电针治疗腰椎间盘突出症合并坐骨神经痛患者的疗效评价

Effect Estimate in Lumbar Hernia of Intervertebral Discs and Sciatica with Therapy of Electric Acupuncture

目的:探讨电针对腰椎间盘突出症合并坐骨神经痛患者的疗效。方法:将120例腰椎间盘突出症合并坐骨神经痛患者随机分为观察组60例:采用腰椎牵引、低周波加电针治疗;对照组60例:采用腰椎牵引配合低周波治疗。治疗前及治疗2周后应用目测类比评分法(VAS)对疼痛进行评估,应用腰椎疾患治疗成绩评分表对腰椎功能状态进行临床评定;以临床症状、体征改善情况评定疗效,并进行组间比较。结果:两组止痛效果、腰椎改善指数均明显优于治疗前(P<0.01),观察组止痛效果、腰椎改善指数高于对照组(P<0.05);观察组治愈率、总有效率明显优于对照组(P<0.01)。结论:腰椎牵引配合低周波治疗腰椎间盘突出症有效;加用电针对腰椎间盘突出症合并坐骨神经痛患者具有更好的疗效。

Objective： To explore the effect of the lumbar hernia of intervertebral discs and sciatica with the therapy of electric acupuncture. Methods ： 120 cases of lumbar hernia of intervertebral discs and sciatica patients were distributed to the observation group（60） which were acquired lumbar traction,low frequency impulse electrotherapy and electric acupuncture treatment and the control group（60） which were acquired lumbar traction and low frequency impulse electrotherapy treatment. After two weeks of therapy, The pain of the visual analogue scale （VAS） in each group was recorded, the clinical assess of lumbar function was judged by the grade score table, the effect was judged by the clinical symptom and sign. Results ： There was significant difference in acesodyne effect and lumbar development after 2 weeks of treatment in contrast to pretreatment in two groups （P 〈 0.01）. There was significant difference after 2 weeks of treatment in the acesodyne effect and lumbar development between the two groups （ P 〈 0.05）. The experimental group got mere cure rate and total effective rate than these of the control group（ P 〈 0.01 ）. Conclusion： It was effective to the lumbar hernia of intervertebral discs in the lumbar traction and low frequency impulse electrotherapy, It could get better effect to the lumbar hernia of intervertebral discs and sciatica at the basis therapy of lumbar traction and low frequency impulse electrotherapy adding to the electric acupuncture.