| 铍针治疗皮神经卡压性腰臀部疼痛的病例对照研究 |
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Received:March 28, 2018
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| 期刊信息：《中国骨伤》2018年31卷，第6期，第510-513页 |
| DOI：10.3969/j.issn.1003-0034.2018.06.005 |
| 基金项目:国家自然科学基金项目（编号：30973817）；国家中医药管理局中医临床诊疗技术整理与研究项目（编号：2002ZL40） |
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目的：探索治疗皮神经卡压性腰臀部疼痛的安全有效的方法，明确铍针治疗皮神经卡压性腰臀部疼痛的指征。
方法：自2003年1月至2004年12月选取皮神经卡压性腰臀部疼痛患者278例，分为铍针组和电刺激组。铍针组138例，男68例，女70例；年龄20～60（41.92±10.88）岁；电刺激组140例，男68例，女72例；年龄18～60（41.44±10.47）岁。治疗前后测量两组患者的疼痛、压痛，以及软组织张力情况，通过对比评价两种治疗方法的临床效果。
结果：两组均未出现中止、剔除、脱落病例。治疗后铍针组疼痛评分由8.78±1.52下降为1.33±1.33，电刺激组由8.59±1.76下降为5.20±2.64，且治疗后铍针组疼痛评分低于电刺激组。治疗后铍针组压痛评分由9.12±1.24下降为1.60±1.36，电刺激组由8.79±1.60下降为5.34±2.60，且治疗后铍针组压痛评分低于电刺激组。
结论：皮神经卡压综合征在形成明确的痛点、条索、结节时，铍针治疗为首选。 |
| [关键词]:铍针 皮神经卡压 腰痛 病例对照研究 |
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| Case-control study on Pi needle for the treatment of the cutaneous nerve entrapment low back pain |
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Abstract:
Objective: To explore a safe and effective method for the treatment of low back pain in the cutaneous nerve,and to clarify the indication of Pi needle to treat it.
Methods: From January 2003 to December 2004,278 patients with cutaneous nerve entrapment low back pain were divided into two groups:Pi needle group and electrical stimulation group. In the Pi needle group,there were 68 males and 70 females,ranging in age from 20 to 60 years old,with an average of(41.92±10.88)years old. In the electrical stimulation group,there were 68 males and 72 females,ranging in age from 18 to 60 years old,with an average of(41.44±10.47) years old. The pain,tenderness and soft tissue tension of the two groups were measured and compared before and after treatment.
Results: All of the selected cases were qualified. No suspension,culling and shedding cases occurred in either group. In Pi needle group,visual analog scale(VAS) of pain decreased from 8.78±1.52 before treatment to 1.33±1.33 after treatment;and in electrical stimulation group,VASof pain decreased from 8.59±1.76 before treatment to 5.20±2.64 after treatment;and the VAS of pain of the Pi needle group was lower than that of the electrical stimulation group. In Pi needle group,VAS of tenderness decreased from 9.12±1.24 before treatment to 1.60±1.36 after treatment;and in electrical stimulation group,VAS of pain decreased from 8.79±1.60 before treatment to 5.34±2.60 after treatment;and the VAS of pain of the Pi needle group was lower than that of the electrical stimulation group.
Conclusion: Once tissue texture changes to pain point,cord,nodules,Pi needle is the first line treatment for the cutaneous nerve entrapment low back pain. |
| KEYWORDS:Pi needle Cutaneous nerve entrapment Low back pain Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 董福慧,雷仲民,杨海韵,孙捷,陈力劣,杨中兴.铍针治疗皮神经卡压性腰臀部疼痛的病例对照研究[J].中国骨伤,2018,31(6):510~513 |
| 英文格式: | DONG Fu-hui,LEI Zhong-min,YANG Hai-yun,SUN Jie,CHEN Li-lue,YANG Zhong-xing.Case-control study on Pi needle for the treatment of the cutaneous nerve entrapment low back pain[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(6):510~513 |
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