[Clinical study of piriformis syndrome treated with trigger-point acupuncture].

Q3 Medicine

针刺研究 Pub Date : 2024-07-25 DOI:10.13702/j.1000-0607.20230336

Li-Xue Liu, Miao-Miao Shen, Qin-Ge Wang, Wen Shen, Yan Yuan

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引用次数: 0

Abstract

Objectives: To compare the difference in the clinical efficacy on piriformis syndrome between trigger-point (TrP) acupuncture and glucocorticoid injection.

Methods: Sixty patients with piriformis syndrome were randomly allocated to an acupuncture group (30 cases, treated with TrP acupuncture) and a control group (30 cases, treated with glucocorticoid injection). In the two groups, the intervention was delivered once weekly and 2 treatments were required. Before treatment and 1 week, 1 month, 2 months and 3 months after treatment, the scores of the numerical rating scale (NRS) and Oswestry dysfunction index questionnaire (ODI), and the passive hip range of motion (PROM) were collected separately；the score of the 36-item short form of health survey (SF-36) was observed 3 months after treatment；and the administration of analgesic medication and the occurrence of adverse effects were recorded in the patients of 2 groups.

Results: The scores of NRS and ODI were decreased, and PROM was increased at each time point compared with the baseline (before treatment) in both groups (P<0.05). In comparison with the control group, the scores of NRS and ODI were decreased (P<0.01, P<0.05) and the range of hip internal rotation (HIR) was increased in the acupuncture group 2 and 3 months after treatment (P<0.01). Three months after treatment, the scores for physiological function, body pain, and vitality of SF-36 in the acupuncture group were higher than those of the control group (P<0.05). The number of patients with analgesic drugs was less (P<0.05) in the acupuncture group than that in the control group in 2 and 3 months after treatment. During treatment and in follow-up stage, no serious adverse reactions occurred in the patients of 2 groups.

Conclusions: The clinical effect of TrP acupuncture is similar to that of glucocorticoid injection on piriformis syndrome in 1 month after treatment. In 2 months after treatment, TrP acupuncture is markedly effective for attenuating pain and the functional impairment of the lower limbs, improving the quality of life and reducing the use of analgesic drugs in comparison with glucocorticoid injection.

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[以扳机点针灸治疗梨状肌综合征的临床研究]。

目的：比较触发点针灸和糖皮质激素注射对梨状肌综合征临床疗效的差异：比较扳机点针刺与糖皮质激素注射对梨状肌综合征临床疗效的差异：将 60 例梨状肌综合征患者随机分配到针刺组（30 例，采用触发点针刺治疗）和对照组（30 例，采用糖皮质激素注射治疗）。两组患者每周进行一次干预，共需 2 个疗程。分别收集治疗前、治疗后1周、1个月、2个月和3个月的数字评分量表（NRS）、Oswestry功能障碍指数问卷（ODI）和髋关节被动活动范围（PROM）的评分；观察治疗后3个月的36项简表健康调查（SF-36）的评分；记录两组患者的镇痛药物使用情况和不良反应发生情况：结果：与基线（治疗前）相比，两组患者在各时间点的 NRS 和 ODI 评分均有所下降，PROM 有所上升：治疗 1 个月后，TRP 针刺对梨状肌综合征的临床效果与糖皮质激素注射相似。治疗 2 个月后，与注射糖皮质激素相比，针刺三棱针在减轻疼痛和下肢功能障碍、提高生活质量以及减少镇痛药物使用方面具有明显疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

针刺研究 Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture. The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.