抑制法针刺阿是穴为主治疗梨状肌综合征即时止痛及疗效观察  

Clinical observation on therapeutic effect and instant analgestic effect of inhibitory-needling at Ashi point as major point for treatment of piriformis syndrome

作　　者：陈仁年 陈永斌 

机构地区：[1]广西南宁市针灸研究所,南宁530012 [2]广西南宁市第七人民医院

出　　处：《中国针灸》2009年第7期550-552,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察抑制法针刺阿是穴为主治疗梨状肌综合征的即时止痛效果和临床疗效。方法:将80例患者随机分为抑制法针刺组和常规针刺组,每组40例。抑制法针刺组采用抑制Ⅱ型手法针刺阿是穴为主穴治疗;常规针刺组穴取环跳、秩边、阳陵泉等,采用传统方法针刺治疗。观察两组即时止痛效果、疼痛视觉模拟(VAS)评分及临床疗效。结果:抑制法针刺组有效率为92.5%,常规针刺组为82.5%,抑制法针刺组临床疗效优于常规针刺组(P<0.05);抑制法针刺组止痛的即时显效率为75.0%,优于常规针刺组的52.5%(P<0.01);两组治疗后VAS评分均较治疗前减少(均P<0.01),且抑制法针刺组较常规针刺组VAS评分降低更明显(P<0.05)。结论:抑制法针刺阿是穴为主治疗梨状肌综合征疗效确切,有较好的即时止痛效果,具有取穴少、见效快的特点。Objective To observe therapeutic effect and analgesic effect of needling at Ashi point for treatment of piriformis syndrome. Methods Eighty cases were randomly divided into an inhibitory-needling method group （INM） and a routine needling method group （RNM）, forty cases in each group. The acupuncture at Ashi point as major point with inhibitory needling munipulation was applied in the INM group, the acupuncture at Huantiao （GB 30）,Zhibian （BL54）, Yanglingquan （GB34） with routine-needling method in the RNM group. The therapeutic effect, the instant analgesic effect and score of Visual Analogue Scale （VAS） were observed. Results After treatment, the effective rate of 92.5% in the INM group was better than that of 82.5% in the RNM group （P〈0.05） ; the instant analgesic effect rate of 75.0% in the INM group was better than that of 52. 5% in the RNM group （P〈0.01） ; the score of VAS in both groups had decreased with a significant difference between two groups （P〈0.05）. Conclusion The treatment of inserting the needle at Ashi point as major point with inhibitory needling method has excellent effectiveness and good instant analgesic effect, with fewer points selection and rapid effect.

关 键 词：针刺疗法 穴 阿是 梨状肌损伤综合征 针刺镇痛 

分 类 号：R246.2[医药卫生—针灸推拿学]