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[1]李益軍,林杜峰,李廬娟,等.肌筋膜疼痛綜合征與血尿酸水平的關(guān)系研究[J].中醫(yī)正骨,2015,27(05):9-11.
　LI Yijun,LIN Dufeng,LI Lujuan,et al.Clinical study on the relationship between myofascial pain syndromes and blood uric acid level[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(05):9-11.
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肌筋膜疼痛綜合征與血尿酸水平的關(guān)系研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年05期
頁(yè)碼:
9-11
欄目:
臨床研究
出版日期:
2015-05-30

文章信息/Info

Title:
Clinical study on the relationship between myofascial pain syndromes and blood uric acid level
作者:
李益軍; 林杜峰; 李廬娟; 謝美玲; 鄭彬; 方細(xì)霞
廣東省東莞市石碣醫(yī)院,廣東 東莞 523290
Author(s):
LI Yijun; LIN Dufeng; LI Lujuan; XIE Meiling; ZHENG Bin; FANG Xixia
The Shijie Hospital of Dongguan City,Dongguan 523290,Guangdong,China
關(guān)鍵詞:
肌筋膜疼痛綜合征;  高尿酸血癥;  相關(guān)分析
Keywords:
myofascial pain syndromes;  hyperuricemia;  correlation analysis
摘要:
目的:探討肌筋膜疼痛綜合征(myofascial pain syndromes,MPS)與血尿酸水平的關(guān)系。方法:選取219例MPS患者,按照年齡分為18～29歲組、30～39歲組、40～49歲組和≥50歲組。測(cè)定患者的血尿酸水平、主要疼痛部位疼痛視覺(jué)模擬評(píng)分(visual analogue score,VAS)及壓痛評(píng)分。分析患者血尿酸水平與其年齡、主要疼痛部位疼痛及壓痛程度的關(guān)系。結(jié)果:18～29歲組40例、30～39歲組84例、40～49歲組57例,均為男性; ≥50歲組38例,男25例、女13例。4組男性患者主要疼痛部位壓痛評(píng)分、疼痛VAS評(píng)分及血尿酸水平比較,組間差異均無(wú)統(tǒng)計(jì)學(xué)意義[(1.30±0.46)分,(1.42±0.54)分,(1.39±0.56)分,(1.76±0.66)分,χ2=9.712,P=0.121;(4.52±1.41)分,(4.48±1.81)分,(4.23±1.71)分,(5.20±1.71)分,χ2=5.940,P=0.115;(500.35±138.85)μmol·L-1,(447.81±130.97)μmol·L-1,(467.86±123.70)μmol·L-1,(455.32±101.99)μmol·L-1,χ2=4.152,P=0.246]。219例MPS患者中,138例診斷為高尿酸血癥(Hyperuricemia,HUA),男126例、女12例; 18～29歲組30例、30～39歲組50例、40～49歲組37例、≥50歲組21例(男9例、女12例)。男性各年齡組HUA發(fā)生率由高至低依次為18～29歲組、40～49歲組、30～39歲組、≥50歲組。Pearson相關(guān)分析結(jié)果顯示,血尿酸水平與年齡、MPS主要疼痛部位的壓痛評(píng)分和疼痛VAS評(píng)分均呈正相關(guān)(r=0.425,P=0.016; r=0.496,P=0.004; r=0.402,P=0.028)。結(jié)論:MPS患者中HUA的發(fā)生率較高,且MPS患者的血尿酸水平與其年齡、疼痛及壓痛程度呈正相關(guān)。
Abstract:
Objective:To explore the relationship between myofascial pain syndromes(MPS)and blood uric acid(BUA)level.Methods:Two hundred and nineteen patients with MPS were selected and divided into group A(aged 18-29 years),group B(aged 30-39 years),group C(aged 40-49 years)and group D(≥50 years old).The BUA level,visual analogue score(VAS)and tenderness score of main pain sites were measured.Meanwhile the relationship between BUA level and age,pain degree and tenderness degree of main pain sites were analyzed.Results:The patients in group A(40 cases),B(84 cases)and C(57 cases)were males,while the patients in group D(38 cases)included 25 males and 13 females.There was no statistical difference in tenderness scores and VAS of main pain sites and BUA level between the 4 groups in males(1.30+/-0.46,1.42+/-0.54,1.39+/-0.56,1.76+/-0.66 points,χ2=9.712,P=0.121; 4.52+/-1.41,4.48+/-1.81,4.23+/-1.71,5.20+/-1.71 points,χ2=5.940,P=0.115; 500.35+/-138.85.447.81+/-130.97.467.86+/-123.70,455.32+/-101.99 μmol/L,χ2=4.152,P=0.246).A total of 138 hyperuricemia(HUA)out of 219 MPS were diagnosed,including 126 males and 12 females,and 30 aged 18-29 years,50 aged 30-39 years,37 aged 40-49 years and 21 ≥50 years old(9 males and 12 females).Males had high-to-low incidence rate of HUA in group A,C, B and D.The result of Pearson correlation analysis showed that BUA level were positively correlated with ages,tenderness scores and VAS of main pain sites in patients with MPS(r=0.425,P=0.016; r=0.496,P=0.004; r=0.402,P=0.028).Conclusion:The incidence rate of HUA is high in patients with MPS,and the BUA level is positively correlated with ages and the degree of pain and tenderness.

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備注/Memo

備注/Memo:
2015-01-04收稿 2015-03-02修回
基金項(xiàng)目:東莞市科技計(jì)劃一般項(xiàng)目(201410515000171)
通訊作者:林杜峰 E-mail:[email protected]
更新日期/Last Update: 2015-05-30