深刺滞针手法治疗梨状肌综合征的临床观察

Deep Needling and Sticking Acupuncture Manipulation in the Treatment of Piriformis Syndrome

目的观察深刺滞针手法治疗梨状肌综合征(PS)的临床效果。方法将68例PS患者随机分为观察组和对照组,每组34例。观察组运用深刺滞针手法,对照组采用普通针刺法,均每日1次,5次为1个疗程,共持续2个疗程。记录观察组与对照组治疗前、治疗后、治疗后1周、治疗后2周的视觉模拟量表(VAS)评分、梨状肌压痛及紧张试验评分[数字评分法(NRS)]变化情况及临床疗效。结果2组治疗后及治疗后1周、治疗后2周的VAS评分、NRS评分均较治疗前明显改善(P<0.05),且观察组VAS评分、NRS评分均显著低于对照组(P<0.05)。观察组治疗总有效率为97.06%(33/34),高于对照组的82.35%(28/34)(P<0.05)。结论深刺滞针手法治疗PS,效果明显优于普通针灸,且具有显著解除粘连、缓解痉挛、恢复髋关节功能的作用。

Objective To observe the clinical effect of deep needling and sticking acupuncture manipulation in the treatment of piriformis syndrome.Methods Sixty-eight patients with piriformis syndrome were randomly divided into observation group and control group,with 34 cases in each group.The observation group was treated with d deep needling and sticking acupuncture manipulation,once a day,5 times as a course of treatment.The control group received ordinary acupuncture once a day,5 times as a course of treatment,a total of 2 courses of treatment.The improvement of clinical symptoms and signs,visual analogue scale(VAS)score and digital scale(NRS)score of piriformis muscle tenderness and tension test were observed in the observation group and the control group before and after treatment,1 week and 2 weeks after treatment,respectively.Results VAS score and NRS score after treatment,1 week after treatment and 2 weeks after treatment were significantly improved compared with before treatment(P<0.05),and VAS score and NRS score in observation group were significantly lower than those in control group(P<0.05).The total effective rate of the observation group was 97.06%(33/34),which was higher than that of the control group(82.35%,28/34)(P<0.05).Conclusion The effect of deep needling and sticking acupuncture manipulation in the treatment of piriformis syndrome is obviously better than that of ordinary acupuncture,and has significant effects of relieving adhesion,relieving spasm and restoring the function of hip joint.