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1、针灸与推拿治疗梨状肌综合征临床研究吴家利米勇Δ王锐刘艳芳(新疆医科大学附属中医医院新疆乌鲁木齐830000)【摘要】目的探讨针灸与推拿治疗梨状肌综合征临床疗效。方法将30例梨状肌综合征病例随机分成针灸组和推拿组,观察两组病例治疗前后疼痛VAS评分,即时止痛效果和两组患者临床疗效。结果两组治疗前后自身疼痛VSA评分比较,差异均有统计学意义(均P<0.01);两组治疗后VSA评分比较,差异有统计学意义(P<0.05);针灸组即时显效率86.67%,推拿组为46.67%,针灸组的即时显效率明显高于推拿组;针灸组治愈率为33.33%,推拿组为20.00%,针灸
2、组的治愈率高于推拿组,针灸组有效率100.00%,推拿组为93.33%,针灸组的有效率高于推拿组。结论针灸与推拿治疗梨状肌综合征均有明显临床疗效,但针灸的镇痛效果优于推拿。【关键词】:针灸;推拿;梨状肌综合征;临床研究ClinicalstudyonAcupuncture-MoxibustionandMassagefortreatingpyriformissyndromeWujia-li,Miyong,Wangrui,etal.(AfilliateTrationalChineseMedicineHospitalXinjiangMedicalUnivers
3、ityUrumqi830000China)Correspondingauthor:Miyong,E-mail:miyong331@163.com【Abstract】ObjectiveToexpioreclinicalefficacyaboutacupuncture-moxibustionandmassagefortreatingpyriformissyndrome.MethodsDivided30casesofpyriformissyndromeintoacupuncture-moxibustiongroupandmassagegroup,observ
4、etheresultofpainVASscoresbeforetreatmentandafter,theeffectofstoppingpainandtheclinicalefficacyofthistwogroups.ResultsAfterthecomparisonofthetwogroups’painVASscoresbeforetreatmentandafter,thedifferenceswerestatisticallysignificant(p<0.01);accordingtothecomparisonofthetwogroups’pa
5、inVASscoresaftertreatment,therewasstatisticallysignificant(p<0.05);Themarkedlyimprovementofacupuncture-moxibustiongroupis83.33%,Massagegroupis46.67%,themarkedlyimprovementofacupuncture-moxibustiongroupishigherthanmassagegroupobviously;Thecurepercentageofacupuncture-moxibustiongr
6、oupis33.33%,thecontrolgroupis20.00%,thecurepercentageofacupuncture-moxibustiongroupishigherthanmassagegroup,theeffectiverateofacupuncture-moxibustiongroupis100%,andmassagegroupis93.33%,theeffectiverateofacupunctureandmoxibustiongroupishigherthanmassagegroup.ConclusionClinicaleff
7、icacyofacupuncture-moxibustionandmassagefortreatingpyriformissyndromewasverysignificant,buttheeffectofstoppingpainofacupuncture-moxibustionisbetterthanmassage.【Keywords】:Acupuncture-moxibustion;Massage;Pyriformissyndrome;Clinicalstudy梨状肌综合征是由于梨状肌解剖变异或因外伤、劳损等原因引起充血、水肿、痉孪、肥厚,刺激或压迫
8、坐骨神经,引起以一侧、双侧臀部酸胀、疼痛,伴大腿后侧或小腿后外侧放射性疼痛,甚至活动受限等为主