Clinical Observation On The Curative Effect Of Edge Needle In The Treatment Of Superior Clunial Nerve Entrapment Syndrome

ObjectiveEvaluate edge needle of clinical effect in the treatment of superior clunial nerve entrapment syndrome,curative effect on edge needle and indications were analyzed,to elaborate the advantages of edge needle and discuss its application prospect.In order to apply a theoretical foundation for needle to establish a relatively perfet clinical practices and a better therapy for thesuperior clunial nerve entrapment syndrome.Methods90 cases with superior clunial nerve entrapment syndrome patientswere randomly divided into three groups: the edge needle experiment group(n=30),the edge needle control group(n=30)and the control group(n=30).The edge needle experiment group was treated with edge acupuncture,and the pain points or cords were loosely extracted;Theedge needle control group and the control group were given acupuncture acupuncture treatment,two groups of patients choose points consistent.According to the “Chinese diseasediagnosis and efficacy of standard”,the diagnostic criteria of lumbar disc herniation was made.By the use of Mc Gill pain questionnaire which is internationally recognized,patients accept the score assessment of PPI before and after the treatment session;patients accept the score assessment of VAS before and after the treatment session by visual analogue scale(VAS);by JOA lumbar function scale,assess the improvement of the function;by Oswestry Disability Index questionnaire function(ODI)and modified Barthel index(MBI),assessthe quality of lifeimprovement;by self rating anxiety scale(SAS)and self rating depression scale(SDS),assessthe mental status.All datas were analyzed using statistical software SPSS 18.0.Results 1.Before the treatment,there were no statistically significant differences in age,gender,course and the scores of PPI,VAS,JOA,ODI,MBI,SAS,SDS of the patient(P>0.05),which showed the three groups had comparability.2.Comparison of clinical efficacy: After treatment,9 cases were cured,11 cases felt better,9 cases improved,1 cases was no effective in the edge needle experiment group,the total effective rate was 96.67%;3 cases were cured,7 cases felt better,12 cases improved,8 cases was no effective in acupuncture control group,the total effective rate was 73.33%;5 cases were cured,8 cases felt better,11 cases improved,6 cases was no effective in the edge needle control group,the total efficiency of 80.00%,There were statistically significant differences between the three groups of patients(P<0.05).3.Comparison of PPI score: The PPI score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control groups(P<0.05).4.Comparison of VAS score: The VAS score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control group(P<0.05).5.Comparison of JOA score: The JOA score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control group(P<0.05).6.Comparison of ODI score: The ODI score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control group(P<0.05).7.Comparison of MBI score: The MBI score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control group(P<0.05).8.Comparison of SAS score: The SAS score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control group(P<0.05).9.Comparison of SDS score: The SDS score in all patients was significant improved before andafter the treatment(P<0.05).Between the three groups after treatment,there was a remarkable difference,the edge needle experiment group could improve syndrome better than the other two control group(P<0.05).Conclusion Edge needle can greatly improve the clinical efficacy and improve quality of life,reducing pain in patientswith superior clunial nerve entrapment syndrome,and the curative effect was significantly better in edge needle group than in the routine acupuncture group.From the perspective of the tendons,the waist and hip tenderness point is actually the channel of the lesion,the edge needle can loose unpacked pain points,relieve pressure and stimulation of superior clunial nerves more effective,has clinical advantages of simple operation,fast curative effect,this kind of treatment is safety,efficient,good curative effects,and is worthy to be popularized.