观察超微针刀综合疗法治疗臀上皮神经卡压综合征的临床疗效。

选取2015年6月至2017年8月阜阳市肿瘤医院康复医学科收治的120例臀上皮神经卡压综合征患者，采用完全随机试验方法随机分为治疗组和对照组，每组各60例。治疗组中男38例，女22例，平均年龄(41.30±5.75)岁，平均病程(5.40±2.30)月。对照组中男43例，女17例，平均年龄(42.70±7.85)岁，平均病程(6.80±3.10)月。治疗组采用超微针刀于腰、臀部位的筋结点进行松解治疗，并配合推拿及中药热敷，对照组予毫针在同样部位进行针灸治疗并配合推拿和中药热敷。在治疗前和治疗后，采用下腰痛评分量表(JOA)进行疗效评定。采用秩和检验比较2组患者临床疗效；采用配对t检验比较2组患者治疗前后JOA评分；采用两独立样本t检验比较2组患者治疗前和治疗后JOA评分。

治疗组治疗前后、对照组治疗前后和2组治疗后JOA评分比较，差异均有统计学意义(t＝47.49、19.72、13.65，P均<0.05)。治疗1个疗程后，治疗组总有效率93.33%(56/60)，对照组总有效率76.67%(46/60)，2组疗效比较，差异具有统计学意义(Z＝2.731，P<0.05)。

超微针刀治疗臀上皮神经卡压综合征疗效确切，值得临床推广。

To observe the clinical effect of the treatment of hip epithelial nerve pressure syndrome with the therapy of ultrastructural acupotomy.

A total of 120 cases of gluteal nerve compression syndrome admitted from June 2015 to August 2017 in Fuyang were randomly divided into the treatment group and the control group with 60 cases in each group.In the treatment group, there were 38 male cases and 22 female cases, with an average age of (41.30±5.75), average period of (5.40±2.30) months being ill, while 43 male cases and 17 female cases were included in the control group, patients aging average (42.70±7.85) and being sick for (6.80±3.10) months.In the treatment group the ultrastructural acupotomy was applied to the tend on knots in the waist and the hip of patients served as the therapy for ease, combined with massage and hot compress with herbal medicine.The control group was given acupuncture on the same positions with filiform needles, combined with massage and hot compress with herbal medicine.The lower back pain assessment scale (JOA) was used to evaluate the curative efficacy before and after treatment.The clinical efficacy of the 2 groups was compared with rank sum test.Paired t-test was used to compare the JOA scores before and after treatment in the 2 groups.Two independent samples of t-test were used to compare the JOA scores before and after treatment in the 2 groups.

The difference of JOA scores was statistically significant between the treatment group before and after treatment and the 2 groups after treatment(t=47.49, 19.72, 13.65, all P<0.05). After a course of treatment, the total effective rate of the treatment group was 93.33% (56/60), while the total effective rate of the control group was 76.67% (46/60). The 2 group showed a statistically significant difference (Z=2.731, P<0.05).

The treatment of hip epithelial nerve compression syndrome with ultrastructural acupotomyis effective and worthy of clinical popularization.