Clinical Study On Knife-needle For The Treatment Of The Gluteal Deep Nerve Entrapment Syndrome

Objective: This study by comparison of curative effect between knife-needle and acupuncture for the treatment of the gluteal deep nerve entrapment syndrome, analysis knife-needle treatment of the disease mechanism and efficacy, as well as the problems.Methods: According to the diagnose standard working out "Guiding Principles for Clinical Study of New Chinese Medicines (Trial) "and "soft tissue hurts study of disease", be brought into 60 example patients of the buttock deep nerve entrapment syndrome. Adopt the random digital watch to follow the grouping choosing the simple random, mark every 30 examples curing the group who cures collation, every group observing the group and the acupuncture and moxibustion for knife-needle. The knife-needle adopt knife-needle closure operative treatment, peel off a skill according to observing operation designed by result from problem anatomy the earlier stage entering a road in knife-needle of buttock small knife-needle "four steps" directive rules line knife-needle according to Zhu Han Zhang, the course of treatment is 3 times; The acupuncture and moxibustion group takes the diseased side Huantiao, Zhibian, Juliao, Weizhong, Ashi point, etc, the following day prods an once , the course of treatment is 10 times. Use a threshold of pain to determine an instrument measuring the painful threshold value curing the front and back part two set respectively, the painful threshold value before the patient cures a precise writer and after every course of treatment changes, clinic applying case to contrast studies way appraises a curative effect, cure and painful threshold value of front and back development change and relation with the curative effect comparatively two set.Results: (1)The painful threshold value before the knife-needle group and the acupuncture and moxibustion group treatment carries out comparison, difference has no notable significance (P>0.05), has comparability. (2)The knife-needle group compare within the group who cures painful the front and back threshold value change, difference has extraordinary notable meaning (P<0.01). (3)The acupuncture and moxibustion group compare within the group who cures painful the front and back threshold value change, difference has extraordinary notable meaning (P<0.01). (4)The painful threshold value after 1 course of treatment the knife-needle group and the acupuncture and moxibustion group cured carries out comparison, difference has extraordinary notable meaning (P<0.05). (5)The amplitude of painful threshold increase in the knife-needle group and the acupuncture and moxibustion group carries out comparison, difference has extraordinary notable meaning (P<0.05).(6)After 1 course of treatment, the clinical curative effect of the knife-needle group and the acupuncture and moxibustion group carries out comparison, difference has extraordinary notable meaning (t=2.817, P<0.01); and the knife-needle group is better having the total effect example number than the acupuncture and moxibustion group's, difference after statistics having notable meaning (P<0.05); But the healing example number of the knife-needle group and the acupuncture and moxibustion group carries out comparison, difference after statistics having no notable meaning (P>0.05). (7) The painful threshold value before two groups treatment and 60 regular examples carries out comparison, difference has notable meaning after statistics(P<0.05), so does the painful threshold value after 1 course of treatment the acupuncture and moxibustion group cured and 60 regular examples. The painful threshold value after 1 course of treatment the knife-needle group cured and 60 regular examples carries out comparison, difference after statistics having no notable meaning (P>0.05).Conclusion: (l)Patients of the gluteal deep nerve entrapment syndrome in curing process, whose painful threshold value changes the obvious power-up, assumes development changing process. (2)The knife-needle and the acupuncture and moxibustion for the treatment of the gluteal deep nerve entrapment syndrome both can be able to make painful threshold value rise, improve clinical symptoms without exception, but knife-needle treating effect is obvious better than that the acupuncture and moxibustion treats. (3)This study observation is indicated, painful threshold value is good at reflecting the degree of seriousness and the deep painful status and pain changes, can look on painful threshold value as the quantization standard judging the curative effect of the gluteal deep nerve entrapment syndrome.