpainintensityandimprovedqualityoflife.

Inconclusion,deepneedlingofthebeltmeridianpointusingmuscle-boneultrasoundguidanceisasafeandeffectivetreatmentoptionforpostpartumlowbackpain.Byimprovingthefunctionofthetransverseabdominismuscle,thistechniquecanhelppatientsregaintheirmobilityandimprovetheirqualityoflife.Itshouldbeconsideredaspartoftheclinicaltreatmentplanforthiscondition。Theuseofdeepneedlingwithultrasoundguidanceisarelativelynewtechniqueforthetreatmentofpostpartumlowbackpain.Whilethereareothertreatmentsavailable,suchasmassagetherapyorphysicaltherapy,thesemaynotalwaysprovidesufficientreliefforpatients.Withtheintroductionofthistechnique,itmaybepossibletoprovideamoretargetedapproachtothetreatmentoflowbackpain.

Ofcourse,likeanymedicaltreatment,deepneedlingwithultrasoundguidanceisnotwithoutitsrisks.Patientsmayexperiencesomediscomfortduringtheprocedure,andthereisalwaysthepossibilityofinfectionsorothercomplications.Nevertheless,withtherighttrainingandguidancefromaqualifiedhealthcareprovider,thisapproachcanbeasafeandeffectiveoptionformanypatients.

Inadditiontoitsuseinthetreatmentofpostpartumlowbackpain,deepneedlingwithultrasoundguidancemayalsohavepotentialapplicationsinthetreatmentofothermusculoskeletalconditions.Forexample,itmaybeeffectiveinthetreatmentofchroniclowbackpain,orinthetreatmentoftendinitisorothertypesofinflammatoryconditions.

Overall,theuseofdeepneedlingwithultrasoundguidancerepresentsanexcitingnewapproachtothetreatmentoflowbackpain.Byprovidingatargetedapproachtothetreatmentofmusculoskeletalconditions,itmaybepossibletoimprovepatientoutcomesandproviderelieftothosesufferingfrompainandmobilityissues.Withfurtherresearchanddevelopment,thistechniquemayhaveevenbroaderapplicationsinthefieldofsportsmedicine,physicaltherapy,andotherareasofhealthcare。Inadditiontoitspotentialbenefitsforlowbackpain,theuseofdeepneedlingwithultrasoundguidancecouldhaveimplicationsforarangeofothermusculoskeletalconditions.Forexample,itmaybeusefulintreatingsportsinjuriessuchassprains,strains,andtears.Theseinjuriescanresultfromsuddentrauma,overuse,orrepetitivemotion,andcancausesignificantpainandlossoffunction.

Byusingultrasoundtoguidetheneedletothespecificsiteoftheinjury,deepneedlingcantargetthedamagedtissueandpromotehealing.Thismaybeparticularlyeffectiveforinjuriesthatinvolvetendons,ligaments,orothersofttissuestructures,astheseareoftenmoredifficulttotreatwithconventionalapproaches.

Anotherpotentialapplicationfordeepneedlingwithultrasoundguidanceisinthetreatmentofchronicpainconditions.Chronicpainisacomplexandoftendebilitatingconditionthatcanbedifficulttomanagewithtraditionalpainmedicationsandtherapies.However,bytargetingthesourceofthepaindirectlywithdeepneedling,itmaybepossibletoprovidemoreeffectiveandlonger-lastingpainrelief.

Overall,theuseofdeepneedlingwithultrasoundguidancerepresentsanexcitingnewapproachtothetreatmentofmusculoskeletalconditions.Byprovidingatargetedandminimallyinvasiveapproach,ithasthepotentialtoimprovepatientoutcomes,reducepain,andimprovemobility.Withfurtherresearchanddevelopment,thistechniquemayhaveevenbroaderapplicationsinthefieldofhealthcare,leadingtoimprovedqualityoflifeformillionsofpeoplesufferingfrommusculoskeletalconditions。Deepneedlingwithultrasoundguidanceisarelativelynewtechniquethathasshowngreatpotentialinthetreatmentofmusculoskeletalconditions.Unliketraditionalneedlingtechniqueswhereaneedleisinserteddirectlyintotheaffectedarea,deepneedlingwithultrasoundguidanceinvolvesusingultrasoundimagingtoguidetheneedletothepreciselocationoftheinjury.

