电针治疗臀上皮神经卡压综合征的临床效果

doi:10.20047/j.issn1673-7210.2023.05.14

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摘要目的观察电针治疗臀上皮神经卡压综合征的效果及安全性。方法将2020年5月至2021年5月在首都医科大学附属北京安贞医院和华北石油管理局总医院疼痛科治疗的臀上皮神经卡压综合征患者80例，按照随机数字表法分为内热针组和内热针联合电针组（联合针组），每组40例。每组每周治疗2次，连续2周，共4次。比较两组治疗前后的视觉模拟评分法（VAS）、日本骨科协会（JOA）评分和白细胞介素（IL）-6、IL-8、肿瘤坏死因子（TNF）-α。结果联合针组临床效果优于内热针组，差异有统计学意义（P＜0.05）。治疗后，两组VAS评分低于治疗前，且联合针组低于内热针组；JOA评分高于治疗前，且联合针组高于内热针组，差异有统计学意义（P＜0.05）。治疗后，两组血清IL-6、IL-8和TNF-α低于治疗前，且联合针组低于内热针组，差异有统计学意义（P＜0.05）。联合针组不良反应发生率低于内热针组，差异有统计学意义（P＜0.05）。结论与内热针比较，电针联合内热针治疗臀上皮神经卡压综合征患者安全有效，可明显改善患者临床症状及日常活动能力，其作用机制可能与降低IL-6、IL-8和TNF-α水平有关。

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	何明伟1 曹静2 庞金磊1 王成彬1 孙海燕1 刘进德2

关键词 ：内热针, 内热针加电针, 臀上皮神经, 神经卡压综合征

Abstract：Objective To observe the efficacy and safety of electroacupuncture in the treatment of gluteal nerve entrapment syndrome. Methods A total of 80 patients with gluteal epithelial nerve entrapment syndrome treated in the Department of pain, Beijing Anzhen Hospital, Capital Medical University and North China Petroleum Administration General Hospital from May 2020 to May 2021 were divided into internal heat acupuncture group and internal heat acupuncture combined with electric acupuncture group (combined acupuncture group) according to random number table method, with 40 cases in each group. Each group was treated twice a week for two consecutive weeks, a total of four times. Visual analogue scale (VAS), Japanese Orthopaedic Association (JOA) score, interleukin (IL)-6, IL-8, and tumor necrosis factor (TNF) -α were compared before and after treatment between the two groups. Results The clinical effect of combination acupuncture group was better than that of internal heat acupuncture group, and the difference was statistically significant (P＜0.05). After treatment, VAS scores of the two groups were lower than before treatment, while that of the combined acupuncture group was lower than that of the internal heat acupuncture group; JOA score of two groups were higher than that before treatment, while that of the combination acupuncture group was higher than that of the internal heat acupuncture group, and the differences were statistically significant (P＜0.05). After treatment, serum IL-6, IL-8, and TNF-α in two groups were lower than before treatment, while those of combined injection group were lower than those of internal heat injection group, and the differences were statistically significant (P＜0.05). The incidence of adverse reactions in combination acupuncture group was lower than that in internal heat acupuncture group, and the difference was statistically significant (P＜0.05). Conclusion Compared with internal heat acupuncture, electroacupuncture combined with internal heat acupuncture is safe and effective in the treatment of patients with gluteal epithelial nerve entrapment syndrome, and can significantly improve clinical symptoms and daily activity ability of patients. The mechanism of action may be related to the reduction of IL-6, IL-8, and TNF-α levels.

Key words： Internal heat needle Internal heat needle combined with Electroacupuncture Superior cluneal nerve Nerve entrapment syndrome

引用本文:

何明伟1 曹静2 庞金磊1 王成彬1 孙海燕1 刘进德2. 电针治疗臀上皮神经卡压综合征的临床效果[J]. 中国医药导报, 2023, 20(5): 63-66.
HE Mingwei1 CAO Jing2 PANG Jinlei1 WANG Chengbin1 SUN Haiyan1 LIU Jinde2. Clinical effect of electroacupuncture on gluteal nerve entrapment syndrome. 中国医药导报, 2023, 20(5): 63-66.

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https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.05.14 或 https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I5/63

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