Clinical observation of needle knife combined with sacral canal block in the treatmentof piriformis syndrome
针刀配合骶管阻滞治疗梨状肌综合征的临床观察

摘要

目的 观察梨状肌综合征采用针刀配合骶管阻滞治疗的临床效果。方法 采用2022年9月-2023年9月我院收治的100例梨状肌综合征患者，随机分为对照组50例实行针刀治疗，观察组50例实行针刀配合骶管阻滞治疗，对两组治疗疼痛程度、疼痛阈值、功能恢复情况及不良反应进行比较。结果 与对照组相较，观察组疼痛度更低，压痛阈值水平更高，功能恢复情况更优，差异均有统计学意义（P＜0.05），而两组不良反应比较差异较小（P>0.05）。结论 梨状肌综合征采用针刀配合骶管阻滞治疗临床效果较佳，降低患者疼痛程度，改善疼痛阈值水平，并促进机体功能恢复，且配合治疗并未明显增加不良反应，治疗安全性较高，具有较高的临床应用价值。

Abstract

Objective To observe the clinical effect of using needle knife combined with sacral block treatment for piriformis syndrome.
Methods A total of 100 patients with piriformis syndrome admitted to our hospital from September 2022 to September 2023 were randomly divided into a control group of 50 cases who received needle knife treatment, and an observation group of 50 cases who received needle knife combined with sacral canal block treatment. The pain level, pain threshold, functional recovery, and adverse reactions of the two groups were compared.
Results Compared with the control group, the observation group had lower pain levels, higher tenderness threshold levels, and better functional recovery, with statistically significant differences (P<0.05). However, the difference in adverse reactions between the two groups was relatively small (P>0.05).
Conclusion   The use of needle knife combined with sacral block treatment for piriformis syndrome has a better clinical effect, reducing the degree of pain in patients, improving pain threshold levels, and promoting functional recovery of the body. Moreover, the combination of treatment does not significantly increase adverse reactions, and the treatment is safe and has high clinical application value.