电针加穴位注射治疗根性坐骨神经痛的疗效观察

摘要

Objective:To observe the clinical effects of electroacupuncture (EA) plus acuoint-injection for nerve root sciatica. Methods:A total of 114 cases were randomly divided into an observation group and a control group, 57 cases in each group. The observation group was given EA plus acupoint-injection therapy with Cobamamide. The control group was given oral administration of Diclofenac Sodium Sustained-release Tablets plus muscular injection of Cobamamide. After one-course treatment, the clinical effects were compared between the two groups. Results:The total effective rate was 96.5%in the observation group and 91.2%in the control group, without a statistical significance in the difference between the two groups (P>0.05). The curative rate was 57.9%in the observation group and 21.1% in the control group, with a statistical significance in the difference between the two groups (P<0.05). In the follow-up on the fourth day after the treatment, the recurrence rate was 23.1%in the observation group and 47.9%in the control group, with statistical difference between the two groups (P<0.05). Conclusion: EA plus acupoint-injection therapy for sciatica of nerve roots is remarkable in the clinical effect and needs promotion in clinic.%目的：观察电针加穴位注射治疗根性坐骨神经痛的临床疗效。方法：将114例患者随机分为观察组和对照组，每组57例。观察组采用电针加腺苷钴胺穴位注射治疗，对照组采用双氯芬酸钠缓释片口服加腺苷钴胺肌肉注射治疗，治疗1个疗程后比较两组之间的临床疗效。结果：观察组总有效率96.5%，对照组总有效率91.2%，两者差异无统计学意义(P＞0.05)；观察组痊愈率57.9%，对照组为21.1%，两组痊愈率差异有统计学意义(P＜0.05)；治疗结束后第4天随访，观察组的复发率为23.1%，对照组为47.9%，两者具有统计学差异(P＜0.05)。结论：电针加穴位注射治疗根性坐骨神经痛的临床效果显著，值得临床推广。