温针灸结合六气辩证方治疗风寒痹阻型梨状肌综合征的临床研究

文章信息/Info

• Title:温针灸结合六气辩证方治疗风寒痹阻型梨状肌综合征的临床研究

• 卷期:2024年22卷19期

• 作者:徐灿1，姚腾飞2*

• 1.江西医学高等专科学校第一附属医院药剂科 江西上饶 334000；2. 江西医学高等专科学校第一附属医院骨科 江西上饶 334000

• Author(s):Xu Can1, YAO Teng-fei2 *

• 1.Pharmacy Department of the First Affiliated Hospital of Jiangxi Medical College 334000, Shangrao, Jiangxi; 2. Department of Orthopedics, First Affiliated Hospital of Jiangxi Medical College, Shangrao, Jiangxi 334000

• 关键词梨状肌综合征；风寒痹阻；温针灸；六气辩证方；疼痛；不良反应

• Keywords:piriformis syndrome; Wind cold obstruction; Warm acupuncture; Six gas dialectic; Pain; Adverse reactions

• 摘要: 目的 探究温针灸结合六气辩证方治疗风寒痹阻型梨状肌综合征的临床效果。方法 选取2021年8月至2022年10月我院收治的80例风寒痹阻型梨状肌综合征患者，按住院床号奇、偶数随机分为两组，各40例。对照组采取塞来昔布胶囊治疗，治疗组在此基础上采取温针灸结合六气辩证方治疗，均治疗3周。比较两组治疗3周疗效、治疗前及治疗3周的疼痛程度[视觉模拟评分法（VAS）评分]，并比较两组治疗期间的不良反应状况。结果 治疗3周，治疗组总有效率高于对照组（P＜0.05）。两组治疗3周的VAS评分较治疗前低，治疗组较对照组低（P＜0.05）。两组治疗期间不良反应比较，差异无统计学意义（P＞0.05）。结论 温针灸结合六气辩证方治疗风寒痹阻型梨状肌综合征效果较好，可缓解患者疼痛感，且不增加不良反应。                                                                                                                                                                                

• AbstractTo explore the clinical effect of warm acupuncture and moxibustion combined with six Qi dialectical formula in the treatment of wind-cold bi piriformis syndrome. Methods A total of 80 patients with wind-HBI piriformis syndrome admitted to our hospital from August 2021 to October 2022 were randomly divided into two groups with 40 cases each according to the odd or even hospitalization bed number. The control group was treated with celecoxib capsule, and the treatment group was treated with warm acupuncture and moxibustion combined with six qi dialectical formula, all of which were treated for 3 weeks. The 3-week curative effect, the degree of pain before and after the treatment [visual analog scale (VAS) score] were compared between the two groups, and the adverse reactions during the treatment were compared between the two groups. Results After 3 weeks of treatment, the total effective rate of treatment group was higher than that of control group (P < 0.05). The VAS score of the two groups after 3 weeks of treatment was lower than that before treatment, and that of the treatment group was lower than that of the control group (P < 0.05). There was no significant difference in adverse reactions between the two groups during treatment (P > 0.05). Conclusion Warm acupuncture and moxibustion combined with six Qi dialectical formula has a good effect on the treatment of wind-han-bi piriformis syndrome, which can relieve the pain and does not increase the adverse reactions.

  梨状肌综合征会导致患者臀部疼痛、跛行，疼痛严重时会使患者无法行走，严重影响其正常生活[1]。目前，非甾体抗炎药为治疗该疾病的常用药物，可发挥镇痛、抗炎药物，可在一定程度上缓解患者不适症状，但单用该药物无法根治梨状肌综合征患者，且长期使用会引发嗳气、胸痛等不良反应，不利于患者健康，需寻求更安全、有效的治疗方案[2]。