调衡温针灸配合穴位注射野木瓜注射液治疗梨状肌综合征临床研究

【目的】观察运用调衡温针灸配合穴位注射野木瓜注射液治疗梨状肌综合征的临床疗效及其对腓总神经肌电图结果的影响。【方法】将70例梨状肌综合征患者随机分为对照组和治疗组,每组各35例。对照组给予常规电针治疗,治疗组给予调衡温针灸配合穴位注射野木瓜注射液治疗,每天治疗1次,5次为1个疗程,1个疗程结束后休息2 d,连续治疗2个疗程。观察2组患者第1次治疗前后的疼痛视觉模拟量表(VAS)评分以及治疗前后髋关节运动功能Charnley评分、腓总神经运动传导速度(MCV)和潜伏期的变化情况。【结果】(1)第1次治疗后,2组患者的疼痛VAS评分均较治疗前改善(P<0.05),且治疗组的改善作用明显优于对照组,组间差值比较,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的Charnley评分均较治疗前改善(P<0.05),且治疗组的改善作用明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的腓总神经运动传导速度(MCV)及潜伏期均较治疗前改善(P<0.05),且治疗组的改善作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】基于“辨构论治”新理念,运用调衡温针灸配合穴位注射野木瓜注射液治疗梨状肌综合征疗效确切,能有效缓解疼痛,改善髋关节运动功能,对腓总神经运动传导速度及潜伏期也有明显改善作用。

Clinical Study on Piriformis Syndrome Treated by Balanced Thermic Acupmoxibustion Combined with Acupoint Injection of Wild Papaya Injection

Objective To observe the clinical efficacy of balanced thermic acup-moxibustion combined with acupoint injection of wild papaya injection for the treatment of piriformis syndrome and to investigate their influence on the electromyogram of the common peroneal nerve.Methods Seventy patients with piriformis syndrome were randomly divided into control group and treatment group,and each group had 35 cases.The control group was treated with conventional electro-acupuncture,and the treatment group was treated with balanced thermic acupmoxibustion combined with point injection of wild papaya injection,once per day.Five times constituted a course of treatment,and a 2-day interval should be taken between the two courses.The treatment for the two groups lasted 2 courses.The visual analogue scale(VAS)pain scores before and after the first course of treatment,and the changes in the hip function Charnley scores,the motor conduction velocity(MCV)of the common peroneal nerve and the incubation period of the two groups before and after the treatment were observed.Results(1)After the first course of treatment,VAS pain scores in the two groups were improved in comparison with those before treatment(P<0.05),and the improvement in the treatment group was superior to that in the control group,the difference of the pre-and post-treatment difference value between the two groups being statistically significant(P<0.05).(2)After treatment,the Charnley scores in the two groups were improved in comparison with those before treatment(P<0.05),and the improvement in the treatment group was superior to that in the control group,the difference between the two groups being statistically significant(P<0.05).(3)After treatment,the MCV of the common peroneal nerve and the incubation period in the two groups were improved in comparison with those before treatment(P<0.05),and the improvement in the treatment group was superior to that in the control group,the difference between the two groups being statistically significant(P<0.05).Conclusion Based on the structure-differentiation and treatment,the combined therapy of balanced acup-moxibustion plus acupoint injection of wild papaya injection has a definite therapeutic effect on piriformis syndrome,and the therapy can significantly relieve the pain and improve the hip function as well as the motor conduction velocity(MCV)and incubation period of common peroneal nerve.