【摘要】：目的:坐骨神經(jīng)痛在臨床上非常常見,在神經(jīng)性疼痛疾患中,坐骨神經(jīng)痛的發(fā)病率最高。研究顯示,疼痛超過一年的坐骨神經(jīng)痛病人,六成的患者遺留病殘,給病人的身心帶來巨大的傷害,嚴(yán)重影響患者生活質(zhì)量。本病目前暫無特效治療,臨床上一般采取對因、對癥治療,治療以中西醫(yī)結(jié)合方式較為多見。本研究采用小樣本隨機(jī)對照的研究方法,以董氏奇穴加對應(yīng)牽引針為試驗(yàn)組,以常規(guī)針刺為對照組,觀察董氏奇穴加對應(yīng)牽引針治療根性坐骨神經(jīng)痛的臨床療效,為根性坐骨神經(jīng)痛的治療提供創(chuàng)新的臨床思路和更安全有效的治療方法。方法:本研究患者來源于2015年6月至2016年4月在東南亞緬甸中醫(yī)診所針灸門診收治的根性坐骨神經(jīng)痛(氣滯血瘀型)患者。本研究篩選出符合納入標(biāo)準(zhǔn)的60名患者,隨機(jī)分配到治療組及對照組。治療組采用董氏奇穴加對應(yīng)牽引針治療,對照組采用常規(guī)針刺治療。兩組均每天治療1次,5天為一療程,間中休息2天,一共2個療程。治療前后,測量受試者VAS評分和BRS-6評分變化,并結(jié)合治療后上述指標(biāo)的變化進(jìn)行療效評定。采用SPSS20.0統(tǒng)計(jì)軟件對數(shù)據(jù)加以分析。結(jié)果:治療組(董氏奇穴加對應(yīng)牽引針組)和對照組(常規(guī)針刺組)各有30例,治療過程中病例無脫落。統(tǒng)計(jì)結(jié)果顯示,兩組在性別、年齡和病程方面無統(tǒng)計(jì)學(xué)意義,均具有可比性。研究結(jié)果顯示,治療后,兩組VAS評分和BRS-6評分均有改善,說明董氏奇穴加對應(yīng)牽引針療法和常規(guī)針刺療法均可明顯改善根性坐骨神經(jīng)痛患者的疼痛。兩組治療后評分無顯著性差異,提示董氏奇穴加對應(yīng)牽引針療法和常規(guī)針刺療法在改善疼痛方面無明顯差異。治療組治愈18例,好轉(zhuǎn)10例,無效2例,總有效率93.33%;對照組治愈16例,好轉(zhuǎn)10例,無效4例,總有效率86.67%。兩組患者療效經(jīng)秩和檢驗(yàn),P0.05,沒有顯著性差異。表明兩種治療方法在總體療效方面無明顯差別。但治療組的治愈率和總有效率均高于對照組,顯示董氏奇穴加牽引針在根性坐骨神經(jīng)痛上有優(yōu)于常規(guī)針刺的趨勢。結(jié)論:董氏奇穴靈骨大白加對應(yīng)牽引針療法和常規(guī)針刺療法在改善根性坐骨神經(jīng)痛患者疼痛和總體療效方面無明顯差別。但治療組的治愈率和總有效率均高于對照組,說明董氏奇穴加對應(yīng)牽引針在根性坐骨神經(jīng)痛上有優(yōu)于常規(guī)針刺的趨勢。
[Abstract]:Objective: sciatica is very common in clinic, and the incidence of sciatica is the highest in neuropathic diseases. Research shows that 60% of sciatica patients with pain for more than one year leave disability, which bring great harm to patients' body and mind, and seriously affect the quality of life of patients. At present, there is no special effect on this disease, clinical treatment is generally due to the disease, symptomatic treatment, treatment in combination with traditional Chinese and Western medicine is more common. In this study, a small sample of random control method was used to observe the clinical effect of Dong Shiqi point plus corresponding traction needle as experimental group and routine acupuncture as control group in the treatment of root sciatica. To provide innovative clinical thinking and more safe and effective treatment for radical sciatica. Methods: from June 2015 to April 2016, patients with radical sciatica (Qi stagnation and Blood stasis) were treated in Southeast Asia Myanmar traditional Chinese Medicine Clinic. In this study, 60 patients who met the inclusion criteria were randomly assigned to the treatment group and the control group. The treatment group was treated with Dong's Qi and corresponding traction acupuncture, while the control group was treated with routine acupuncture. The two groups were treated once a day, 5 days as a course of treatment, 2 days of interval rest, a total of 2 courses of treatment. The changes of VAS and BRS-6 scores were measured before and after treatment. The data were analyzed by SPSS20.0 software. Results: there were 30 cases in treatment group (Dong Shiqi point plus corresponding traction acupuncture group) and 30 cases in control group (routine acupuncture group). The statistical results showed that there was no significant difference in sex, age and course of disease between the two groups. The results showed that the VAS score and BRS-6 score of both groups were improved after treatment, indicating that both Dong Shiqi point and corresponding traction acupuncture therapy and routine acupuncture therapy could obviously improve the pain of patients with radical sciatic neuralgia. There was no significant difference in the scores between the two groups after treatment, suggesting that there was no significant difference in the improvement of pain between Dong Shiqi points and corresponding traction acupuncture therapy and routine acupuncture therapy. In the treatment group, 18 cases were cured, 10 cases were improved, 2 cases were ineffective, the total effective rate was 93.33%, while in the control group, 16 cases were cured, 10 cases were improved, 4 cases were ineffective, and the total effective rate was 86.67%. There was no significant difference between the two groups by rank sum test (P 0.05). The results showed that there was no significant difference between the two methods in the overall curative effect. But the cure rate and the total effective rate of the treatment group were higher than that of the control group, which showed that Dong's Qi point plus traction acupuncture had a better tendency than the conventional acupuncture in the treatment group in root sciatic neuralgia. Conclusion: there is no significant difference in the treatment of pain and the total curative effect between Dongshi Qi point Linggu Dabai and corresponding traction acupuncture therapy and routine acupuncture therapy in patients with radical sciatic neuralgia. But the cure rate and the total effective rate of the treatment group were higher than that of the control group, which indicated that Dong's Qi point and the corresponding traction needle had a better tendency than the conventional acupuncture in the treatment group in root sciatic neuralgia.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.6

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