经穴电针治疗老年根性坐骨神经痛临床观察

Clinical observation on electroacupuncture at acupoints for treatment of senile radical sciatica

目的:比较经穴电针与经皮神经电刺激治疗老年根性坐骨神经痛的疗效差异。方法:将139例根性坐骨神经痛患者(60岁以上)随机分为电针组(70例)、经皮组(69例)。电针组穴取患侧气海俞、大肠俞、关元俞等为主,采用电针疗法;经皮组采用神经干上压痛点皮肤电极粘贴,接通脉冲电流,观察两组疗效并进行比较。结果:第1疗程末,电针组痊愈率为41.4%,经皮组痊愈率为29.0%,两组差异有统计学意义(P<0.05);第2疗程末,电针组痊愈率为80.0%,经皮组痊愈率为44.9%,两组差异亦有统计学意义(P<0.005)。结论:经穴电针治疗老年根性坐骨神经痛疗效明显优于经皮神经电刺激。

Objective To compare therapeutic effects of electroacupuncture and TENS on senile radical sciatica. Methods One hundred and thirty-nine cases were randomly divided into 2 groups, electroacupuncture group （n=70） and TENS group （n=69）. The electroacupuncture group was treated with electroacupuncture at main points Qihaishu （BL 24）, Dachangshu （BL 25）, Guanyuanshu （BL 26）, etc. and the TENS group was treated with skin electrode sticking at the pressure pain point of the nerve trunk which was connected with pulse current. Their therapeutic effects were observed and compared. Results At the end of the first course, the cured rate was 41.4% in the electroacupuncture group and 29.0% in the TENS group with a significant difference between the two groups （P〈0.05）, and at the end of second course, their cured rates were 80.0% and 44.9%, respectively, with a very significant difference between the two groups （P〈0.005）. Conclusion The therapeutic effect of electroacupuncture on senile radical sciatica is significantly better than TENS.