【摘要】：目的：對比分析頭穴結合夾脊電針組與單純夾脊電針組治療腰椎間盤突出引起根性坐骨神經痛患者的臨床療效,探尋更有效的根性坐骨神經痛的臨床治療方法。方法：將符合標準60例患者隨機分配,治療組與對照組各30例。治療組選穴百會、腰夾脊穴、秩邊、委中、承山、昆侖、殷門,頭穴百會透刺健側絡卻穴,要求施術者捻針速率達到每分鐘200次,捻轉1min,留針2小時；夾脊穴通電,左右連接,采用疏波,電流以患者耐受為度,每次30分鐘。對照組選取腰夾脊穴、秩邊、委中、承山、昆侖、殷門,夾脊穴通電,采用疏波,左右連接,電流以患者耐受為度,每次30分鐘,其他穴位常規(guī)針刺,平補平瀉。每日兩次,治療六天休息一天。七天作為一個療程。連續(xù)治療兩個療程后,分別采用簡化McGill量表(包括PRI及VAS)積分及直腿抬高試驗來觀察患者治療前后腰腿疼痛程度、情感以及神經根壓迫的改善狀況,評定臨床療效并進行統(tǒng)計分析。結果：1、治療組與對照組在治療2周后,PRI、VAS積及直腿抬高試驗積分評分較治療前明顯改善。2、與對照組相比,治療組患者在直觀疼痛程度、感覺情感項評分及患肢抬高幅度方面改善更為明顯,具有顯著性差異。(P0.05)。結論：1、頭穴結合夾脊電針與單純夾脊電針法均能改善腰椎間盤突出引起的根性坐骨神經痛患者的癥狀。2、頭穴結合夾脊電針法治療腰椎間盤突出引起的根性坐骨神經痛療效優(yōu)于傳統(tǒng)單純夾脊電針治療。
[Abstract]:Objective: to compare and analyze the clinical effect of scalp point combined with chiropractic electroacupuncture group and simple Jiaji electroacupuncture group in the treatment of radical sciatica caused by lumbar disc herniation, and to explore more effective clinical treatment methods for root sciatica. Methods: 60 patients in accordance with the standard were randomly assigned, 30 cases in the treatment group and 30 cases in the control group. In the treatment group, 100 points were selected, waist Jiaji points, rank sides, Beizhong, Chengshan, Kunlun, Yin Men, head points 100 will penetrate Jianshinluozhi point, requiring the rate of twisting needle per minute to 200 times, twirling 1 minute, keeping the needle for 2 hours; Jiaji point electrified, left-right connection, sparsely wave, current to patient tolerance, 30 minutes each time. The control group selected Yaojiaji acupoint, rank edge, Beizhong, Chengshan, Kunlun, Yin Men, Jiaji points electrified, using sparsely wave, left and right connection, the electric current was patient tolerance, 30 minutes each time, other acupoints routine acupuncture, even tonifying flat diarrhea. Two times a day, six days of treatment, a day off. Seven days as a course of treatment. After two consecutive courses of treatment, simplified McGill scale (including PRI and VAS) and straight-leg elevation test were used to observe the improvement of pain, emotion and nerve root compression before and after treatment. The clinical effect was evaluated and statistical analysis was carried out. Results: 1. After 2 weeks of treatment, the scores of PRI,VAS product and straight-leg elevation test in the treatment group and the control group were significantly improved. 2. Compared with the control group, the patients in the treatment group were in visual pain degree. The scores of sensory and emotional items and the extent of elevation of the affected limbs were significantly improved (P0.05). Conclusion: 1. The combination of scalp point and chiropractic electroacupuncture can improve the symptoms of patients with radical sciatica caused by lumbar disc herniation. The curative effect of scalp point combined with chiropractic electroacupuncture in the treatment of sciatica caused by lumbar intervertebral disc herniation is superior to that of traditional chiropractor electroacupuncture.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6

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