恢刺法结合舒筋弹拨法治疗梨状肌综合征临床疗效观察

发布时间：2018-01-05 16:42

本文关键词：恢刺法结合舒筋弹拨法治疗梨状肌综合征临床疗效观察　出处：《针灸临床杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:观察恢刺针法结合舒筋弹拨法治疗梨状肌综合征的临床疗效。方法:将符合诊断标准和纳入标准的患者,按照随机数字表法分为对照组和治疗组,其中对照组(n=38)采用常规针刺治疗,治疗组(n=42)采用恢刺针法结合舒筋弹拨法治疗,两组疗程均为4周。分别观察两组患者治疗前、后临床疗效、疼痛视觉模拟评分(AVS)、数字疼痛评分(NRS)、胫神经H反射及随访复发率。结果:对照组总有效率86.8%,治疗组总有效率95.2%,两组比较差异具有统计学意义(P=0.031);治疗组第1次治疗后VAS、NRS评分较治疗前均降低(P0.05),与同时期对照组比较差异均具有统计学意义(P0.05);两组疗程结束时VAS、NRS评分较治疗前均降低(P0.01),与同时期对照组比较差异均具有显著统计学意义(P0.01);治疗组治疗后H反射潜伏期明显缩短(P0.01),对照组治疗后潜伏期缩短(P0.05),治疗组明显优于对照组(P0.01);治疗组随访复发1例,复发率2.3%,对照组随访复发3例,复发率7.9%,两组比较差异具有统计学意义(P0.05)。结论:恢刺针法结合舒筋弹拨法治疗梨状肌综合征能够减轻患者疼痛症状,缩短胫神经H反射潜伏期,改善患者临床症状,疗效显著。
[Abstract]:Objective: to observe the clinical effect of the treatment of piriformis syndrome with the method of restoring acupuncture combined with the elastic method of Shujin. Methods: the patients who met the diagnostic criteria and included the criteria were divided into control group and treatment group according to the random number table method. The control group was treated with routine acupuncture, and the treatment group was treated with restoring needling method combined with relaxation and plucking. The course of treatment in both groups was 4 weeks. The patients in the two groups were observed before treatment. Results: the total effective rate of the control group was 86.8%. The total effective rate in the treatment group was 95.2.The difference between the two groups was statistically significant (P 0.031). After the first treatment, the NRS score of VASN in the treatment group was lower than that before treatment, and the difference was statistically significant compared with that of the control group in the same period. At the end of the course of treatment, the scores of VASV NRS in both groups were lower than those before treatment, and there were significant differences between the two groups in comparison with the control group in the same period (P 0.01). After treatment, the latency of H reflex in the treatment group was significantly shorter than that in the control group (P 0.01), and that in the control group was significantly shorter than that in the control group. In the treatment group, 1 case recurred and the recurrence rate was 2.3%. In the control group, 3 cases recurred and the recurrence rate was 7.9%. Conclusion: the treatment of piriformis syndrome with restoring needling method combined with muscle relaxation method can reduce the pain symptoms and shorten the latency of tibial nerve H reflex. Improve the clinical symptoms of patients, the curative effect is remarkable.
【作者单位】：哈尔滨医科大学附属第一医院;
【基金】：黑龙江省自然科学基金项目,编号:ZD201211
【分类号】：R246.6
【正文快照】： 梨状肌综合征是周围神经卡压综合征的一种,又称为梨状肌损伤,是由急性损伤、慢性劳损或者解剖变异关系等造成梨状肌撕裂、渗出、肿胀及粘连,刺激、压迫坐骨神经从而产生相应的临床症状[1-2]。本病发病率高,占腰、臀、腿等软组织损伤疾病的15%~25%,且易误诊[3]。其临床症状主要

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