“刘氏环五针”治疗坐骨神经痛的临床研究  

Clinical Study of “LIU's Ring Five-Needle” in the Treatment of Sciatica

作　　者：李卓荣 刘本立 梁慧[3] 林海波 LI Zhuorong;LIU Benli;LIANG Hui;LIN Haibo(Jiangmen Wuyi TCM Hospital,Jiangmen TCM Hospital Affiliated to Jinan University,Jiangmen 529031,China;Affiliated Hospital of Hunan Academy of Chinese Medicine,Integrated Traditionaland Western Medicine Hospital Affiliated to Hunan University of Chinese Medicine,Changsha 410006,China;The Second People＇ s Hospital of Jiangmen,Jiangmen 529000,China)

机构地区：[1]广东省江门市五邑中医院暨南大学附属江门中医院,广东江门529031 [2]湖南省中医药研究院附属医院湖南中医药大学附属中西医结合医院,湖南长沙410006 [3]广东省江门市第二人民医院,广东江门529000

出　　处：《针灸临床杂志》2018年第5期52-56,共5页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察"刘氏环五针"治疗坐骨神经痛的临床疗效。方法:共纳入146例患者,并按照随机数字表法分为环五针组和常规针刺组,每组各73例,在接受基础治疗的同时,常规针刺组予针刺患侧以"环跳穴"为核心的常用穴位;环五针组针刺患侧以"新环跳穴"为核心的5个组合穴位,疗程均为10天。疗效评价标准采用视觉模拟评分法(VAS)与改良日本骨科学会下腰痛评分法(JOA)。结果:环五针组总改善率95.8%,常规针刺组总改善率83.6%,两组比较环五针组优于常规针刺组,差异有统计学意义(P<0.05)。治疗后环五针组VAS评分、PRI评分均较常规针刺组低,而JOA评分较常规针刺组高,差异均有统计学意义(P<0.05)。环五针组不良反应总发生率为4.2%,而常规针刺组为2.7%,组间差异无统计学意义(P>0.05)。结论:"刘氏环五针"可有效缓解坐骨神经痛,且优于常规针刺疗法,值得进一步研究和临床推广应用。Objective： To observe the clinical effect of ＂LIU＇s ring five-needle＂ in the treatment of sciatica.Methods： 146 patients were randomly divided into the ring five-needle group（ n = 73） and the routine acupuncture group（ n = 73）.Basic treatment was given to the two groups; on which basis,points chosen in the routine acupuncture group were Huantiao（ GB30） and other commonly used points on the affected side; whereas,points chosen in the ring five-needle group were new GB30 and other four points on the affected side.The treatment was 10 days.Scores of VAS and JOA were used to assess the effect.Results： The total improvement rate was 95.8% in the ring five-needle group,which was significantly higher than 83.6% in the routine acupuncture group（ P〈0.05）.After the treatment,the scores of VAS and PRI were significantly lower,and JOA score was much higher in the ring five-needle group,compared to those in the routine acupuncture group（ P 0.05）.The total incidence of adverse reactions was 4.2% in the ring five-needle group,and it was 2.7% in the routine acupuncture group,of which there was no significant difference between the two groups（ P 0.05）.Conclusion： The therapy of＂LIU＇s ring five-needle＂can effectively alleviate the pain in sciatica patients,it is superior to the common acupuncture,which is worthy of further study and clinical application.

关 键 词：刘氏环五针 针刺 环跳 坐骨神经痛 腰腿痛 

分 类 号：R246.6[医药卫生—针灸推拿学]