摘要
目的梨状肌综合征作为骨伤科临床常见病,在临床上得到足够重视。本研究从临床实际出发,通过临床中药外敷结合体外冲击波治疗梨状肌综合征,为梨状肌综合征的治疗方法提供思路。方法选取2018-01-01-2019-12-31大兴区中西医结合医院156例门诊梨状肌综合征患者(左侧65例,右侧73例,双侧18例)为研究对象,按照组间性别、年龄和病程具有可比性的原则分为观察组54例,对照Ⅰ组53例,对照Ⅱ组49例。观察组采用中药外敷结合体外冲击波治疗,对照Ⅰ组采用中药外敷治疗,对照Ⅱ组采用体外冲击波治疗,综合评价治疗效果。结果治疗后,观察组视觉模拟评分法(visual analogue score,VAS)得分为(1.86±0.45)分,低于对照Ⅰ组的(3.17±0.63)分和对照Ⅱ组的(2.84±0.72)分,差异有统计学意义,F=67.432,P=0.001。治疗后,观察组Oswestry功能障碍指数(Oswestry disability index,ODI)评分为(3.91±1.84)分,低于对照Ⅰ组的(5.33±2.01)分和对照Ⅱ组的(5.78±2.17)分,差异有统计学意义,F=12.388,P=0.001。治疗后,观察组、对照Ⅰ组和对照Ⅱ组彩色超声下梨状肌厚度分别为(23.19±2.71)、(23.70±3.54)和(23.56±3.19)d/mm,差异无统计学意义,F=0.371,P=0.691。结论中药贴敷结合冲击波治疗梨状肌综合征相比于单独采用一种治疗方法,改善VAS评分和ODI评分更明显,但在彩色超声下梨状肌厚度变化差异不大。
OBJECTIVE Piriformis syndrome,as a common clinical disease in orthopedics and traumatology,has received sufficient clinical attention.Based on clinical practice,this study provided ideas for the treatment of piriformis syndrome through the study of clinical application of traditional Chinese medicine combined with extracorporeal shock wave in the treatment of piriformis syndrome.METHODS A total of 156 outpatients(65 cases on the left,73 cases on the right,and 18 cases on both sides)of piriformis syndrome were selected in outpatients at the Daxing District Hospital of Integrated Traditional Chinese and Western Medicine from January 1,2018 to December 31,2019.According to the principle of comparability of gender,age and disease course between groups,they were divided into observation group with 54 cases,control groupⅠ with 53 cases,and control groupⅡ with 49 cases.The observation group was treated with external application of traditional Chinese medicine combined with extracorporeal shock wave,the control groupⅠ was treated with external application of traditional Chinese medicine,and the control group Ⅱ was treated with extracorporeal shock wave.The treatment effect was comprehensively evaluated.RESULTS After treatment,the visual analogue score(VAS)of the observation group was 1.86±0.45,which was lower than the control groupⅠof 3.17±0.63 and the control groupⅡof2.84±0.72,the difference was statistically significant,F=67.432,P=0.001.After treatment,the Oswestry disability index(ODI)score of the observation group was 3.91±1.84,which was lower than the control groupⅠ of 5.33±2.01 and the control groupⅡof 5.78±2.17,the difference was statistically significant,F=12.388,P=0.001.After treatment,the thickness of the piriformis under color ultrasound in the observation group,control group Ⅰ and control group Ⅱ were(23.19±2.71),(23.70±3.54)and(23.5±3.19)d/mm,respectively,the difference was not statistically significant,F=0.371,P=0.691.CONCLUSION Compared with a single treatment method,the treatment of piriformis syndrome with traditional Chinese medicine application combined with shock wave improves the VAS score and ODI score more significantly,but the thickness of the piriformis muscle under color ultrasound has little difference.
作者
沙益辉
王小斌
王保锁
李翔
李宏涛
林红猛
SHA Yi-hui;WANG Xiao-bin;WANG Bao-suo;LI Xiang;LI Hong-tao;LIN Hong-meng(Department of Orthopedics and Traumatology,Beijing Daxing District Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100076,P.R.China)
出处
《社区医学杂志》
CAS
2020年第23期1608-1611,共4页
Journal Of Community Medicine
关键词
梨状肌综合征
中药贴敷
冲击波
视觉模拟评分法
OSWESTRY功能障碍指数
piriformis syndrome
traditional Chinese medicine application
shock wave
visual analogue score score
Oswestry disability index score
