雷火灸结合神经触激术治疗梨状肌综合征的临床效果及对神经传导的影响  

Clinical Effect of Thunder-fire Moxibustion Combined with Nerve Stimulation in the Treatment of Piriformis Syndrome and Influence on Nerve Conduction

作　　者：吕佳 李寒露 刘玉欢 李松明 LYU Jia;LI Hanlu;LIU Yuhuan;LI Songming(Acupuncture and Massage Center,the Third Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130117,China;不详)

机构地区：[1]长春中医药大学附属第三临床医院针灸推拿中心,吉林长春130117

出　　处：《中国医学创新》2025年第12期119-123,共5页Medical Innovation of China

基　　金：吉林省卫生健康科技能力提升项目(2022LC078)。

摘　　要：目的:探究雷火灸结合神经触激术治疗梨状肌综合征的临床效果及对神经传导的影响。方法:选择2023年1月—2024年6月长春中医药大学附属第三临床医院收治的100例梨状肌综合征患者。根据随机数字表法分为对照组和观察组,各50例。对照组行神经触激术治疗,观察组行雷火灸结合神经触激术治疗。比较两组治疗总有效率及治疗前后的疼痛程度、Oswestry功能障碍指数及神经传导状态(腓总神经传导速度、腓总神经传导潜伏期及CMAP波幅)。结果:观察组治疗总有效率显著高于对照组(P<0.05)。治疗前,两组疼痛程度构成、Oswestry功能障碍指数及神经传导状态比较,差异均无统计学意义(P>0.05)。治疗1、2个疗程后,观察组疼痛程度构成均显著优于对照组,Oswestry功能障碍指数各维度评分均低于对照组,腓总神经传导速度均高于对照组,CMAP波幅均高于对照组,腓总神经传导潜伏期均显著短于对照组(P<0.05)。结论:雷火灸结合神经触激术治疗梨状肌综合征的临床效果较好,可有效控制不适感及改善功能状态,对神经传导的改善作用也较好,在梨状肌综合征患者中的应用价值较高。Objective:To explore the clinical effect of thunder-fire moxibustion combined with nerve stimulation in the treatment of piriformis syndrome and its influence on nerve conduction.Method:A total of 100 patients with piriformis syndrome admitted to the Third Affiliated Hospital of Changchun University of Chinese Medicine from January 2023 to June 2024 were selected.They were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was treated with nerve stimulation,and the observation group was treated with thunder-fire moxibustion combined with nerve stimulation.The total effective rate,pain degree,Oswestry disability index and nerve conduction status(common peroneal nerve conduction velocity,common peroneal nerve conduction latency and CMAP amplitude)were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Before treatment,there were no significant differences in the composition of pain degree,Oswestry disability index and nerve conduction status between the two groups(P>0.05).After 1 course and 2 courses of treatment,the composition of pain degree of the observation group were significantly better than those of the control group,the scores of Oswestry disability index were lower than those of the control group,the common peroneal nerve conduction velocity were higher than those of the control group,CMAP amplitude were higher than those of the control group,and the common peroneal nerve conduction latency were significantly shorter than those of the control group(P<0.05).Conclusion:The clinical effect of thunder-fire moxibustion combined with nerve stimulation in the treatment of piriformis syndrome is good,which can effectively control the discomfort and improve the functional state,it also has a good effect on improving the nerve conduction,and has high application value in the patients with piriformis syndrome.

关 键 词：雷火灸 神经触激术 梨状肌综合征 神经传导 

分 类 号：R246.9[医药卫生—针灸推拿学]