作　　者： (赵琦）; (赵宝力）; (谷雨）;

机构地区： 国家电网公司北京电力医院,首都医科大学电力教学医院,北京100073

出　　处： 《中国中医急症》 2017年第9期1662-1664,1692,共4页

摘　　要： 目的观察温针灸联合矫正骨盆移位治疗方案对坐骨神经痛患者视觉模拟量表(VAS)评分、Roland罗兰功能问卷评分和SF-36生活质量评分的改善效果。方法 132例坐骨神经痛患者按随机分组法分为电针疗法组和温针疗法组,各66例。电针疗法组采用电针联合矫正骨盆移位方案治疗,温针疗法组采用温针灸联合矫正骨盆移位方案治疗,比较两组患者治疗前、治疗1、3、6、10个疗程后的VAS评分、Roland罗兰功能问卷评分和SF-36生活质量评分。结果两组患者经1、3、6、10个疗程治疗后的VAS评分、Roland罗兰功能问卷评分与治疗前比较均显著降低,SF-36生活质量评分与治疗前比较均显著升高(P<0.05);温针疗法组在经1、3、6、10个疗程后的各个疗程段的VAS评分、Roland罗兰功能问卷评分均低于电针疗法组,SF-36生活质量评分高于电针疗法组(P<0.05)。治疗10个疗程后,温针疗法组患者的治疗总有效率为90.91%,显著高于电针疗法组的77.27%,(P<0.05)。结论温针灸联合矫正骨盆移位方案在坐骨神经痛患者治疗中疗效确切,可有效改善患者的腿疼和腰疼症状,提升患者家务能力、行动能力、生理功能、精神状态和社会功能。 Objective： To objectively evaluate the clinical efficacy of the treatment plan on sciatica by observing the therapeutic effect of needle warming moxibustion combined with pelvic displacement correction on the im-provement of Vas,Roland function questionnaire score and SF-36 quality of life score of patients with sciatica.Methods： According to the randomization method,132 patients were divided into the electroacupuncture group and the needle warming moxibustion group,66 cases in each. The electroacupuncture group received the treatment of electroacupuncture combined with pelvic displacement correction,while the needle warming moxibustion group received needle warming moxibustion combined with pelvic displacement correction. Vas,Roland function questionnaire score and SF-36 quality of life score were Compared before treatment and after 1,3,6,and 10 treatment courses. Results： Vas,Roland function questionnaire score and the SF-36 quality of life score were consistent between the two groups before treatment（P 0.05）. After 1,3,6,and 10 treatment courses,Vas and Roland function questionnaire score decreased,and the SF-36 quality of life score increased significantly,compared with before treatment;there were significant differences between the two groups（P 0.05）. Besides,after 1,3,6,and 10 treatment courses,Vas and Roland function questionnaire score of the needle warming moxibustion group were lower than those of the electroacupuncture group,and the SF-36 quality of life score of the needle warming moxibustion group was higher than that of the electroacupuncture group;there were significant differences between the two groups（P 0.05）. After 10 treatment courses,the total effective rate of the needle warming moxibustion group was 90.91%,significantly higher than that of the electroacupuncture group 77.27%;two groups had significant differences（P 0.05）. Conclusion： Needle warming moxibustion combined with pelvic displacement correction has a definite effect on patients with sciatica. It can effecti

关 键 词： 温针灸 矫正骨盆移位 坐骨神经痛 临床疗效