铍针治疗皮神经卡压性腰臀部疼痛的病例对照研究  

Case control study on Pi needle for the treatment of the cutaneous nerve entrapment low back pain

作　　者：董福慧[1] 雷仲民[2] 杨海韵[3] 孙捷 陈力劣 杨中兴 DONG Fu-hui;LEI Zhong-min;YA NG Hai-yun;SUN Jie;CHEN Li-lue;YA NG Zhong-xing(Wangjing Hospital, China A cademy of Chi- nese Medical Science ,Beijing 100102, China)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京中医医院,北京100010 [3]佛山市中医院,广东佛山528000 [4]台州博爱医院,浙江台州318050 [5]北京朝阳门医院,北京100010 [6]山东禹城颈肩腰腿痛研究所,山东禹城251200

出　　处：《中国骨伤》2018年第6期510-513,共4页China Journal of Orthopaedics and Traumatology

基　　金：国家自然科学基金项目(编号:30973817);国家中医药管理局中医临床诊疗技术整理与研究项目(编号:2002ZL40)~~

摘　　要：目的:探索治疗皮神经卡压性腰臀部疼痛的安全有效的方法 ,明确铍针治疗皮神经卡压性腰臀部疼痛的指征。方法:自2003年1月至2004年12月选取皮神经卡压性腰臀部疼痛患者278例,分为铍针组和电刺激组。铍针组138例,男68例,女70例;年龄20~60(41.92±10.88)岁;电刺激组140例,男68例,女72例;年龄18~60(41.44±10.47)岁。治疗前后测量两组患者的疼痛、压痛,以及软组织张力情况,通过对比评价两种治疗方法的临床效果。结果:两组均未出现中止、剔除、脱落病例。治疗后铍针组疼痛评分由8.78±1.52下降为1.33±1.33,电刺激组由8.59±1.76下降为5.20±2.64,且治疗后铍针组疼痛评分低于电刺激组。治疗后铍针组压痛评分由9.12±1.24下降为1.60±1.36,电刺激组由8.79±1.60下降为5.34±2.60,且治疗后铍针组压痛评分低于电刺激组。结论:皮神经卡压综合征在形成明确的痛点、条索、结节时,铍针治疗为首选。Objective：To explore a safe and effective method for the treatment of low back pain in the cutaneous nerve,and to clarify the indication of Pi needle to treat it. Methods：From January 2003 to December 2004,278 patients with cutaneous nerve entrapment low back pain were divided into two groups ：Pi needle group and electrical stimulation group. In the Pi needle group,there were 68 males and 70 females,ranging in age from 20 to 60 years old,with an average of（41.92±10.88）years old. In the electrical stimulation group,there were 68 males and 72 females,ranging in age from 18 to 60 years old,with an average of（41.44±10.47） years old. The pain,tenderness and soft tissue tension of the two groups were measured and compared before and after treatment. Results：All of the selected cases were qualified. No suspension,culling and shedding cases occurred in either group. In Pi needle group,visual analog scale（VAS） of pain decreased from 8.78±1.52 before treatment to1.33±1.33 after treatment;and in electrical stimulation group,VASof pain decreased from 8.59±1.76 before treatment to 5.20±2.64 after treatment;and the VAS of pain of the Pi needle group was lower than that of the electrical stimulation group. In Pi needle group,VAS of tenderness decreased from 9.12 ±1.24 before treatment to 1.60 ±1.36 after treatment;and in electrical stimulation group,VAS of pain decreased from 8.79±1.60 before treatment to 5.34±2.60 after treatment;and the VAS of pain of the Pi needle group was lower than that of the electrical stimulation group. Conclusion：Once tissue texture changes to pain point,cord,nodules,Pi needle is the first line treatment for the cutaneous nerve entrapment low back pain.

关 键 词：铍针 皮神经卡压 腰痛 病例对照研究 

分 类 号：R246.9[医药卫生—针灸推拿学]