| 李林孩.超声引导下针刀联合局部封闭治疗梨状肌综合征患者临床研究[J].浙江中西医结合杂志,2018,28(12): |
| 超声引导下针刀联合局部封闭治疗梨状肌综合征患者临床研究 |
| Clinical study on the treatment of piriformis syndrome with ultrasound guided needle knife combined with partial closureLi Linhai, Zhang Hai, Ye Hongyu and Ma Jianan B ultrasonic room, Yongkang Orthopedics Hospital, Zhejiang 321300 |
| 投稿时间：2018-05-14 修订日期：2018-07-16 |
| DOI： |
| 中文关键词: 超声引导下针刀 局部封闭 梨状肌综合征 临床研究 |
| 英文关键词:ultrasound-guided needle knife local closure piriformis syndrome clinical research |
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| 中文摘要: |
| 目的：探讨超声引导下针刀联合局部封闭治疗梨状肌综合征患者临床研究。方法：选自我院于2015年1月至2018年1月期间收治的梨状肌综合征患者65例,依据随机数字表法分为观察组34例与对照组31例。对照组采用局部封闭治疗,观察组在对照组基础上结合超声引导下针刀治疗。两组疗程均为4周。比较两组治疗疗效,治疗前后VAS评分和痛阈值变化,及不良反应发生情况。结果：观察组治疗总有效率(94.12%)高于对照组(64.52%)(P<0.05)。两组治疗后VAS评分降低(观察组：t=23.574,对照组：t=18.214,P<0.05)；观察组治疗后VAS评分低于对照组(t=9.500,P<0.05)。两组治疗后痛阈值升高(观察组：t=12.107,对照组：t=11.046,P<0.05)；观察组治疗后痛阈值高于对照组(t=3.932,P<0.05)。两组均未见明显不良反应。结论：超声引导下针刀联合局部封闭治疗梨状肌综合征患者临床疗效明显,值得临床借鉴。 |
| 英文摘要: |
| Objective: To explore the clinical study of ultrasound-guided needle knife combined with local closure in the treatment of piriformis syndrome. Methods: 65 cases of piriformis syndrome were selected from January 2015 to January 2018 in our hospital. According to the random digital table method, there were 34 cases in the observation group and 31 cases in the control group. The control group was treated with local blocking therapy, and the observation group was treated with ultrasound guided Acupotomy on the basis of the control group. The two groups were treated for 4 weeks. The therapeutic effect, VAS score and pain threshold before and after treatment, and the incidence of adverse reactions were compared between the two groups. Results: the total effective rate of the observation group (94.12%) was higher than that of the control group (64.52%) (P<0.05). The scores of VAS in the two groups were reduced after treatment (t=23.574, control group: t=18.214, P<0.05), and the VAS score in the observation group was lower than that of the control group (t=9.500, P<0.05). The pain threshold increased after treatment in the two groups (t=12.107, control group: t=11.046, P<0.05), and the pain threshold in the observation group was higher than that of the control group (t=3.932, P<0.05). No obvious adverse reaction was found in all two groups. Conclusion: ultrasound-guided needle knife combined with local closure is effective in treating piriformis syndrome, and is worthy of clinical reference. |
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