目的探讨枢筋理念指导下的针刀疗法治疗椎间盘源性坐骨神经痛的效果。方法选择60例椎间盘源性坐骨神经痛患者为研究对象,利用电脑随机数将患者随机分为研究组与对照组,各30例。研究组在枢筋理念指导下采用枢筋针刀治疗,每5天治疗1次,2次为1疗程,共治疗2个疗程。对照组采用常规针刺治疗,每周治疗5次,10次为1 疗程,共治疗2个疗程。比较两组患者治疗前后的视觉模拟量表(VAS)评分、日本骨科协会(JOA)评估治疗分数以及总有效率。结果治疗前,两组患者的VAS、JOA评分差异均无统计学意义(均P>0.05);治疗后,两组VAS评分低于治疗前,且研究组低于对照组,两组患者的JOA评分高于治疗前,且研究组高于对照组,差异均有统计学意义(均P<0.05)。研究组总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论在枢筋理念指导下,运用针刀治疗椎间盘源性坐骨神经痛的效果显著,能有效缓解疼痛症状,改善腰椎功能,具有较高的临床应用价值。
ObjectiveTo explore the effect of akupotomye treatment of discogenic sciatica under the guidance of Shujin theory. MethodsA total of 60 patients with discogenic sciatica were selected as the research objects, and they were randomly divided into a study group and a control group, with 30 cases in each group. The study group was treated with akupotomye under the guidance of Shujin theory, once every 5 days, twice as a course of treatment, a total of 2 courses of treatment. The control group was treated with conventional acupuncture, 5 times a week, 10 times as a course of treatment, a total of 2 courses of treatment. The visual analogue scale (VAS) score, Japanese Orthopaedic Association (JOA) score before and after treatment and total effective rate were compared between the two groups. ResultsBefore treatment, there were no statistically significant differences in VAS and JOA scores between the two groups (all P>0.05). After treatment, the two groups had lower VAS scores and higher JOA scores than those before treatment, the study group had lower VAS score and higher JOA score than those of the control group, with statistically significant differences (all P<0.05). The total effective rate of the study group was 93.33 %, which was higher than that of the control group (73.33%), with a statistically significant difference (P<0.05). ConclusionUnder the guidance of Shujin theory, the application of akupotomye in the treatment of discogenic sciatica has significant effect, which can effectively relieve pain symptoms, improve lumbar function, with high clinical application value.