三棱针刺络放血拔罐法治疗慢性腰骶部筋膜间隔综合征随机平行对照研究

Edged Needle Pricking Blood Cupping Therapy of Chronic Lumbosacral Compartment Syndrome Randomized and Controlled Study

[目的]观察三棱针刺络放血拔罐法治疗慢性腰骶部筋膜间隔综合征疗效。[方法]使用随机平行对照方法,将80例住院及门诊患者按病志号奇偶数随机分为两组。患者取俯卧位,在L1～S4棘突连线旁开2～5cm处(即阳性点)定点。对照组40例针刀松解剥离,一次性针刀于定点处快速刺入,直达椎板、关节突或横突骨面,在骨面上行纵行疏通、横行剥离,刀下有松动感后出刀;无菌棉球按压刀口5min以防出血。治疗组40例刺络放血拔罐,三棱针刺入局部,针尖依次通过皮肤、皮下脂肪、腰骶部浅层筋膜,将此处浅层筋膜挑于针尖下,纵向横向各摆动3～5次后出针;各点如此操作,针孔处出血不必止血,于出血点处拔罐15min,起罐后擦净淤血。两组患者均5d实施治疗1次,3次为1疗程。观测临床症状、体征。连续治疗1疗程,判定疗效。[结果]治疗组临床痊愈10例,显效23例,无效7例,总有效率82.50%。对照组临床痊愈7例,显效19例,无效14例,总有效率65.00%。治疗组疗效优于对照组(P<0.05)。[结论]刺络放血拔罐法治疗慢性腰骶部筋膜间隔综合征,操作简便,疗效满意。

[ Objective ] Observed edged needle pricking bloodletting Cupping treatment of chronic lumbosaoral Compartment Syndrome. [ Method] Randomized controlled method, 80 inpatients and outpatients were randomly divided into two groups according to treatment order. Patients were prone position next to the in L1 - S4 spinous process connections open at 2 -5cm （positive points） designated. Control group of 40 patients acupotomology release peel, disposable needle knife piercing sentinel at the fast, direct access to the lamina, facet or transverse process hone surface, bone surface line vertical line dredge rampant stripping, sword loose movement after a knife; sterile cotton ball pressing incision 5rain prevent bleeding. Pricking blood cupping treatmerit group of 40 patients, edged needle piercing the local point of a needle through the skin, subcutaneous fat, the lumbosacral shallow fascia turn to pick, here the superficial fascia under the needle tip, vertically and horizontally of each swing 3 -5 times the needle; various points such operation, pinhole at the bleeding does not have to stop the bleeding, the bleeding point cupping 15rain from the tank after the wipe congestion. Are 1/5day, 3/1 course of treatment. Observation of clinical symptoms and signs. Continuous treatment of a course of treatment to determine efficacy. [ Results ] The treatment group cured 10 cases, effective in 23 cases, 7 cases invalid, the total effective rate of 82.50%. 7 cases of clinical recovery of the control group, 19 cases were markedly ineffective in 14 cases, total effective rate was 65.00%. Treatment group than the control group （P 〈 0. 05 ）. [ Conclusion ] Pricking Bloodletting and Cupping treatment of chronic lumbosacral compartment syndrome, easy to operate, and the results were satisfactory.