芒针恢刺治疗梨状肌综合征50例临床观察  

Effect of elongated-needle by Hui-puncture method on piriformis syndrome

作　　者：李石胜[1] 吴耀持[1] LI Shi-sheng;WU Yao-chi(Department of Acupuntrue,Massage and Traditional Medical Traumatology and Orthopedic,The Sixth People’s Hospital,Shanghai 200233,China)

机构地区：[1]上海市第六人民医院针推伤科,上海200233

出　　处：《针刺研究》2020年第7期583-586,共4页Acupuncture Research

基　　金：上海市进一步加快中医药事业发展三年行动计划[No.ZY(2018-2020)-ZYJS-09、ZY(2018-2020)-FWTX-4020];虹口区“国医强优”三年行动计划(No.HGY-MZY-2018-07)。

摘　　要：目的:观察芒针恢刺疗法对梨状肌综合征的临床疗效。方法:将100例梨状肌综合征患者随机分为普通针刺组及芒针恢刺组,每组50例。普通针刺组针刺患侧环跳、居髎、秩边、委中、阳陵泉、绝骨、阿是穴;芒针恢刺组芒针恢刺患侧环跳、阿是穴,两组均隔日治疗1次,10次为1个疗程,1个疗程后评定疗效。观察两组治疗前后临床症状评分和视觉模拟量尺(VAS)评分,并进行临床疗效评价。结果:与治疗前比较,两组临床症状评分和VAS评分均明显降低(P<0.05);芒针恢刺组治疗后临床症状评分和VAS评分明显低于普通针刺组(P<0.05)。芒针恢刺组总有效率为94.00%(47/50),普通针刺组总有效率78.00%(39/50),芒针恢刺组临床疗效显著优于普通针刺组(P<0.05)。结论:芒针恢刺治疗梨状肌综合征临床疗效显著,值得推广应用。Objective To observe the clinical effect of elongated needle by Hui-puncture method in the treatment of piriformis syndrome.Methods A total of 100 piriformis syndrome patients were randomly divided into routine acupuncture group(n=50)and elongated needle by Hui-puncture method(Hui-puncture)group(n=50).For patients of the routine acupuncture group,Huantiao(GB30),Juliao(GB29),Zhibian(BL54),Weizhong(BL40),Yanglingquan(GB34),Juegu(GB39)and Ashi-point on the affected side of the body were punctured with filiform needles for 30 min.And for those of the Hui-puncture group,elongated needles were respectively inserted into GB30 and Ashi-point.The treatment was conducted once every other day for 10 times.The visual analog scale(VAS)pain score and the severity scores of symptoms(hip pain,lower limb pain,walking ability,straight leg elevation test,piriformis muscle tension test,piriformis muscle tenderness,0—15 points)were measured before and after the treatment.The therapeutic effect was assessed by Criteria for Diagnosis and Assessment of Therapeutic Effect of Syndromes or Illnesses of Traditional Chinese Medicine(1994).Results After the treatment,the scores of symptoms and VAS scores of both routine acupuncture and Hui-puncture groups were significantly decreased in comparison with their own pre-treatment(P<0.05),and the scores of the two indexes of the Hui-puncture group were evidently lower than those of the routine acupuncture group(P<0.05).Of the two 50 cases in the routine acupuncture and Hui-puncture groups,39 and 47 were effective,with the effective rate being 78.00%and 94.00%,respectively.The comprehensive therapeutic effect of the Hui-puncture group was significantly superior to that of the routine acupuncture group(P<0.05).Conclusion Elongated-needle by Hui-puncture method has significant effect in treating piriformis syndrome patients and is worthy of promotion.

关 键 词：芒针 恢刺 梨状肌综合征 针刺 

分 类 号：R245.31[医药卫生—针灸推拿学]