深层肌肉刺激治疗梨状肌综合征的临床研究  

A clinical study on the treatment of piriformis syndrome with deep muscle stimulator

作　　者：蒋黎明[1,2] 张增乔 于小明 黄尚军[1] 廖莎 冯伟 JIANG Liming;ZHANG Zengqiao;YU Xiaoming(Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200137)

机构地区：[1]上海中医药大学附属第七人民医院,上海市200137 [2]上海中医药大学康复医学院

出　　处：《中国康复医学杂志》2020年第12期1439-1443,共5页Chinese Journal of Rehabilitation Medicine

基　　金：国家自然科学基金资助课题(81873328);上海市科学技术委员会项目资助课题(18401900300);上海市浦东新区重点薄弱学科资助课题(PWZbr2017-04)。

摘　　要：目的:观察深层肌肉刺激(DMS)对梨状肌综合征(PS)的临床疗效。方法:将2019年1月—2019年5月收治的50例梨状肌综合征患者随机分成治疗组(n=25)和对照组(n=25)。治疗组给予深层肌肉刺激治疗,对照组给予推拿治疗,每天1次,疗程为2周。在治疗前和治疗2周后,分别采用疼痛视觉模拟评分法(VAS)、超声检查下梨状肌厚度的测量、Oswestry功能障碍指数(ODI)评分及临床疗效进行评定。结果:两组患者治疗前VAS疼痛评分、梨状肌厚度及ODI评分差异均无显著性意义(P>0.05)。2周治疗后,两组VAS疼痛评分、梨状肌厚度及ODI评分较治疗前均有改善,差异均具有显著性意义(P<0.05)。治疗后治疗组VAS疼痛评分(t=-14.076)、梨状肌厚度(t=-2.306)、ODI评分(t=-36.653)改善情况均优于对照组,P<0.05。治疗后治疗组总有效率为96%,对照组治疗总有效率为80%,治疗组总有效率高于对照组,差异具有显著性意义(P<0.05)。结论:深层肌肉刺激在改善梨状肌综合征患者的临床症状和功能方面优于推拿疗法。Objective:To observe the clinical effect of deep muscle stimulation(DMS)on piriformis syndrome(PS).Method:Fifty patients with piriformis syndrome collected from 2019-01 to 2019-05 were randomly divided into therapy group(n=25)and control group(n=25).The therapy group was treated with deep muscle stimulator.The control group was treated with massage,both are once a day,two weeks in total.Before and after 2 weeks of treatment,visual analogue scale(VAS),thickness of piriformis under ultrasound,Oswestry disability index(ODI)and clinical effect were used to assess the curative effect.Result:There we no significant difference in VAS pain score,thickness of piriformis and ODI score between the two groups before treatment(P>0.05).After 2 weeks of treatment,the VAS pain score,thickness of piriformis and ODI score in the two groups improved significant(P<0.05).The improvements of treatment group were much better than those of the control group(P<0.01)in VAS pain score(t=-14.076),thickness of piriformis(t=-2.306)and ODI score(t=-36.653)After treatment,the total effective rates were 96% in the treatment group and 80% in the control group,the difference was statistically significant(P<0.05).Conclusion:Deep muscle stimulation is superior to massage in improving clinical symptoms and functions of piriformis syndrome patients.

关 键 词：深层肌肉刺激 推拿 梨状肌综合征 

分 类 号：R454[医药卫生—治疗学] R49[医药卫生—临床医学]