后路针刀治疗前斜角肌综合征的临床疗效研究  

Clinical Study on the Treatment of Anterior Scalenus Syndrome with Posterior Acupotomy Method

作　　者：周建斌[1] 刘光东[1] 李开平[2] 徐小柳 张莹莹[2] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院疼痛科,南京210014 [2]南京中医药大学,南京210046

出　　处：《世界中医药》2015年第12期1932-1935,共4页World Chinese Medicine

基　　金：江苏省老中医药专家学术经验继承专项研究课题(编号:sc200935)

摘　　要：目的:研究后路针刀治疗前斜角肌综合征的临床疗效。方法:将100例前斜角肌综合征患者随机分成3组,按针刀、针灸、封闭3种治疗方法分别进行治疗,分别于患者治疗结束后1周、1个月、3个月时进行随访,将患者按疗效分成4级:治愈、显效、有效和无效,治疗组分别与对照组(针灸组和封闭组)比较疗效优良率和有效率,根据统计分析结果评定后路针刀治疗前斜角肌综合征的临床疗效及意义。结果:治疗结束后1周时,针刀组疗效明显优于针灸组,封闭组和针刀组疗效同样有效。治疗结束后1个月、3个月时,针刀组疗效明显优于针灸组和封闭组,封闭组的疗效不断减退。结论:后路针刀是治疗前斜角肌综合征的有效治疗方法。Objective： To explore the clinical efficacy posterior acupotomy method in treating anterior scalenus syndrome. Method：Anterior scalenus syndrome patients of 100 cases were randomly divided into three groups,according to the treatment methods,which were acupotomy,acupuncture,blockade respectively. The follow-ups were carried out on the date after a week,a month,three months of the treatment. According to the curative effect,the patients were divided into four types： cured,effective,valid and invalid; the curative rates and efficient rates of the two control groups（ acupuncture group and blockade group） were compared according to the statistical analysis of the results to evaluate the acupotomy＇s clinical efficacy in the treatment of anterior scalenus syndrome. Results： One week after the treatment,the acupotomy group was better than acupuncture group,curative effect of blockade and acupotomy group were also significant. A month and three months after treatment,the curative effect of acupotomy group was obviously better than acupuncture and the blockade group,as the curative effect of blockade group constantly declined. Conclusion： Acupotomy is an effective method in the treatment of scalene syndrome.

关 键 词：针刀 前斜角肌综合征 胸廓出口综合征 针灸 封闭 

分 类 号：R246[医药卫生—针灸推拿学]