针刺研究2016，Vol.41Issue(5)：447-450,473,5.DOI:10.13702/j.1000-0607.2016.05.015
针刺坐骨神经干治疗腰椎间盘突出症所致坐骨神经痛的疗效观察
A Randomized Controlled Clinical Trial of Treatment of Lumbar Disc Herniation-induced Sciati-ca by Acupuncture Stimulation of Sciatic Nerve Trunk
邱玲 1胡小丽 2赵学宇 2郑旭 1张吉 1张敏 1何流1
作者信息
- 1. 成都市第一人民医院疼痛科，成都 610041
- 2. 成都中医药大学针灸推拿学院，成都 610072
- 折叠
摘要
Abstract
Objective To observe the efficacy of acupuncture stimulation of the sciatic nerve trunk in the treatment of patients suffering from sciatica induced by lumbar disc herniation (LDH).Methods A total of 60 LDH sciatica patients met the inclusion criteria were randomly divided into treatment group and control group,with 30 cases in each.Patients of the treatment group were treated by directly needling the sciatic nerve and routine acupuncture of Ashi-points,Lumbar Jiaji (EX-B 2),Dachang-shu (BL 28),etc.,and those of the control group treated by simple routine acupuncture.The treatment was conducted once a day,5 times a week,4 weeks altogether.The clinical effect was evaluated according to the “Standards for Diagnosis and Thera-peutic Effect Evaluation of Syndromes of Chinese Medicine”and the pain intensity was assessed by using simplified Short-Form McGill Pain Questionnaire (SF-MPQ)containing pain rating index (PRI),visual analogue scale (VAS)and present pain intensity (PPI).Results After the treatment,of the two 30 cases of LDH sciatica patients in the control and treatment groups,1 1 and 1 8 were cured,7 and 7 experienced marked improvement,1 0 and 4 were effective,2 and 1 was invalid,with the effective rate being 93.3% and 96.7%,respectively.The cured+markedly effective rate of the treatment group was significantly higher than that of the control group (P <0.05,83.3% vs 60.0%).Compared with pre-treatment,the scores of PRI,VAS and PPI were evidently lowered in both groups (P <0.0 1 ),and the effect of the treatment group was notably better than that of the control group (P <0.0 1 ).Conclusion Acupuncture stimulation of the sciatic nerve trunk is effective in relieving sciatica in LDH pa-tients,and is superior to simple routine acupuncture in the clinical efficacy.关键词
针刺/腰椎间盘突出症/坐骨神经痛/坐骨神经干刺激Key words
Acupuncture/Lumbar disc herniation/Sciatica/Sciatic nerve trunk stimulation分类
医药卫生引用本文复制引用
邱玲,胡小丽,赵学宇,郑旭,张吉,张敏,何流..针刺坐骨神经干治疗腰椎间盘突出症所致坐骨神经痛的疗效观察[J].针刺研究,2016,41(5):447-450,473,5.
