CAJ | 학술논문

目的：了解壮医药线点灸联合针挑疗法治疗坐骨神经痛的临床疗效。方法选取2012年10月—2014年2月到惠州市第四人民医院就诊且符合本研究纳入及排除标准的坐骨神经痛患者60例，按随机数字表法将其分为试验组和对照组各30例。试验组采用壮医药线点灸联合针挑疗法进行治疗，对照组采用口服速效坐骨神经痛丸方法进行治疗，10 d 为一个疗程，均连续治疗2个疗程。分别记录两组患者治疗前后的疼痛程度评分、匹兹堡睡眠质量指数（pittsburgh sleep quality index，PSQI）评分、疲乏评分、抑郁指数及血管紧张素Ⅱ（AngⅡ）水平，采用《临床疾病诊断依据治愈好转标准》对两组患者的临床疗效进行评价。结果与治疗前比较，治疗后两组患者的疼痛评分、PSQI 评分、抑郁指数及 AngⅡ水平均降低，疲乏评分升高，差异有统计学意义（p <0.05）。治疗前，两组患者的疼痛评分、PSQI 评分、疲乏评分、抑郁指数及 AngⅡ水平比较，差异无统计学意义（p >0.05）；治疗后，试验组和对照组的臀部疼痛评分、小腿后外侧疼痛评分、PSQI 评分及疲乏评分比较，差异有统计学意义（p <0.05）。两组患者的临床疗效比较，差异有统计学意义（p <0.05）。结论壮医药线点灸联合针挑疗法和口服速效坐骨神经痛丸治疗方法均可改善坐骨神经痛患者的临床症状，但壮医药线点灸联合针挑疗法的临床疗效可能更好。
목적：료해장의약선점구연합침도요법치료좌골신경통적림상료효。방법선취2012년10월—2014년2월도혜주시제사인민의원취진차부합본연구납입급배제표준적좌골신경통환자60례，안수궤수자표법장기분위시험조화대조조각30례。시험조채용장의약선점구연합침도요법진행치료，대조조채용구복속효좌골신경통환방법진행치료，10 d 위일개료정，균련속치료2개료정。분별기록량조환자치료전후적동통정도평분、필자보수면질량지수（pittsburgh sleep quality index，PSQI）평분、피핍평분、억욱지수급혈관긴장소Ⅱ（AngⅡ）수평，채용《림상질병진단의거치유호전표준》대량조환자적림상료효진행평개。결과여치료전비교，치료후량조환자적동통평분、PSQI 평분、억욱지수급 AngⅡ수평균강저，피핍평분승고，차이유통계학의의（p <0.05）。치료전，량조환자적동통평분、PSQI 평분、피핍평분、억욱지수급 AngⅡ수평비교，차이무통계학의의（p >0.05）；치료후，시험조화대조조적둔부동통평분、소퇴후외측동통평분、PSQI 평분급피핍평분비교，차이유통계학의의（p <0.05）。량조환자적림상료효비교，차이유통계학의의（p <0.05）。결론장의약선점구연합침도요법화구복속효좌골신경통환치료방법균가개선좌골신경통환자적림상증상，단장의약선점구연합침도요법적림상료효가능경호。
[AbstraCt] ObjeCtive To observe the efficacy of medicated thread moxibustion combined with acupuncture of Zhuang medicine in patients with sciatica. Methods A total of sixty patients with sciatica according to the diagnostic criteria were chosen in the Fourth Peopleˊs Hospital of Huizhou City from October 2012 to February 2014 and then were randomly divided into trial group and control group with thirty cases in each group. The trial group were received the therapy of medicated thread moxibustion combined with acupuncture of Zhuang medicine while the control group with the therapy of oral available sciatica pills,for 10 d as a course with 2 courses totally. Pain score,Pittsburghh sleep quality index(PSQI)score,tiredness score,depression index and AngⅡ level were all recorded before and after the treatment and the effectiveness of the patients was evaluated by the Diagnosis and Curing Criteria of Clinical Diseases. Results After treatment,compared with those in the control group,the pain score, PSQI score,depression index and Ang Ⅱ level in the trial group were reduced while the fatigue scale was increased,with significant difference(p < 0. 05). Before treatment,the pain score,PSQI score,fatigue scale,depression index and AngⅡlevel were not statistically different between trial group and control group(P > 0. 05);after treatment,the scores of buttock pain and posterolateral pain in thigh and leg,PSQI score and tiredness score had significant differences between trial group and control group(p < 0. 05). The effectiveness between the trial group and the control group was also significant(p < 0. 05). <br> ConClusion Both the two therapies could improve the symptoms of sciatica,but the medicated thread moxibustion combined with acupuncture of Zhuang medicine may have a better efficacy than the oral available sciatica pills.