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| Clinical effect of electroacupuncture on gluteal nerve entrapment syndrome |
| HE Mingwei1 CAO Jing2 PANG Jinlei1 WANG Chengbin1 SUN Haiyan1 LIU Jinde2 |
1.Department of Pain, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China;
2.Department of Pain, Huabei Petroleum Administration Bureau General Hospital, Hebei Province, Renqiu 062552, China
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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.
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| Fund:国家自然科学基金资助项目（61875141）。 |
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