微针刀、毫火针治疗臀上皮神经卡压综合征的临床疗效观察

Clinical observation of curative effects of micro needle-knife and filiform-fire needle on patients with superior cluneal nerve entrapment syndrome

目的对比研究微针刀、毫火针治疗臀上皮神经卡压综合征(SCNES)的临床疗效。方法将120例臀上皮神经卡压综合征患者随机分为微针刀组、毫火针组,每组60例。在相同治疗期内,各组每日治疗1次为1个疗程,每次治疗10~20 min不等,疗程间隔休息2 d天后进行疗效评价,并进入下1个疗程,各组分别治疗3个疗程。各组患者治疗前评价1次,治疗后分别评价3次。比较两组的临床疗效、治疗前后的数字疼痛评分(NRS)、日常生活活动能力Barthel指数(Activities of Daily Living,ADL-BI)评分及Holden步行能力分级。结果微针刀组总有效率为96.67%(58/60),毫火针组总有效率为81.67%(49/60),微针刀组总有效率明显高于毫火针组(χ^(2)=6.988,P=0.008);治疗前两组NRS评分、ADL-BI评分、Holden步行能力分级比较差异均无统计学意义(P>0.05),治疗后两组前述评价指标比较差异均有统计学意义(P<0.05)。结论微针刀治疗臀上皮神经卡压综合征临床疗效优于毫火针治疗,能明显减轻患者疼痛、提高日常生活活动能力、步行能力。

Objective To compare the clinical effects of micro needle-knife and filiform-fire needle on the treatment in patients with superior cluneal nerve entrapment syndrome(SCNES).Methods A total of 120 patients with SCNES were randomly divided into micro needle-knife group and filiform-fire needle group with 60 patients in each group.During the same treatments period,treating patients once a day was considered as a course of treatment,with treatment time ranging from 10 minutes to 20 minutes.Two days after a course of treatment,the curative effect was evaluated,and after that,patients entered the next course of treatment.Three courses of treatment were implemented in each group.Patients in each group were evaluated one time before treatment and three times after treatment respectively.The clinical effects,Numerical Rating Scale(NRS)before and after treatments,Barthel index for activities of daily living(ADL-BI)and Holden Walking Ability Scale were compared between the two groups.Results The total effective rate was 96.67%(58/60)in the micro needle-knife group and 81.67%(49/60)in the filiform-fire needle group,and the total effective rate of the micro needle-knife group was significantly higher than that of the filiform-fire needle group(χ^(2)=6.988,P=0.008);There were no statistical differences in NRS score,ADL-BI score and Holden Walking Ability Scale between the two groups before treatments(P>0.05).While after treatments,the above indicators were significantly different between the two groups(P<0.05).Conclusion The micro needle-knife is better than the filiform-fire needle to treat patients with SCNES,and the micro needle-knife can effectively relieve the pain,and improve the ability of daily living and walking.