臀部按摩加中药袋热敷治疗梨状肌综合征的初步探讨

Effects of buttock massotherapy combined with Chinese herbs bag fomentation on patients with piriformis syndrome

目的探讨臀部按摩加中药袋热敷对梨状肌综合征的治疗效果。方法选择以臀部疼痛为主且伴有下肢放射痛的梨状肌综合征病人50例，臀部按摩在门诊行，中药袋热敷在家中使用，每日1次，10次为1疗程，3个疗程后观察疗效。结果所有患者均治疗3个疗程，6个月经随访，治愈35例，有效13例，无效2例，治疗有效率为96％。结论局部按摩加中药袋热敷能发挥手法治疗和药物治疗的双重优势，无创伤、无痛苦，疗效肯定而持久，患者更易于接受。

Objective To investigate the effects of buttock massotherapy combined with Chinese herbs bag fomentation on patients with piriformis syndrome. Methods Fifty patients,male 27,female 23 ,aged 18-55 yr, suffered from piriformis syndrome were studied. Buttock massotherapies for 30 mins per day were carried out in outpatient department, and Chinese herbs bag fomentation in home for 60 rains each time,3 times per day. The course of treatment was 10 clays,and the effects were observed after 3 courses. Results All patients were followed up for 6 months,and there were 35 patients（70 % ） cured and 13 patients（26%） improved and 2 patients（4 % ） ineffective . The effective rate of treatment was 96%o （48/50 cases）. Conclusion Buttock massotherapy combined with Chinese herbs bag fomentation has dual advantages of manipulation and drug therapy and good efficacy,and is easily acceptable to patients.