深刺滞针手法治疗梨状肌综合征的临床疗效观察

文章信息/Info

• Title:深刺滞针手法治疗梨状肌综合征的临床疗效观察

• 卷期:2024年22卷1期

• 作者:马小平  徐晓明  练剑锋

• 海安市中医院针灸科  （江苏海安226600）

• Author(s):Ma Xiaoping, Xu Xiaoming, Lian Jianfeng

• Acupuncture Department, Haian Hospital of Traditional Chinese medicine

• 关键词梨状肌综合征；深刺滞针手法；针刺手法；疗效比较研究

• Keywords: Piriformis Syndrome; Deep needling manipulation; Acupuncture Manipulation; Comparative Study on Therapeutic Effect

• 摘要:目的：观察深刺滞针手法治疗梨状肌综合征的临床疗效。方法：将68例梨状肌综合征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，每日一次，5次为一疗程；对照组采用普通针刺法，每日一次，5次为一疗程，共治疗2个疗程。观察组与对照组分别于治疗前和治疗后、治疗后1周、治疗后2周观察临床症状和体征的改善情况以及疼痛视觉模拟评分法（VAS）评分、梨状肌压痛及紧张试验以数字评分法（NRS）评分变化情况。结果：两组治疗后及治疗后1周、治疗后2周临床症状和体征以及疼痛VAS评分、梨状肌压痛及紧张试验以数字评分法（NRS）均较治疗前明显改善（P＜0.05），但观察组的症状体征及疼痛VAS评分、梨状肌压痛及紧张试验NRS评分显著优于对照组（P＜0.05）。结论：运用深刺滞针手法治疗梨状肌综合征疗效明显优于普通针灸治疗，且具有显著解除粘连、缓解痉挛、恢复髋关节功能作用。                                                                                                                                                                                

• Abstract:To observe the clinical effect of acupuncture in the treatment of piriformis syndrome. Methods: 68 patients with piriformis syndrome were randomly divided into observation group and control group, 34 cases in each group. The observation group was treated with deep puncture needle technique, 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: After treatment, 1 week and 2 weeks after treatment, the clinical symptoms and signs, VAS score, piriformis muscle tenderness and tension test by digital score (NRS) in 2 groups were significantly improved compared with before treatment (P<0.05). However, the symptoms, signs and pain VAS score, and NRS score of piriformis muscle tenderness and tension test in the observation group were significantly better than those in the control group (P<0.05). Conclusion: The treatment of piriformis syndrome with deep hysteresis needle is better than ordinary acupuncture, and has significant effects of relieving adhesion, relieving spasm and restoring the function of hip joint.

  梨状肌综合征（piriformis syndrome, PS）又名梨状肌损伤综合征，为临床常见疾病，是指梨状肌的急慢性损伤而引起的梨状肌水肿、痉挛、肥厚等刺激或压迫坐骨神经及骶丛神经、臀部血管等引起的以坐骨神经疼痛为主要症状的一系列症状群，多表现为患侧臀部疼痛伴下肢放射痛，有时疼痛较重，难以忍受，严重影响患者的工作与生活。