针刀治疗梨状肌综合征的临床研究  

Clinical Study on the Treatment of Piriformis Syndrome with A Needle Knife

作　　者：施晓阳[1] 陈梅[2] 李玉堂[2] 

机构地区：[1]南京市鼓楼医院镇痛科,江苏210008 [2]南京中医药大学,江苏210029

出　　处：《上海针灸杂志》2005年第11期21-22,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刀治疗梨状肌综合征的临床疗效。方法采用完全随机抽样法将观察病例分为针刀组78例,针刺组40例。对两组临床疗效及即时止痛效果进行评定。结果针刀组治愈60例(76.9%),显效10例(12.8%),好转5例(6.4%),无效3例(3.9%),总有效率为96.1%;针刺组治愈20例(50.0%),显效9例(22.5%),好转6例(15.0%),无效5例(12.5%),总有效率为87.5%;针刀组临床总疗效优于针刺组,P<0.05,针刀组即时止痛效果明显优于针刺组,P<0.01。结论针刀治疗梨状肌综合征疗效显著,即时止痛效果优,临床总疗效优于针刺法。Objective To investigate the clinical efficacy of needle knife for treating piriformis syndrome. Method The observed patients were divided into a needle knife group of 78 cases and an acupuncture group of 40 cases by completely random sampling. The clinical curative effect and the immediately analgetic effect were evaluated in both groups. Results In the needle knife group, cure rate occurred in 60 cases （76.9%）, marked effectiveness in 10 cases （ 12.8% ）, improvement in 5 cases （6.4%） and ineffectiveness in 3 cases （ 3.9% ）, with a total efficact rate of 96.1% ; in the acupuncture group, cure rate occurred in 20 cases （ 50.0% ）, marked ef- fectiveness in 9 cases （22.5%）, improvement in 6 cases （ 15.0% ） and ineffectiveness in 5 cases （ 12.5% ）, with a total efficact rate of 87.5%. The global curative effect was better in the needle knife group than in the acupuncture group （P 〈0.05）. The immediately analgetic effect was significantly better in the needle knife group than in the acupuncture group （ P 〈 0.05）. Conclusion A needle knife is very effective in treating piriformis syndrome. Its immediately analgetic effect is good. Its global curative effect is superior to acupuncture＇ s.

关 键 词：小刀针 针刺 梨状肌综合征 

分 类 号：R246.6[医药卫生—针灸推拿学]