壮医药线点灸联合针挑疗法治疗坐骨神经痛疗效观察

摘要

Objective To compare the efficacies of medicated thread moxibustion plus needle picking therapy versus medication for sciatica.Method Seventy sciatica patients were randomly allocated to a treatment group of 35 cases and a control group of 35 cases. The treatment group received medicated thread moxibustion on Zusanli (ST36), three cones once daily and needle picking at Yanglingquan (GB34) and Huantiao (GB30), once daily. The control group took quick-acting sciatica pills, two pills twice daily. One course of treatment consisted of 10 days in both groups. The therapeutic effects were compared between the two groups of patients after two consecutive courses of treatment.Result Posttreatment pain score decreased more markedly in the treatment group (P<0.01). The total efficacy rate was 88.6% in the treatment group and 57.1% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Medicated thread moxibustion plus needle picking therapy for sciatica is more effective in relieving pain and raising the total efficacy rate.%目的：比较壮医药线点灸联合针挑疗法治疗坐骨神经痛与药物治疗的疗效差异。方法将70例坐骨神经痛患者随机分为治疗组35例和对照组35例。治疗组采用壮医药线点灸足三里，每日点灸1次，每次3壮；同时采用针挑疗法，挑刺阳陵泉、环跳，每天挑刺1次。对照组口服速效坐骨神经痛丸，每日2次，每次2粒。两组均10 d为1个疗程，均连续治疗2个疗程，比较两组患者治疗效果。结果治疗组治疗后疼痛评分降低较明显(P＜0.01)；治疗组总有效率为88.6%，对照组总有效率为57.1%，两组比较差异有统计学意义(P＜0.05)。结论壮医药线点灸联合针挑疗法治疗坐骨神经痛在缓解疼痛症状、提高总有效率方面可能效果更好。