激痛点针刺联合神经松动术治疗腰椎间盘突出症所致坐骨神经痛的疗效研究

Observation on the Efficacy of Trigger Point Acupuncture Combined with Nerve Loosening on Sciatica Caused by Lumbar Disc Herniation

目的观察激痛点针刺联合神经松动术治疗腰椎间盘突出症所致坐骨神经痛的临床疗效并探讨其作用机制。方法患者80例按就诊顺序随机分为观察组和对照组各40例。两组均给予常规康复治疗,观察组同时给予激痛点针刺联合神经松动术治疗,对照组同时给予传统穴位针刺联合腰椎推拿治疗。于治疗前及治疗3周后评价患者坐骨神经痛的视觉模拟评分(VAS)、直腿抬高角度评分(SLR)、Oswestry功能障碍指数(ODI)并观察其临床疗效。结果治疗3周后,两组VAS及ODI评分均较治疗前下降,且观察组低于对照组(均P<0.05);两组SLR评分则均较治疗前提高,且观察组高于对照组(均P<0.05)。治疗3周后,观察组总有效率为97.50%,高于对照组的92.50%(P<0.05)。结论激痛点针刺联合神经松动术对腰椎间盘突出症所致坐骨神经痛疗效显著,尤其是在改善疼痛及功能活动方面,相对于传统穴位针刺及腰椎推拿有着更加直接的优势。

Objective:To observe the clinical effect of trigger point acupuncture combined with nerve loosening on sciatica caused by lumbar disc herniation and to explore its mechanism. Methods:80 patients were randomly divided into the observation group and the control group,40 cases in each. Both groups were given conventional rehabilitation treatment;the observation group was treated with trigger point acupuncture combined with nerve loosening,and the control group was treated with traditional acupuncture combined with lumbar massage. VAS,SLR,ODI of patients with sciatica were evaluated before and 3 weeks after treatment,and the clinical efficacy was observed. Results:VAS score,SLR score and ODI score before treatment showed no significant difference between groups(all P > 0.05). After 3 weeks of treatment,VAS and ODI scores in both groups were lower than before treatment,and the observation group was lower than the control group(all P < 0.05). SLR scores in both groups were higher than before treatment,and the observation group was higher than the control group(all P < 0.05). After 3 weeks of treatment,the total effective rate of the observation group was 97.50%,higher than that of the control group(92.50%)(P < 0.05). Conclusion:Trigger point acupuncture combined with nerve loosening has a significant effect on sciatica caused by lumbar disc herniation,especially in improving pain and functional activities. Compared with traditional acupoint acupuncture and lumbar massage,it has more direct advantages.