排刺隔药饼灸治疗臀上皮神经卡压综合征临床疗效观察  

Clinical observation of superior gluteal nerve entrapment syndrome treated with needle-in-row combined with herb-partition moxibustion

作　　者：齐猛猛 刘志强[2] 扈培增[2] 马永琛 马胜[2] 

机构地区：[1]潍坊医学院临床医学院,山东潍坊261000 [2]潍坊市益都中心医院中医科,山东潍坊262509 [3]山东大学医学院

出　　处：《中国针灸》2016年第10期1045-1048,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的：比较排刺隔药饼灸、排刺、常规针刺治疗臀上皮神经卡压综合征的临床疗效差异。方法：将105例患者随机分为排刺药饼灸组、排刺组和常规针刺组,每组35例。排刺药饼灸组与排刺组均于腰臀病变部位痛性筋束区行排刺治疗,并配合TDP神灯照射,排刺药饼灸组排刺结束后于痛性筋束区行隔药饼灸;常规针刺组采用循经取穴法,依经脉循行路线取委中、阳陵泉、秩边、环跳、三阴交、L_1~L_5夹脊穴,并配合TDP神灯照射。各组均每天治疗1次,治疗4周,比较治疗后疼痛评分改善情况。结果：各组治疗4周后疼痛评分均明显降低（均P〈0.05）,治疗4周后排刺药饼灸组和排刺组疼痛评分较常规针刺组明显降低（均P〈0.05）,排刺隔药饼灸组疼痛评分较排刺组明显降低（P〈0.05）。治疗4周后排刺药饼灸组和排刺组显效率分别为88.6%（31/35）、68.6%（24/35）均高于常规针刺组的40.0%（14/35）（均P〈0.05）,排刺隔药饼灸组显效率高于排刺组（P〈0.05）。结论：排刺药饼灸疗法治疗臀上皮神经卡压综合征的临床疗效肯定,优于单纯排刺和常规针刺治疗。Objective To compare the effects of need-in-row combined with herb-partition moxibustion,needin-row and conventional acupuncture for superior gluteal nerve entrapment syndrome.Methods Totally 105 patients were randomly assigned into a combination group,a need-in-row group and an acupuncture group,35 cases in each one.In the combination group and needle-in-row group,needle-in-row therapy was used at the pain tendon region of the pathological waist-hip part,and TDP was combined.Also,herb-partition moxibustion was applied at the same part after needle-in-row in the combined group.In the acupuncture group,conventional acupuncture was implemented at Weizhong（BL 40）,Yanglingquan（GB 34）,Zhibian（BL 54）,Huantiao（GB 30）,Sanyinjiao（SP 6）and Jiaji of L_1-L_5（EX-B 2）,and TDP was applied.All the treatment was given once a day for four weeks.The changes of pain scores were compared after treatment.Results The pain scores decreased obviously after treatment in all the groups（all P0.05）.The scores of the combination group and the needle-in-row group declined more apparently than that of the acupuncture group（both P0.05）.The score of the combination group reduced more obviously than that of the needle-in-low group（P0.05）.The markedly effective rates of the combination group and the needle-in-row group were 88.6%（31/35）and 68.6%（24/35）,which were higher than 40.0%（14/35）of the acupuncture group（both P0.05）,and the markedly effective rate of the combination group was better than that of the needle-in-row group（P0.05）.Conclusion Need-in-row combined with herb-partition moxibustion show definite effect for superior gluteal nerve entrapment syndrome,and it is better than those of simple needlein-row therapy and conventional acupuncture.

关 键 词：臀上皮神经卡压综合征 排刺疗法 隔药饼灸法 针刺疗法 艾灸 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]