对全院护士进行糖尿病知识培训的意义及实施

目的：梨状肌损伤是造成腰腿痛常见的因素之一，特别是易误诊为“坐骨神经痛”，推拿配合针灸治疗本病效果理想。依据：多数患者有急慢性外伤史；患者臀部及同侧下肢酸胀及烧灼样疼痛，站立及坐时加重；臀部梨状肌可扪及条索状物，按压可诱发下肢疼痛或麻木酸痛，多伴有臀部及下肢肌肉萎缩；直腿抬高时，可引发臀部及下肢后侧疼痛，抬高超过60°，疼痛反而减轻。患肢内旋可诱发臀部及下肢放射痛，即梨状肌紧张试验（＋）；腰部无畸形及压痛，无活动障碍。方法：第一步：掌按揉法，目的舒筋活络，调和气血；第二步：点按揉法，目的疏通经络，调气止痛；第三步：拿捏拍击法，目的松筋和脉。结果：再配合针灸和必要的功能锻炼，在缩短疗程、提高疗效及镇痛和改善肢体功能活动方面，效果显著。共治33例，治愈29例，好转4例。总有效率达100％。

The acupuncture and moxibustion coordination massage technique treatment musculus piriformis synthesis will draft 33 example

Objective：The musculus piriformis damage creates one of pain in waist and lower extremities common factors,specially the easy error diagnostic is ＂the sciatica＂ ,the massage coordination acupuncture and moxibustion treats this sickness effect ideally. Based on：The most patients have the anxious chronic flesh wound history; The patient buttocks and with the side lower limb acid zhang and the cauterization type ache,stand and sit time aggravates;The buttocks musculus piriformis may hold and strip funicular, holds back may induce the lower limb ache or be sore numbly,is accompanied by the buttocks and the lower limb muscle atrophy; When the straight leg raises, may initiate the buttocks and the lower limb rear end ache, the run--up surpasses 60°, the ache instead reduces. In the trouble extremity turns on lathe may induce the buttocks and the lower limb emission pain,namely musculus piriformis intense experiment （-＋-）;The waist is not abnormal and the tenderness, non-active barrier. Methods： First step：The palm ac- e cording to rubs the law, the goal relaxes the muscles and joints and stimulate blood circulation, well distributed vitality; Second step： According to rubs the law, the goal opening channels and collaterals, controls one＇s breathing the pain-relieving;Third step：Acts bashful strikes against the law,the goal loose muscle and the arteries. Results：Again coordinates the acupuncture and moxibustion and the essential function exercise,in the reduction treatment course,enhances the curative effect and the analgesia and the improvement body function activity aspect,the effect remarkable. Altogether governs 33 examples,cures 29 examples,changes for the better 4 examples. The total effectiveness reaches 100%.