铍针与推拿治疗胸外侧皮神经后支卡压综合征的临床对照试验  

Controlled clinical trials on the Pizhen (铍针)and massage for the treatment of thoracic lateral cutaneous nerve entrapment syndrome

作　　者：应有荣[1] 朱让腾[1] 应有技[1] 张德清[1] 应光华[1] 高福明[1] 

机构地区：[1]台州医院路桥院区,浙江台州318050

出　　处：《中国骨伤》2009年第9期659-661,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:比较铍针与推拿两种方法治疗胸外侧皮神经后支卡压综合征的临床疗效。方法:自2004年至2008年用铍针和推拿治疗胸外侧皮神经后支卡压综合征320例,随机分为铍针治疗组(治疗组)160例,推拿治疗组(对照组)160例。治疗组男105例,女55例;年龄26～66岁,平均(46.00±0.79)岁;疗程3～7d。对照组男98例,女62例;年龄19～64岁,平均(47.00±0.35)岁;疗程1～2个月。通过观察治疗前后软组织张力指数变化、局部疼痛和压痛情况进行疗效评定,经过统计分析对铍针与推拿的疗效进行比较。结果:随访7～12个月,平均10.3个月,据疗效评定标准,治疗组治愈119例,显效27例,好转12例,无效2例;对照组治愈73例,显效38例,好转40例,无效9例。两组疗效比较采用Wilcoxon秩和检验,U=3.184,P<0.05,治疗组的疗效优于对照组。软组织张力指数治疗组治疗前平均(3.68±0.28),治疗后(2.13±0.35);对照组治疗前(3.59±0.22),治疗后(3.17±0.19)。治疗后两组张力指数比较,t=4.781,P<0.01,治疗组的张力指数低于对照组。结论:铍针能有效降低皮神经周围的压力,松解粘连,最后消除感觉神经末梢所受的刺激和压迫,迅速缓解疼痛。而推拿治疗疗程长,治疗胸外侧皮神经后支卡压综合征铍针治疗的疗效优于推拿治疗,起效快,便于临床推广。Objective：To investigate the clinical effects of Pizhen （铍针） for the treatment of thoracic lateral cutaneous nerve entrapment syndrome. Methods：From March 2004 to April 2008,among the 320 patients with thoracic lateral cuta- neous nerve entrapment syndrome, 160 patients （ 105 patients were male and 55 patients were female, ranging in age from 26 to 66 years, with an average of 46.00±0.79 years ） were treated with Pizhen （铍针 ） for 3 to 7 days, and 160 patients （98 patients were male and 62 patients were female,ranging in age from 19 to 64 years,with an average of 47.00±0.35 years） were treated with massage for 1 to 2 months. The therapeutic effects of the two groups were compared based on changes of tension test of local soft tissues,local pain and tenderness. Results ：All the patients were followed up and the duration ranged from 7 to 12 months, averaged in 10.3 months. Among the patients in Pizhen （铍针）group, 119 patients got an excellent result, 27 good, 12 fair, and 2 poor, and the tension test of local soft tissues decreased from preoperative （3.68±0.28） to postoperative （2.13±0.35）. In the control group, 73 patients got an excellent result, 38 good,40 fair,and 9 poor,the tension test of local soft tissues decreased from preoperative （3.59±0.22） to postoperative （3.17±0.19）. The therapeutic effects and tension test of local soft tissue in the two groups had statistical differences （P〈0.01）. The therapeutic effects of Pizhen （铍针） group was better than that of the control group, and the postoperative tension test of local soft tissues of patients in Pizhen （ 铍针 ） group was lower than that of the control group. Conclusion：The clinical effect of Pizhen （铍针 ）is better than the massage for the treatment of thoracic lateral cutaneous nerve entrapment syndrome. The Pizhen（铍针 ）is effective to decrease the pressure around nerve ,relax the adhesion, so as to eliminate the stimulation and compression of sensory nerve ending

关 键 词：神经卡压综合征 胸 针刺疗法 推拿 张力测量法 临床对照试验 

分 类 号：R745.41[医药卫生—神经病学与精神病学] R969[医药卫生—临床医学]