早期针刺治疗腰椎间盘突出坐骨神经痛的临床疗效观察

CLINICAL EVALUATION OF ACUPUNCTURE ON EARLY STAGE OF SCIATICA CAUSED BY HERNIATION OF INTERVERTEBRAL DISC

摘要:

目的：评价针刺治疗腰椎间盘突出症引起的坐骨神经痛的有效性和安全性，分析针刺治疗的治疗时机和适应人群。方法：回顾分析67例腰椎间盘突出坐骨神经痛接受针刺治疗后1周，2周，4周，8周疼痛程度VAS评分和下腰痛JOA评分以及治疗的有效率。结果：针刺治疗的治愈率和总有效率分别为 60.0%和 86.7%，接受针刺治疗2周后，评分明显低于治疗前（p<0.05），治疗后4周，8周进一步降低（p<0.01），病程在12个月之内，年龄40-50岁之间的治疗效果最好。结论：针刺对腰椎间盘突出引起的坐骨神经痛有明显的改善作用，及时尽早的接受针刺治疗有利于病情恢复

Abstract:

Objective: To evaluate the beneficial and side effects of acupuncture on sciatica caused by lumbar disc herniation, as well as the acupuncture-responsive population. Methods: We retrospectively analyzed the visual analogue scale (VAS) and the Japanese Orthopaedic Association (JOA) scores 1, 2, 4 and 8 weeks after acupuncture treatment from 67 cases of sciatica caused by lumbar disc herniation. Results: The overall cure and effective rates of acupuncture were 60.0% and 86.7%, respectively. VAS and JOA scores significantly decreased after 2 weeks’ (p < 0.05) and 4 and 8 weeks’ (p < 0.01) treatment. Patients aged between 40-50 years with a disease course of <12 month were most responsive to acupuncture treatment. Conclusion: Acupuncture treatment alleviates sciatica caused by lumbar disc herniation, and early intervention is beneficial for recovery.