针刺结合风市穴刺络拔罐治疗足少阳经型坐骨神经痛30例
|
摘要
目的:探讨针刺结合风市穴刺络拔罐治疗足少阳经型坐骨神经痛的临床疗效。方法:将60例足少阳经型坐骨神经痛患者随机分两组,每组30例。刺络拔罐组运用针刺结合风市穴刺络拔罐治疗,针刺穴取患者双侧腰夹脊、肾俞、大肠俞及患侧环跳、委中、昆仑、承山;常规针刺组单纯运用针刺治疗,取穴同刺络拔罐组。两组均每日治疗1次,10次为1个疗程,刺络拔罐组风市穴刺络拔罐每周1次,治疗3个疗程后通过疼痛视觉模拟评分(VAS)、日本骨科学会下腰痛(JOA)评分评定疗效。结果:刺络拔罐组总有效率为96.7%(29/30),优于常规针刺组的90%(27/30,P<0.05);两组治疗后疼痛VAS评分、JOA评分较治疗前均有明显改善(P<0.01)。结论:针刺结合风市穴刺络拔罐治疗足少阳经型坐骨神经痛的临床疗效较好,且操作简便,无不良反应,安全性高。
Objective:To investigate the clinical effect of acupuncture combined with cupping following collateral bloodletting at Fengshi(GB31) acupoint on sciatica of foot Shaoyang meridian type.Methods:Total 60 patients with sciatica of foot Shaoyang meridian type were randomly divided into two groups,30 cases in each group. Acupuncture combined with cupping following collateral bloodletting at Fengshi acupoint was used in the cupping following collateral bloodletting group,bilateral lumbar Jiaji(EX-B2),Shenshu(BL23),Dachangshu(BL25) and ill side Huantiao(GB30),Weizhong(BL40),Kunlun(BL60),Chengshan(BL57) were selected as the acupuncture points,while acupuncture alone was used in the routine acupuncture group with the same points. Two groups were treated once a day,10 times for a course of treatment,cupping following collateral bloodletting at Fengshi acupoint once a week. After three courses of treatment,the efficacy was evaluated through visual analogue pain score(VAS) and Japanese Orthopaedic Association(JOA) low back pain score. Results:The effective rate of cupping following collateral bloodletting group was 96.7%(29/30),which was better than90%(27/30) of acupuncture group(P< 0.05),and the VAS score and JOA score of the two groups were significantly improved after treatment(P< 0.01). Conclusions:Acupuncture combined with cupping following collateral bloodletting at Fengshi acupoint is superior to acupuncture alone in the treatment of sciatica of foot Shaoyang meridian type. It has obvious clinical effect and the operation is simple and safe without adverse reactions.
Objective:To investigate the clinical effect of acupuncture combined with cupping following collateral bloodletting at Fengshi(GB31) acupoint on sciatica of foot Shaoyang meridian type.Methods:Total 60 patients with sciatica of foot Shaoyang meridian type were randomly divided into two groups,30 cases in each group. Acupuncture combined with cupping following collateral bloodletting at Fengshi acupoint was used in the cupping following collateral bloodletting group,bilateral lumbar Jiaji(EX-B2),Shenshu(BL23),Dachangshu(BL25) and ill side Huantiao(GB30),Weizhong(BL40),Kunlun(BL60),Chengshan(BL57) were selected as the acupuncture points,while acupuncture alone was used in the routine acupuncture group with the same points. Two groups were treated once a day,10 times for a course of treatment,cupping following collateral bloodletting at Fengshi acupoint once a week. After three courses of treatment,the efficacy was evaluated through visual analogue pain score(VAS) and Japanese Orthopaedic Association(JOA) low back pain score. Results:The effective rate of cupping following collateral bloodletting group was 96.7%(29/30),which was better than90%(27/30) of acupuncture group(P< 0.05),and the VAS score and JOA score of the two groups were significantly improved after treatment(P< 0.01). Conclusions:Acupuncture combined with cupping following collateral bloodletting at Fengshi acupoint is superior to acupuncture alone in the treatment of sciatica of foot Shaoyang meridian type. It has obvious clinical effect and the operation is simple and safe without adverse reactions.
引文
[1]殷秀珍,黄永禧.现代康复医学诊疗手册[M].北京:北京医科大学/中国协和医科大学联合出版社,1995:40.
[2]张永达.火针为主治疗腰椎间盘突出症继发根性坐骨神经痛的临床观察[D].广州:广州中医药大学,2016.
[3]孙传兴.临床疾病诊断依据治愈好转标准[M]. 2版.北京:人民军医出版社,1999:230-233.
[4]武娟,章薇,吴小莹,等.针刺二环穴配合腰夹脊为主治疗腰椎间盘突出症所致坐骨神经痛36例临床观察[J].中医药导报,2013,19(10):57-59.
[5]司誉豪,马勇,徐力立,等.“少阳主骨”理论指代模糊的原因浅析[J].北京中医药大学学报,2017,40(7):542-545.
[6]赵志芬.针灸“主选夹脊穴”治验四则[J].陕西中医,2012,33(5):617-618.
[7]胡庆年.多方位牵引治疗腰椎间盘突出症46例[J].中医药临床杂志,2005(6):595-596.
[8]余炜昶,黄光英.针刺对实验性关节炎镇痛机制的研究进展[J].山东中医药大学学报,2006,30(5):412-415.
[9]杨丽,袁秀丽.刺络放血疗法机理探讨及研究进展[J].亚太传统医药,2016,12(2):67-69.
[10]王锐.《内经》刺血疗法探析[J].山东中医学院学报,1996,20(5):23-24.
[11]史中亚.刺血疗法临床应用分类概述[J].中医外治杂志,2011,20(6):46-47.
[12]李晓燕,郑雪梅.围刺加闪罐治疗股外侧皮神经炎疗效观察[J].中国麻风皮肤病杂志,2010,26(5):350.
[2]张永达.火针为主治疗腰椎间盘突出症继发根性坐骨神经痛的临床观察[D].广州:广州中医药大学,2016.
[3]孙传兴.临床疾病诊断依据治愈好转标准[M]. 2版.北京:人民军医出版社,1999:230-233.
[4]武娟,章薇,吴小莹,等.针刺二环穴配合腰夹脊为主治疗腰椎间盘突出症所致坐骨神经痛36例临床观察[J].中医药导报,2013,19(10):57-59.
[5]司誉豪,马勇,徐力立,等.“少阳主骨”理论指代模糊的原因浅析[J].北京中医药大学学报,2017,40(7):542-545.
[6]赵志芬.针灸“主选夹脊穴”治验四则[J].陕西中医,2012,33(5):617-618.
[7]胡庆年.多方位牵引治疗腰椎间盘突出症46例[J].中医药临床杂志,2005(6):595-596.
[8]余炜昶,黄光英.针刺对实验性关节炎镇痛机制的研究进展[J].山东中医药大学学报,2006,30(5):412-415.
[9]杨丽,袁秀丽.刺络放血疗法机理探讨及研究进展[J].亚太传统医药,2016,12(2):67-69.
[10]王锐.《内经》刺血疗法探析[J].山东中医学院学报,1996,20(5):23-24.
[11]史中亚.刺血疗法临床应用分类概述[J].中医外治杂志,2011,20(6):46-47.
[12]李晓燕,郑雪梅.围刺加闪罐治疗股外侧皮神经炎疗效观察[J].中国麻风皮肤病杂志,2010,26(5):350.