电针结合推拿治疗坐骨神经痛的临床疗效观察

Observation on the Clinical Effect of Electroacupuncture Combined with Massage Treatment for Sciatica Caused by Lubar Intervertebral Disc Protrusion

目的:观察电针结合推拿治疗坐骨神经痛患者的临床疗效。方法:选择2014年2月至2014年12月期间在彭州市中医医院康复科治疗的90例坐骨神经痛患者作为研究对象,按照数字随机表法分为2组,每组45例。治疗组应用电针联合推拿治疗,对照组应用推拿治疗。比较2组患者治疗前后简化麦吉尔疼痛量表(SF-MPQ)、健康相关生活质量评分(SF-36)。结果:1)电针配合推拿组的PRI变化值(第4周评分与0周差值)大于推拿组。2)推拿组坐骨神经痛患者治疗前后SF-36量表中生理功能方面、躯体疼痛方面、总体健康方面、情感职能方面等4个方面维度分数有统计学意义(P<0.05),电针加推拿组2组治疗前、治疗后生活质量量表各方面改善均有统计学意义(P<0.05)。2组治疗前后生活质量各维度差异具有统计学意义(P<0.05)。结论:电针结合推拿、推拿两种治疗方案均可缓解坐骨神经痛患者疼痛,两种治疗方案均可改善坐骨神经痛患者生活质量;但是2组相比较而言,电针结合推拿治疗在改善坐骨神经痛患者疼痛和提高生活质量方面优于推拿治疗。

Objective： To investigate the clinical efficacy of electroacupuncture combined with massage treatment for sciatica caused by lubar intervertebral disc protrusion（ LIDP）. Methods： Ninety patients who enrolled into our hospital from February2014 to December 2014 and with sciatica caused by LIDP were selected and divided into two groups according to the randomnumber table,each group had 45 cases. The treatment group was treated by Electroacupuncture combined with massage,while the control group was treated with massage only. The results of Short-Form Mc Gill Pain Questionnaire（ SF-MPQ） and the MOS item short from health survey（ SF-36） in the two groups were compared before and after treatment. Results： 1） There was no significant difference in SF-MPQ scores before treatment between the two groups; while the SF-MPQ scores significantly decreased after three and four weeks treatment in Electroacupuncture combined with massage group; 2） The SF-36 was compared between the two groups after treatment,and the difference was statistically significant（ P〈0. 05）,and also patients in the electroacupuncture combined with massage group are better improved in the quality of life of 8 aspects of sciatica with dimensions. Conclusion： Electroacupuncture combined with massage and solely massage can both relieve pain and improve patient＇s quality of life. However,electroacupuncture combined with massage has a more obvious impact.