推拿联合叩刺拔罐放血治疗臀上皮神经卡压综合征临床研究  

Clinical research of massage combined with pricking bloodletting therapy for superior clunial nerve entrapment syndrome

作　　者：胡业华 冯欣欣 董萍 李文雯 王超 吕杭州 HU Yehua;FENG Xinxin;DONG Ping;LI Wenwen;WANG Chao;LYU Hangzhou(Department of Rehabilitation,Xingtai General Hospital,North China Medical University,Xingtai,Hebei 054000;不详)

机构地区：[1]华北医疗健康集团邢台总医院康复科,河北邢台054000 [2]河北省眼科医院针灸康复科,河北邢台054000

出　　处：《河北中医》2021年第7期1178-1182,共5页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的比较推拿联合叩刺拔罐放血与神经阻滞治疗臀上皮神经卡压综合征的临床疗效。方法将60例臀上皮神经卡压综合征患者按照就诊顺序分为2组,治疗组30例采用推拿联合梅花针叩刺拔罐放血治疗,3 d 1次,3次为1个疗程,共治疗1个疗程;对照组30例采用神经阻滞治疗,5 d 1次,2次为1个疗程,共治疗1个疗程。比较2组治疗前、第1次治疗后、治疗结束、治疗结束后2周疼痛视觉模拟评分(VAS)、日本骨科协会评估治疗(JOA)下腰痛评分量表评分、表面肌电图均方根值(RMS)变化。结果与本组治疗前相比,第1次治疗后、治疗结束及治疗结束后2周,2组疼痛VAS均降低(均P<0.05),JOA下腰痛评分量表主观症状、日常活动受限评分及总分均提高(均P<0.05),RMS均提高(均P<0.05)。2组组间比较,第1次治疗后,对照组疼痛VAS低于治疗组(P<0.05),JOA下腰痛评分量表主观症状、日常活动受限评分及总分和RMS均高于治疗组(P<0.05);治疗结束及治疗结束后2周,治疗组疼痛VAS均低于对照组(均P<0.05),JOA下腰痛评分量表主观症状、日常活动受限评分及总分和RMS均高于对照组(均P<0.05)。治疗组有效率93.33%(28/30),对照组90.00%(27/30),2组有效率比较差异无统计学意义(P>0.05)。结论推拿联合叩刺拔罐放血疗法与神经阻滞疗法治疗臀上皮神经卡压综合征疗效相当,神经阻滞疗法的即刻效应优于推拿联合叩刺拔罐放血疗法,推拿联合叩刺拔罐放血疗法的长时效应优于神经阻滞疗法。Objective To compare the clinical efficacy of massage combined with pricking bloodletting therapy for superior clunial nerve entrapment syndrome.Methods Totally 60 patients with superior clunial nerves entrapment syndrome were divided into 2 groups;30 cases in treatment group received massage combined with pricking bloodletting therapy by plum-blossom needles,treated continued 1 course(once every 3 days,3 times as a course);30 cases in control group with nerve block therapy alone,similar course(once every 5 days,2 times as a course).Visual analogue score(VAS)for pain,Japanese Orthopaedic Association(JOA)score for lower back pain,root mean square(RMS)of surface electromyography(sEMG)were compared at pretherapy,first therapy,end of treatment,and 2-week post-treatment.Results In contrast to pretherapy,decreased VAS(all P<0.05),increased JOA score(subjective symptom,activity limitation score)were(all P<0.05),and increased RMS were noted in groupsat end of treatment,first therapy,and 2-week post-treatment(all P<0.05);increased VAS,downregulated JOA score and RMS were found in treatment group at first therapy in comparison with control group during the same period(all P<0.05);at end of treatment and 2-week post-treatment,significantly decreased VAS,and notably upregulated JOA score and RMS were also found in treatment group(all P<0.05).The effective rates in treatment group and control group were 93.33%(28/30)and 90.00%(27/30),respectively,the difference between groups being not significant(P>0.05).Conclusions The above two treatments have comparable efficacy for superior clunial nerve entrapment syndrome,in terms of immediate effect,nerve block therapyis more obviously compared with massage combined with pricking bloodletting therapy,but the later may have a better long-term effect.

关 键 词：神经卡压综合征 推拿 梅花针疗法 放血 

分 类 号：R746.905[医药卫生—神经病学与精神病学] R244.1[医药卫生—临床医学]