针灸治疗坐骨神经痛30例临床观察

A Clinical Observation on Acupuncture for 30 Cases of Sciatica

目的观察痛阈改变与针灸治疗坐骨神经痛患者临床疗效的关系,探索将痛阈值作为判断坐骨神经痛疗效的量化标准的可行性。方法将90例患者随机分为3组,每组30例;温针灸组施以温针灸,西药组口服尼美舒利片,穴位注射组用654-2行穴位注射,分别测定患者治疗前与治疗第1、2、3疗程后的痛阈值。结果根据临床疗效、治疗前后痛阈值和临床症状、体征检测进行综合评定,除喷嚏时疼痛加剧、排便时疼痛加剧及西药组咳嗽时疼痛加剧外,温针灸组与西药组、穴位注射组疗效比较差异有显著性意义(P<0.01)。结论针灸治疗坐骨神经痛能使痛阈值升高,改善临床症状。

Objective To observe the relation between pain threshold and therapeutic effect of acupuncture for sciatica ,and analyze the feasibility of taking pain threshold as a standard for quant/zing the therapeutic effect of sciatica. Methods Totally 90 cases of sciatica were randomly and equally divided into 3 groups. Warm needling was used in warm needling group,while Nimesulide in western medicine group and Anisodamine in acupoint injection group respectively. Pain threshold was observed before and after treatment. Resuits Warm needling group was superior to other groups in therapeutic effect and pain threshold（P〈0.01）. Conclusion Acupuncture can increase pain threshold and relieve clinical symptoms for sciatica.