傍刺环跳辅助治疗梨状肌综合征:随机对照试验OA
Accompanied needling at Huantiao(GB30)as an adjunctive therapy for piriformis syndrome:a randomized controlled trial
目的:观察傍刺环跳辅助治疗梨状肌综合征(PS)的临床疗效.方法:将76 例PS患者随机分为观察组(38 例,脱落 1 例、剔除1 例)与对照组(38 例,脱落 2 例).两组均接受常规针刺联合循经冲击波治疗.观察组在此基础上加用傍刺环跳治疗,于患侧环跳及其向内 2 寸处深刺.两组针刺均每日 1 次,连续治疗 5 d 为1个疗程,共 2 个疗程,疗程间休息2 d.比较两组患者治疗前后梨状肌症状与体征评分和疼痛视觉模拟量表(VAS)评分,采用肌骨超声检查两组患者治疗前后梨状肌厚度,并比较临床疗效.结果:治疗后,两组患者梨状肌症状与体征各项评分及总分均较治疗前降低(P＜0.01,P＜0.05);观察组患者梨状肌紧张试验、梨状肌压痛试验、臀部疼痛评分及总分低于对照组(P＜0.05).治疗后,两组患者的梨状肌厚度、疼痛VAS评分均较治疗前降低(P＜0.01),且观察组低于对照组(P＜0.05);观察组患者梨状肌厚度变化率高于对照组(P＜0.05).观察组总有效率为97.2%(35/36),高于对照组的 86.1%(31/36,P＜0.01).结论:傍刺环跳辅助治疗可有效缓解PS患者的临床症状,改善梨状肌的结构与功能.
Objective To observe the clinical efficacy of accompanied needling at Huantiao(GB30)as an adjunctive therapy for piriformis syndrome(PS).Methods A total of 76 PS patients were randomly divided into an observation group(38 cases,1 case dropped out,1 case was eliminated)and a control group(38 cases,2 cases dropped out).Both groups received routine acupuncture combined with shock wave along meridians.In the observation group,accompanied needling was adopted,Huantiao(GB30)on the affected side and 2 cun medial to Huantiao(GB30)were selected.Both groups received treatment once daily,with one treatment course consisting of 5 consecutive days,a total of 2 courses were required,with a 2-day break between courses.Before and after treatment,the score of piriformis muscle symptoms and signs,as well as the pain visual analogue scale(VAS)score were compared in both groups.Musculoskeletal ultrasound was used to assess the thickness of the piriformis muscle before and after treatment in both groups,and clinical efficacy was compared.Results After treatment,the scores of each item of piriformis muscle symptoms and signs,as well as the total score were reduced compared with those before treatment in both groups(P＜0.01,P＜0.05).After treatment,the piriformis muscle tension test,piriformis muscle tenderness test,hip pain score and total score in the observation group were lower than those in the control group(P＜0.05).After treatment,the piriformis muscle thickness and pain VAS scores in the two groups were reduced compared with those before treatment(P＜0.01),and the indexes in the observation group were lower than those in the control group(P＜0.05).The change rate of piriformis muscle thickness in the observation group was higher than that in the control group(P＜0.05).The total effective rate in the observation group was 97.2%(35/36),which was higher than 86.1%(31/36)in the control group(P＜0.01).Conclusion Accompanied needling at Huantiao(GB30)as an adjunctive therapy for PS can effectively alleviate clinical symptoms,improve the structure and function of piriformis muscle.
常曦斓;王庆超;严亚红;尹奇渠;沈菲;赵增趁
浙江中医药大学附属湖州中医院,湖州 313000浙江中医药大学附属湖州中医院,湖州 313000浙江中医药大学附属湖州中医院,湖州 313000浙江中医药大学附属湖州中医院,湖州 313000浙江中医药大学附属湖州中医院,湖州 313000浙江中医药大学附属湖州中医院,湖州 313000
梨状肌综合征傍刺环跳体外冲击波循经治疗随机对照试验
piriformis syndromeaccompanied needlingPoint GB30(Huantiao)extracorporeal shock wavetreatment along meridiansrandomized controlled trial(RCT)
《中国针灸》 2026 (6)
895-900,6
湖州市科技计划项目:2023GY25
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