苍龟探穴针法治疗坐骨神经痛临床观察

Clinical Observation of Green Turtle Searching and Boring Acupuncture in Treating Ischioneuralgia

目的:应用Mcgill疼痛量表评定苍龟探穴针法治疗坐骨神经痛的疼痛缓解程度,并观察其临床疗效。方法:纳入2004年3月—2006年10月湖南中医药高等专科学校第一附属医院针灸科住院部或门诊坐骨神经痛患者165例,按简单随机法分为两组,即苍龟探穴组82例与常规电针组83例。苍龟探穴组:取肾俞、大肠俞、腰阳关、环跳、昆仑、阿是穴,选用50～75mm长的毫针,得气后退至皮下,分别向前后左右多向斜刺,渐渐加深,不留针。常规电针组取穴同苍龟探穴组,但不进行苍龟探穴手法操作,直接调针至"得气"后接G6805Ⅱ型电针机,选连续波,频率1.5～3.0Hz以患者能耐受为度,持续电针30min。两组均隔天进行针刺1次,10次为1疗程。以疼痛分级指数进行量化计分,结合临床症状、体征,在1个疗程结束后进行疗效观察。结果:苍龟探穴组、常规电针组各有2、3例患者脱落,最终苍龟探穴组80例,常规电针组80例,进入结果分析。①治疗后苍龟探穴针法组痊愈显效率为88.75%,常规电针组痊愈显效率57.5%,差异有显著性意义(χ2=6.10,P=0.01)。②疗程结束后苍龟探穴组疼痛分级指数评分优于常规电针组(P=0.00)。结论:苍龟探穴针法治疗坐骨神经痛优于常规电针法,治疗方法较为满意。

Objective： To evaluate the pain easement degree of ischloneuralgia patients treated with green turtle searching and boring acupuncture by Mcgill pain measuring scale, and to observe the clinical curative effect. Methods： 165 cases of ischioneuralgia patients were divided into two groups randomly. There were 82 patients in green turtle searching and boring acupuncture group and 83 patients in routine electric acupuncture group. Shenshu, Dachangshu, Yaoyangguan, Huantiao, Kurdun and living acupuncture point were chose in green turtle searching and boring acupuncture group. 50-75mm were used. After ＂DeQi＂, the acupuncture needles were drawn back to skin,and oblique needling at many directions, then deepen acupuncture needles. Acupuncture needles were not stayed. The points of routine electric acupuncture group were the same to the green turtle searching and boring acupuncture group. After ＂DeQi＂ ,electric acupuncture machine（ G6805 - Ⅱ ） was used. Continuous wave was selected, and frequency was 1.5 -3.0Hz. This treatment last 30min. The patients in both groups were treated on alternate days. 10 treatments were 1 course of treatment. Curative effects were observed after 1 course of treatment. The patients were quantized by pain rating index, combined with clinical symptoms and objective signs. Results： 80 patients in green turtle searching and boring acupuncture group and 80 patients in routine electric acupuncture group were analyzed. （1）Post -treatment, effective power of green turtle searching and boring acupuncture group is 88.75%, while 57.5% in routine electric acupuncture group. There is significant difference between them（Х^2 =6.10, P =0.01 ）. （2）After one course of treatment, score of pain rating index in green turtle searching and boring acupuncture group is better than routine electric acupuncture group＇ s （ P = 0.00）. Conclusion： Therapeutic effect of green turtle searching and boring acupuncture is better than routine electric acupuncture＇ s and this therapeutic regimen is more satisfied.