[温针三联法结合环跳穴（GB 30）温热电针治疗干性坐骨神经痛]

[Triple needling combined with thermo-electroacupuncture at Huantiao (GB 30) for trunk-sciatica].

作者信息

Huo Jin, Zhao Jiong-Qi

机构信息

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Zhongguo Zhen Jiu. 2021 Mar 12;41(3):275-8. doi: 10.13703/j.0255-2930.20200210-k0003.

DOI:10.13703/j.0255-2930.20200210-k0003

PMID:33798309

Abstract

OBJECTIVE

To compared the clinical effect between triple needling combined with thermo-electroacupuncture at Huantiao (GB 30) and triple needling combined with electroacupuncture at Huantiao (GB 30) for trunk-sciatica.

METHODS

A total of 56 patients with trunk-sciatica were randomized into a triple needling combined with thermo-electroacupuncture group and a triple needling combined with electroacupuncture group, 28 cases in each group. In the triple needling combined with thermo-electroacupuncture group, triple needling combined with thermo-electroacupuncture at Huantiao (GB 30) was applied. In the triple needling combined with electroacupuncture group, triple needling combined with electroacupuncture at Huantiao (GB 30) was applied. Both groups were treated with acupuncture at Weizhong (BL 40), Yanglingquan (GB 34) and Chengshan (BL 57). The treatment was given once every 2 days, 10 days as one course for 2 courses. Before treatment, 1, 2 courses into treatment, the scores of pain rating index (PRI), pain visual analogue scale (VAS) and present pain intensity (PPI) were observed, and the clinical efficacy was evaluated in the two groups.

RESULTS

The PRI, VAS and PPI scores 1, 2 courses into treatment were decreased in the two groups (<0.01, <0.05), and those 2 courses into treatment were lower than 1 course into treatment (<0.01). The variation of PRI, VAS and PPI scores in the triple needling combined with thermo-electroacupuncture group was larger than the triple needling combined with electroacupuncture group (<0.01). The total effective rate was 92.9% (26/28) in the triple needling combined with thermo-electroacupuncture group, which was higher than 78.6% (22/28) in the triple needling combined with electroacupuncture group (<0.05).

CONCLUSION

Triple needling combined with thermo-electroacupuncture at Huantiao (GB 30) could effectively relieve pain in patients with trunk-sciatica, and the curative effect maybe better than triple needling combined with electroacupuncture at Huantiao (GB 30).

摘要

目的

比较环跳（GB 30）穴三联针结合温热电针与环跳（GB 30）穴三联针结合电针治疗干性坐骨神经痛的临床疗效。

方法

将56例干性坐骨神经痛患者随机分为三联针结合温热电针组和三联针结合电针组，每组28例。三联针结合温热电针组采用环跳（GB 30）穴三联针结合温热电针治疗。三联针结合电针组采用环跳（GB 30）穴三联针结合电针治疗。两组均针刺委中（BL 40）、阳陵泉（GB 34）、承山（BL 57）。治疗每2天1次，10天为1个疗程，共2个疗程。观察治疗前、治疗1个疗程、2个疗程时的疼痛分级指数（PRI）、疼痛视觉模拟评分法（VAS）及现存疼痛强度（PPI）评分，并评价两组的临床疗效。

结果

两组治疗1个疗程、2个疗程时PRI、VAS及PPI评分均降低（<0.01，<0.05），且治疗2个疗程时低于治疗1个疗程时（<0.01）。三联针结合温热电针组PRI、VAS及PPI评分变化幅度大于三联针结合电针组（<0.01）。三联针结合温热电针组总有效率为92.9%（26/28），高于三联针结合电针组的78.6%（22/28）（<0.05）。