董氏奇穴加对应牵引针治疗根性坐骨神经痛的临床研究

发布时间：2019-01-19 15:34

【摘要】：目的:坐骨神经痛在临床上非常常见,在神经性疼痛疾患中,坐骨神经痛的发病率最高。研究显示,疼痛超过一年的坐骨神经痛病人,六成的患者遗留病残,给病人的身心带来巨大的伤害,严重影响患者生活质量。本病目前暂无特效治疗,临床上一般采取对因、对症治疗,治疗以中西医结合方式较为多见。本研究采用小样本随机对照的研究方法,以董氏奇穴加对应牵引针为试验组,以常规针刺为对照组,观察董氏奇穴加对应牵引针治疗根性坐骨神经痛的临床疗效,为根性坐骨神经痛的治疗提供创新的临床思路和更安全有效的治疗方法。方法:本研究患者来源于2015年6月至2016年4月在东南亚缅甸中医诊所针灸门诊收治的根性坐骨神经痛(气滞血瘀型)患者。本研究筛选出符合纳入标准的60名患者,随机分配到治疗组及对照组。治疗组采用董氏奇穴加对应牵引针治疗,对照组采用常规针刺治疗。两组均每天治疗1次,5天为一疗程,间中休息2天,一共2个疗程。治疗前后,测量受试者VAS评分和BRS-6评分变化,并结合治疗后上述指标的变化进行疗效评定。采用SPSS20.0统计软件对数据加以分析。结果:治疗组(董氏奇穴加对应牵引针组)和对照组(常规针刺组)各有30例,治疗过程中病例无脱落。统计结果显示,两组在性别、年龄和病程方面无统计学意义,均具有可比性。研究结果显示,治疗后,两组VAS评分和BRS-6评分均有改善,说明董氏奇穴加对应牵引针疗法和常规针刺疗法均可明显改善根性坐骨神经痛患者的疼痛。两组治疗后评分无显著性差异,提示董氏奇穴加对应牵引针疗法和常规针刺疗法在改善疼痛方面无明显差异。治疗组治愈18例,好转10例,无效2例,总有效率93.33%;对照组治愈16例,好转10例,无效4例,总有效率86.67%。两组患者疗效经秩和检验,P0.05,没有显著性差异。表明两种治疗方法在总体疗效方面无明显差别。但治疗组的治愈率和总有效率均高于对照组,显示董氏奇穴加牵引针在根性坐骨神经痛上有优于常规针刺的趋势。结论:董氏奇穴灵骨大白加对应牵引针疗法和常规针刺疗法在改善根性坐骨神经痛患者疼痛和总体疗效方面无明显差别。但治疗组的治愈率和总有效率均高于对照组,说明董氏奇穴加对应牵引针在根性坐骨神经痛上有优于常规针刺的趋势。
[Abstract]:Objective: sciatica is very common in clinic, and the incidence of sciatica is the highest in neuropathic diseases. Research shows that 60% of sciatica patients with pain for more than one year leave disability, which bring great harm to patients' body and mind, and seriously affect the quality of life of patients. At present, there is no special effect on this disease, clinical treatment is generally due to the disease, symptomatic treatment, treatment in combination with traditional Chinese and Western medicine is more common. In this study, a small sample of random control method was used to observe the clinical effect of Dong Shiqi point plus corresponding traction needle as experimental group and routine acupuncture as control group in the treatment of root sciatica. To provide innovative clinical thinking and more safe and effective treatment for radical sciatica. Methods: from June 2015 to April 2016, patients with radical sciatica (Qi stagnation and Blood stasis) were treated in Southeast Asia Myanmar traditional Chinese Medicine Clinic. In this study, 60 patients who met the inclusion criteria were randomly assigned to the treatment group and the control group. The treatment group was treated with Dong's Qi and corresponding traction acupuncture, while the control group was treated with routine acupuncture. The two groups were treated once a day, 5 days as a course of treatment, 2 days of interval rest, a total of 2 courses of treatment. The changes of VAS and BRS-6 scores were measured before and after treatment. The data were analyzed by SPSS20.0 software. Results: there were 30 cases in treatment group (Dong Shiqi point plus corresponding traction acupuncture group) and 30 cases in control group (routine acupuncture group). The statistical results showed that there was no significant difference in sex, age and course of disease between the two groups. The results showed that the VAS score and BRS-6 score of both groups were improved after treatment, indicating that both Dong Shiqi point and corresponding traction acupuncture therapy and routine acupuncture therapy could obviously improve the pain of patients with radical sciatic neuralgia. There was no significant difference in the scores between the two groups after treatment, suggesting that there was no significant difference in the improvement of pain between Dong Shiqi points and corresponding traction acupuncture therapy and routine acupuncture therapy. In the treatment group, 18 cases were cured, 10 cases were improved, 2 cases were ineffective, the total effective rate was 93.33%, while in the control group, 16 cases were cured, 10 cases were improved, 4 cases were ineffective, and the total effective rate was 86.67%. There was no significant difference between the two groups by rank sum test (P 0.05). The results showed that there was no significant difference between the two methods in the overall curative effect. But the cure rate and the total effective rate of the treatment group were higher than that of the control group, which showed that Dong's Qi point plus traction acupuncture had a better tendency than the conventional acupuncture in the treatment group in root sciatic neuralgia. Conclusion: there is no significant difference in the treatment of pain and the total curative effect between Dongshi Qi point Linggu Dabai and corresponding traction acupuncture therapy and routine acupuncture therapy in patients with radical sciatic neuralgia. But the cure rate and the total effective rate of the treatment group were higher than that of the control group, which indicated that Dong's Qi point and the corresponding traction needle had a better tendency than the conventional acupuncture in the treatment group in root sciatic neuralgia.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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