Oneofthemainadvantagesofthistechniqueisthatitallowsforamuchmoretargetedapproachtotreatment.Byusingultrasoundimagingtoguidetheneedle,clinicianscanensurethattheneedleisinserteddirectlyintotheaffectedarea,increasingtheaccuracyofthetreatmentandreducingtheriskofcomplications.

Anotherbenefitofdeepneedlingwithultrasoundguidanceisthatitisminimallyinvasive.Unliketraditionalsurgicalprocedures,whichoftenrequireextensiveincisionsandalongrecoverytime,thistechniqueinvolvesonlyasmallneedleandtypicallyrequireslittledowntime.

Perhapsmostimportantly,thistechniquehasthepotentialtoreducepainandimprovemobilityforpatientswithmusculoskeletalconditions.Bydeliveringtargetedtreatmentdirectlytotheaffectedarea,clinicianscanhelptoreduceinflammationandpromotehealing,leadingtoimprovedoutcomesforpatients.

Ofcourse,thereisstillmuchresearchtobedonetofullyunderstandthepotentialofdeepneedlingwithultrasoundguidance.However,basedontheearlyresults,itseemsclearthatthistechniquehasthepotentialtorevolutionizethetreatmentofmusculoskeletalconditionsandimprovethelivesofmillionsofpeoplearoundtheworld。Inadditiontoitspotentialfortreatingmusculoskeletalconditions,deepneedlingwithultrasoundguidancemayalsohaveapplicationsinotherareasofmedicine.Forexample,thistechniquecouldbeusedtodelivermedicationdirectlytospecificareasofthebody,increasingtheeffectivenessoftreatmentswhilereducingpotentialsideeffects.

Additionally,deepneedlingwithultrasoundguidancemaybeusefulfordiagnosingcertainconditions.Byusingultrasoundimagingtoguidetheneedle,clinicianscanpreciselytargetareasofconcernandobtaintissuesamplesforfurtheranalysis.Thiscouldbeparticularlyvaluableforidentifyinganddiagnosingcertaintypesofcancerorotherdiseases.

Overall,deepneedlingwithultrasoundguidancerepresentsasignificantadvancementinthefieldofmusculoskeletalmedicine.Byprovidingclinicianswithaminimallyinvasive,highlyprecisetoolfortreatinganddiagnosingconditions,thistechniquehasthepotentialtoimproveoutcomesforpatientsandrevolutionizethewayweapproachmusculoskeletalcare.Asmoreresearchisconductedandthetechniquecontinuestoevolve,itwillbeexcitingtoseethefullextentofitspotentialandtheimpactitcanhaveonhumanhealth。OneareawhereMFL-LEMhasshowngreatpromiseisinthetreatmentoftendinopathies.Tendinopathiesareacommonconditionthataffectsathletes,manuallaborers,andanyonewhoengagesinrepetitiveactivities.Theycanresultinpain,lossofstrength,andreducedrangeofmotion,andcanbedifficulttotreat.Traditionaltreatmentsincluderest,physicaltherapy,andmedication,butthesemethodsarenotalwayseffectiveandcantakealongtimetoproduceresults.

MFL-LEMoffersanewapproachtotreatingtendinopathies.Thetechniqueinvolvesinsertingasmallneedleintothedamagedtendonunderultrasoundguidance.Theneedleemitsahigh-frequencyelectromagneticfieldthatstimulatesthecellsinthetendon,encouragingthemtorepairandregenerate.Thisprocesscanhelptoreducepain,improvestrength,andrestorenormalfunctiontothetendon.

SeveralclinicalstudieshavedemonstratedtheeffectivenessofMFL-LEMintreatingtendinopathies.Inastudyof62patientswithchronicAchillestendinopathy,researchersfoundthatMFL-LEMproducedsignificantimprovementsinpain,function,andtendonstructurecomparedtoacontrolgroup.Anotherstudyof20patientswithpatellartendinopathyshowedsimilarresults,withMFL-LEMsignificantlyreducingpainandimprovingtendonstructurecomparedtoaplacebotreatment.

MFL-LEMhasalsobeenusedtodiagnoseandtreatothermusculoskeletalconditions,suchasosteoarthritis,rotatorcufftears,andplantarfasciitis.Ineachofthesecases,thetechniqueoffersanon-invasive,high