电针联合易罐疗法治疗腰椎间盘突出症所致坐骨神经痛临床研究

Clinical Study on Electroacupuncture Combined with Yi-Cupping Therapy for Sciatica Caused by Lumbar Intervertebral Disc Herniation

目的:观察电针联合易罐疗法治疗腰椎间盘突出症(LIDP)所致坐骨神经痛的临床疗效。方法:将90例LIDP所致坐骨神经痛患者按随机单盲对照试验方法分为治疗组和对照组各45例。治疗组采用电针联合易罐疗法治疗,对照组采用温针灸治疗,2组均治疗10 d。比较2组临床疗效及治疗前后视觉模拟评分法(VAS)评分和改良Oswestry功能障碍指数(ODI)。结果:治疗组总有效率和愈显率分别为95.6%、75.6%,对照组总有效率和愈显率分别为86.7%、44.5%。2组总有效率比较,差异无统计学意义(P>0.05)。治疗组愈显率高于对照组(P<0.05)。治疗后,2组VAS评分均较治疗前降低(P<0.01),治疗组VAS评分低于对照组(P<0.05);2组改良ODI均较治疗前降低(P<0.01),治疗组改良ODI低于对照组(P<0.01)。结论:电针联合易罐疗法治疗LIDP所致坐骨神经痛,可显著缓解患者的临床症状,减轻其疼痛,改善其腰腿功能,疗效优于温针灸治疗。

Objective:To observe the clinical effect of electroacupuncture combined with Yi-cupping therapy on sciatica caused by lumbar intervertebral disc herniation(LIDP). Methods:Ninety patients with sciatica caused by LIDP were randomly divided into the treatment group and the control group according to the method of randomized single blind controlled trial,45 cases in each group. The treatment group was treated with electroacupuncture combined with Yi-cupping therapy,while the control group was treated with warming acupuncture.Both groups were treated for 10 days. The clinical effect and the scores of Visual Analogue Scale(VAS) and modified Oswestry Disability Index(ODI) before and after treatment were compared between the two groups. Results:The total effective rate and markedly effective rate in the treatment group were 95.6% and75.6%, respectively, and the ones in the control group were 86.7% and 44.5% respectively. There was no significant difference in the comparison of the total effective rate between the two groups(P>0.05). The markedly effective rate in the treatment group was higher than that in the control group(P<0.05). After treatment, the VAS scores in both groups were decreased when compared with those before treatment(P<0.01),and the VAS score in the treatment group was lower than that in the control group(P<0.05). The scores of modified ODI in both groups were decreased when compared with those before treatment(P<0.01), and the one in the treatment group was lower than that in the control group(P<0.01).Conclusion:Electroacupuncture combined with Yi-cupping therapy for sciatica caused by LIDP,can significantly relieve the clinical symptoms of patients,lessen their pain and improve their lumbar and leg functions,whose clinical effect is better than warming acupuncture.