新九针圆利针与芒针齐刺治疗梨状肌综合征疗效对照观察  

Observation on therapeutic effect of round-sharp needle of new nine-needle and elongated needle for piriformis syndrome with triple puncture method

作　　者：刘建民[1] 田文海[2] 田建刚[2] 李海棠[3] 齐凤军[1] 樊云[1] 陈松[1] 

机构地区：[1]湖北中医药大学针灸骨伤学院,武汉430061 [2]山西省针灸研究所 [3]湖北中医药大学临床医学院

出　　处：《中国针灸》2013年第5期422-425,共4页Chinese Acupuncture & Moxibustion

基　　金：国家科技支撑计划项目:2007BA 107A02

摘　　要：目的:比较新九针圆利针与普通芒针治疗梨状肌综合征的疗效差异,并探讨其作用机制。方法:将80例患者随机分为新九针圆利针组(圆利针组)和芒针治疗组(芒针组),每组40例。圆利针组采用新九针圆利针(0.60mm×125mm)在"梨状肌三穴"实施齐刺治疗,芒针组以普通规格芒针(0.32mm×125mm)在"梨状肌三穴"实施齐刺治疗,两组均予常规针刺委中、阳陵泉。每周3次,2周为一疗程。1个疗程后评价临床疗效,并于治疗前后测定两组患者痛阈值。结果:圆利针组总有效率为92.5%(37/40),优于芒针组的77.5%(31/40,P<0.05)。两组治疗后痛阈值较治疗前均显著提高(均P<0.01);圆利针组痛阈值增量明显大于芒针组(P<0.01)。结论:新九针圆利针治疗梨状肌综合征疗效确切,优于普通芒针,与其能有效提高局部组织痛阈值有关。Objective To compare the efficacy differences between round-sharp needle of new nine-needle and elongated needle for piriformis syndrome, and explore its action mechanism. Methods Eighty cases were randomly divided into a round sharp needle of new nine-needle group （round-sharp needle group） and an elongated needle treatment group （elongated needle group）, 40 cases in each group. The round-sharp needle group was treated with round-sharp needle （0.60 minx 125 ram） at three points in piriformis with triple puncture method, while the elongated needle group was treated with elongated needle of ordinary specifications （0. 32 min× 125 mm） at three points in piriformis with triple puncture method. Besides, the two groups were also treated with routine acupuncture at Weizhong （BL 40） and Yanglingquan （GB 34）, 3 times every week, 2 weeks as one course of treatment. After one course of treatment, the clinical effect was evaluated and the pain threshold values were measured before and after treatment in the two groups. Results The total effective rate in lhe round-sharp needle group was 92. 5% （37/40）, which was superior to 77.5% （31/40） in the elongated needle group （P〈0.05）. Compared before treatment, the pain threshold values after treatment in two groups were improved significantly （both P〈0.01）. The increment of pain threshold value in the round-sharp needle group was higher than that in the elongated needle group （P〈0.01）. Conclusion Round-sharp needle of new nine-needle is effective in treatment of piriformis syndrome and is better than ordinary elongated needle, which is related to that it can effectively increase pain threshold value of the local tissue.

关 键 词：梨状肌综合征 针刺疗法 新九针 圆利针 芒针 齐刺 

分 类 号：R246.2[医药卫生—针灸推拿学]