摘要
目的 观察刺络放血结合针刺疗法治疗梨状肌损伤综合征的临床疗效.方法 采用前瞻性随机对照临床研究方法,选择2011年5月至2014年5月新疆医科大学第一附属医院针灸推拿科门诊就诊的梨状肌损伤综合征患者84例,按随机数字表法分为观察组和对照组,每组42例.观察组采用每周1次刺络放血（放血后不再进行任何治疗）,然后进行4次针刺治疗,完成5次为1个疗程;对照组每天1次常规针刺治疗,每周治疗5 d为1个疗程.两组均每个疗程间隔2 d.共进行2个疗程后评价疗效.观察两组治疗前后视觉模拟评分（VAS）的变化及临床疗效.结果 两组治疗后VAS评分均较治疗前降低,且观察组VAS评分的降低程度较对照组更显著（分：1.50±1.35比2.69±1.68,P〈0.01）;观察组总有效率明显高于对照组〔100.00%（42/42）比69.05%（29/42）,P〈0.01〕.结论 刺络放血结合针刺疗法可缩短梨状肌损伤综合征患者的疗程,提高临床疗效.
Objective To observe the curative effect of pricking bloodletting combined with acupuncture on patients with piriformis injury syndrome.Methods A prospective randomized controlled clinical trial was conducted, 84 patients with piriformis injury syndrome admitted to the Department of Acupuncture and Massage in the First Affiliated Hospital of Xinjiang Medical University from May 2011 to May 2014 were enrolled, and they were divided into observation group and control group by random number table, each group being 42 cases. The patients in the observation group were treated with bloodletting once a week （after bloodletting no other treatment was given）, and then once a day of acupuncture was performed for 4 days in a week, completing one therapeutic course; while in the control group, the patient was treated with routine acupuncture once a day for 5 days in a week, finishing one therapeutic course. The interval between two therapeutic courses was 2 days, two courses were carried out, and afterwards the clinical therapeutic effects were evaluated in the two groups. The changes of visual analogue scale （VAS） of two groups before and after treatment and the therapeutic effects were observed.Results The VAS score of the two groups after treatment was lower than that before treatment, and the degree of decrease of VAS score in the observation group was significantly lower than that of thecontrol group （1.50±1.35 vs. 2.69±1.68,P 〈 0.01）; the total effective rate in the observation group was obviously higher than that in the control group [100.00% （42/42） vs. 69.05% （29/42）,P 〈 0.01].Conclusion Pricking bloodletting combined with acupuncture therapy for treatment of piriformis injury syndrome can shorten the course of treatment.
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2017年第3期313-315,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
新疆维吾尔自治区自然科学基金（2015211C082）
关键词
梨状肌损伤综合征
针刺
放血疗法
Piriformis injury syndrome
Acupuncture
Bloodletting
