针刺联合体外冲击波治疗梨状肌综合征临床效果观察

Clinical efficacy of acupuncture combined with extracorporeal shock wave therapy in the treatment of piriformis syndrome

目的观察针刺联合体外冲击波治疗梨状肌综合征的临床疗效。方法选取淮河能源控股集团有限责任公司职业病防治院(淮河能源控股集团有限责任公司职工疗养院)康复医学中心2021年2月至2022年12月收治的梨状肌综合征患者80例,采用回顾性队列研究方法,根据既往患者不同治疗方式分为治疗组、对照组各40例。治疗组采用针刺联合体外冲击波治疗,针刺每天1次,体外冲击波每7天1次,连续治疗3周;对照组仅采用体外冲击波治疗,每7天1次,连续治疗3周。观察两组治疗前后视觉模拟评分法(VAS)评分变化及临床疗效。结果两组基线资料均衡可比,差异均无统计学意义(均P>0.05)。治疗后,两组VAS评分均有一定下降。经协变量调整之后,治疗组与对照组差异有统计意义(F=112.38,P<0.001);即调整干预前VAS评分后,治疗组VAS评分较对照组低[1.417(95%CI:1.151~1.683)]。治疗组总有效率为97.5%(39/40),对照组总有效率为82.5%(33/40),两组总有效率差异有统计学意义(Z=-2.03,P=0.042)。结论针刺联合体外冲击波治疗梨状肌综合征疗效显著。

Objective To evaluate the clinical efficacy of acupuncture combined with extracorporeal shock wave therapy in the treatment of piriformis syndrome.Methods Eighty patients with piriformis syndrome who received treatment in Huaihe Energy Occupational Disease Prevention Hospital Rehabilitation Medicine Center from February 2021 to December 2022 were included in this study.They were divided into a treatment group(n=40)and a control group(n=40)according to different treatment methods using a retrospective cohort study design.The treatment group was treated with acupuncture combined with extracorporeal shock wave therapy,once every 7 days for 3 consecutive weeks.The control group was treated with extracorporeal shock wave therapy alone once every 7 days for 3 consecutive weeks.Pre-and post-treatment visual analogue scale scores and clinical efficacy were compared between the two groups.Results There was no significant difference in baseline data between the two groups(all P>0.05).After treatment,the visual analogue scale score decreased in each group.After adjusting for covariates,there was no significant difference in visual analogue scale score between the two groups(F=112.38,P<0.001).After adjusting the pre-treatment visual analogue scale score,the post-treatment visual analogue scale score in the treatment group was lower than that in the control group[1.417(95%CI:1.151-1.683)].The total response rate in the treatment group was 97.5%(39/40),which was significantly higher than 82.5%(33/40)in the control group(Z=-2.03,P=0.042).Conclusion Acupuncture combined with extracorporeal shock wave therapy is highly effective on piriformis syndrome.