温针结合电针齐刺环跳穴为主治疗干性坐骨神经痛临床观察  

Triple needling combined with thermo-electroacupuncture at Huantiao(GB 30)for trunk-sciatica

作　　者：霍金[1] 赵冏琪[1] HUO Jin;ZHAO Jiong-qi(Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院针灸研究所,北京100700

出　　处：《中国针灸》2021年第3期275-278,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较温针结合电针齐刺环跳穴与电针齐刺环跳穴治疗干性坐骨神经痛的临床疗效。方法:将56例干性坐骨神经痛患者随机分为温电针齐刺组和电针齐刺组,每组28例。温电针齐刺组采用温电针齐刺环跳穴,电针齐刺组采用电针齐刺环跳穴,均针刺委中、阳陵泉、承山,隔日治疗1次,10天为一疗程,共治疗2个疗程。分别于治疗前、第1个疗程后、第2个疗程后观察两组患者疼痛分级指数(PRI)、疼痛视觉模拟量表(VAS)、现时疼痛强度(PPI)评分,并比较两组临床疗效。结果:两组治疗第1个疗程、第2个疗程后PRI、VAS、PPI评分均降低(P<0.01,P<0.05),且第2个疗程后低于第1个疗程后(P<0.01)。温电针齐刺组PRI、VAS、PPI评分降低幅度大于电针齐刺组(P<0.01)。温电针齐刺组总有效率为92.9%(26/28),高于电针齐刺组的78.6%(22/28,P<0.05)。结论:温电针齐刺环跳穴能有效缓解干性坐骨神经痛患者的疼痛,疗效优于电针齐刺环跳穴。Objective To compared the clinical effect between triple needling combined with thermo-electroacupuncture at Huantiao(GB 30)and triple needling combined with electroacupuncture at Huantiao(GB 30)for trunk-sciatica.Methods A total of 56 patients with trunk-sciatica were randomized into a triple needling combined with thermo-electroacupuncture group and a triple needling combined with electroacupuncture group,28 cases in each group.In the triple needling combined with thermo-electroacupuncture group,triple needling combined with thermo-electroacupuncture at Huantiao(GB 30)was applied.In the triple needling combined with electroacupuncture group,triple needling combined with electroacupuncture at Huantiao(GB 30)was applied.Both groups were treated with acupuncture at Weizhong(BL 40),Yanglingquan(GB 34)and Chengshan(BL 57).The treatment was given once every 2 days,10 days as one course for 2 courses.Before treatment,1,2 courses into treatment,the scores of pain rating index(PRI),pain visual analogue scale(VAS)and present pain intensity(PPI)were observed,and the clinical efficacy was evaluated in the two groups.Results The PRI,VAS and PPI scores 1,2 courses into treatment were decreased in the two groups(P<0.01,P<0.05),and those 2 courses into treatment were lower than 1 course into treatment(P<0.01).The variation of PRI,VAS and PPI scores in the triple needling combined with thermo-electroacupuncture group was larger than the triple needling combined with electroacupuncture group(P<0.01).The total effective rate was 92.9%(26/28)in the triple needling combined with thermo-electroacupuncture group,which was higher than 78.6%(22/28)in the triple needling combined with electroacupuncture group(P<0.05).Conclusion Triple needling combined with thermo-electroacupuncture at Huantiao(GB 30)could effectively relieve pain in patients with trunk-sciatica,and the curative effect maybe better than triple needling combined with electroacupuncture at Huantiao(GB 30).

关 键 词：干性坐骨神经痛 温针 电针 齐刺 穴 环跳 

分 类 号：R246.6[医药卫生—针灸推拿学]