排针攒刺松解疗法治疗臀上皮神经卡压综合征  

Clinical observation on superior cluneal nerve entrapment syndrome treated by relaxation therapy of in-row multi-needling technique

作　　者：李常法[1] 张杰[2] 王军茹[3] 

机构地区：[1]河北医科大学第三医院针灸科,石家庄050051 [2]河北医科大学 [3]河北医科大学第三医院康复科,石家庄050051

出　　处：《中国针灸》2012年第11期984-988,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察排针攒刺松解疗法治疗臀上皮神经卡压综合征的临床疗效。方法:将120例患者随机分为攒刺组、小针刀组和常规针刺组,每组40例。攒刺组在腰臀病变部位直刺或斜刺,将反应较强烈的一针或几针作为主针,在其周围排针攒刺,并多方向提插透刺,取两主针接G6805型低频脉冲治疗仪;小针刀组采用小针刀治疗,每次选择3～4部位;常规针刺组穴取肾俞、大肠俞、腰夹脊、秩边等,并接G6805型低频脉冲治疗仪。各组均治疗4周,比较3组治疗2周、4周后疼痛评分改善情况,治疗疗效及综合满意度。结果:各组治疗2周、4周后疼痛评分均明显降低(均P<0.05),其中治疗2周后小针刀组疼痛评分较常规针刺组明显降低(P<0.05),治疗4周后攒刺组和小针刀组疼痛评分较常规针刺组明显降低(均P<0.05),攒刺组疼痛评分较小针刀组明显降低(P<0.05)。治疗2周后小针刀组显效率为62.5%(25/40),优于常规针刺组的25.0%(10/40,P<0.05),其他组间差异无统计学意义;治疗4周后攒刺组显效率90.0%(36/40)及小针刀组67.5%(27/40)均高于常规针刺组的35.0%(14/40,均P<0.05),攒刺组显效率高于小针刀组(P<0.05)。攒刺组患者满意度明显高于另外两组(P<0.05)。结论:排针攒刺松解疗法治疗臀上皮神经卡压综合征的临床疗效肯定,优于小针刀和常规针刺治疗,特别是对于因肌肉、筋膜粘连所致的病变范围广泛、部位不很明确、呈片状分布且面积较大者效果更佳。Objective To observe the clinical efficacy on superior cluneal nerve entrapment syndrome treated by relaxation therapy of in-row multi-needling technique.Methods One hundred and twenty cases were randomized into a multi-needling group,an acupotomy group and a conventional acupuncture group,40 cases in each one.In the multi-needling group,the perpendicular or oblique puncture was applied to the affected area of the lumbar and gluteal region.The chief needling sites were determined in terms of the strong response of acupuncture to be the chief points.The in-row multi-needling technique was applied around the chief needling sites,with lifting,thrus-ting penetrating method to different directions.Two chief points were connected with the G6805 low frequency pulse therapeutic apparatus.In the acupotomy group,the acupotomy was applied to 3 to 4 affected sites in each treatment.In the conventional acupuncture group,Shenshu（BL 23）,Dachangshu（BL 25）,Jiaji（EX-B 2） in the lumbar region,Zhibian（BL 54） and the others were selected and connected with the G6805 low frequency pulse therapeutic apparatus.The cases in each group were treated for 4 weeks.The improvements of pain score,therapeutic efficacy and comprehensive satisfaction assessment were compared among 3 groups in 2 and 4 weeks of treatment separately.Results The pain scores in each group were reduced apparently in 2 and 4 weeks of treatment separately（all P0.05）,and the pain score in the acupotomy group was lower than that in the conventional acupuncture group in 2 weeks of treatment.In 4 weeks of treatment,the pain scores in the multi-needling group and the acupotomy group were lower than that in the conventional acupuncture group（both P0.05） and the pain score in the multi-needling group was lower than that in the acupotomy group（P0.05）.In 2 weeks of treatment,the remarkable effective rate in the acupotomy group was 62.5%（25/40）,which was superior significantly to 25.0%（10/40） in the conventional acupuncture group（P0.05）.The o

关 键 词：神经卡压综合征 臀上皮神经 针刺疗法 小针刀 疗效比较 

分 类 号：R246.2[医药卫生—针灸推拿学]