《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (08): 484-486.

• 临床研究 • 上一篇    下一篇

综合治疗梨状肌综合征的康复效果及功能评定:附73例分析

雷英1; 王少芸2; 陈春宇2; 石捷3; 黄龙模3; 吴赞华1   

  1. 1.广西壮族自治区人民医院康复医学科 广西南宁市 530021;2.广西壮族自治区人民医院星湖门诊部 广西南宁市 530021;3.广西壮族自治区人民医院一分院 广西南宁市 530021
  • 收稿日期:2003-06-10 出版日期:2003-08-25 发布日期:2003-08-25

Function assessment and effect of combined treatment for piriformis syndrome—a report of 73 cases

LEI Ying, WANG Shao-yun,CHEN Chun-yu, et al   

  1. People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China
  • Received:2003-06-10 Published:2003-08-25 Online:2003-08-25

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被引次数

2

摘要： 目的观察综合疗法治疗梨状肌综合征的康复效果,并分析梨状肌综合征的病因、病机、病理及康复机理。方法将73例梨状肌综合征患者随机分为对照组(35例,予常规治疗)和治疗组(38例,增加温热疗法、电脑中频疗法、手法治疗等),两个疗程后观察效果,并用李氏髋关节功能评定标准评定疗效。结果对照组痊愈14例、显效9例、有效9例、无效3例;治疗组痊愈23例、显效9例、有效5例,无效1例,经秩和检验,治疗组疗效优于对照组(u=2.00,P<0.05)。治疗前后髋关节功能评分差值中位数为,对照组18.00分,治疗组 27.50分,两组比较有高度显著性差异(u=2.98,P<0.01)。治疗组平均治愈天数为(11.04±5.10)天,短于对照组(14.79±5.79天)(t=2.06,P<0.05)。结论综合治疗梨状肌综合征的康复效果显著,可充分发挥各种疗法的协同作用,具有促进血液循环、消炎消肿、止痛解痉、软化疤痕、松解粘连等功效。

关键词: 综合治疗, 梨状肌综合征, 功能评定

Abstract: ObjectiveTo observe effect of combined treatment for piriformis syndrome and analyze its cause, pathoge nesis, pathology and recovery mechanism.Methods73 piriformis syndrome cases were divided randomly into two groups. The control gro up (35 cases) was given routine treatment, but the treatment group (38 cases) ad ded with thermal therapy, computerized medium frequency electrotherapy, manual t herapy, etc. After two courses, therapeutic effects were observed and assessed w ith standards for hip joint function.Results Of the control group,14 cases were cured,9 effectual,9 effective, and 3 ineffecti ve; of the experiment group, 23 cured,9 effectual, 5 effective, and 1 ineffecti ve. By statistical analysis, the therapeutic effect in the treatment group is su perior to those in the control group (P<0.05). Hip joint fu nction is assessed by scores as: the median point before and after the treatment for the control group is 18.00,the experiment group is 27.50, with statistical ly significance difference (P<0.01).The average cure time f or the experiment group is 11.04±5.10 days, fewer than that for the control gro up (14.79±5.79 days)(P<0.05).Conclusions Comb ined treatment used for piriformis syndrome can produce remarkable therapeutic e ffect, and various types of therapies can play such coordinate roles as promotin g blood circulation, repercussion, anti-inflammation, analgesia, relaxing adhes ion and softening scar.

Key words: comprehensive treatment, pirifo rmis syndrome, function assessment