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针药结合治疗坐骨神经痛 预览

Electroacupuncture Combined with Medicines for Treatment of Sciatica
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摘要 共观察158例病人,四分之一病人经CT或MRI诊断为腰椎间盘突出症.男87例,女71例,年龄21~80岁,病程最短为1天,最长2年余. 158sciatica patients including 87 males and 71 females, aged 21~80 years were observed.Methods: Symptoms, signs, locomotion ability and verbal analog scale (VAS) of every case were used as four groups of indexes of observation. Dimension of every group index was quantified as 0,1,2 and 3 scores. 0 means no pain, no positive sign, normal locomotion or 0 score of VAS, 3 means extreme pain, maximum positive sign, no locomotion or 10 points of VAS. All the points of every case added of the four groups of indexes were considered as the total integral value. The total integral value of the extremely severe case was 12 points while the normal case was 0 point. These 158 cases were divided into five groups according to the principle of randomly sampling. 1) Simple EA group, 2) EA plus placebo (administration of Vitamin C 100 mg tid), 3) EA plus Nifedipine (calcium channel blocker, 10 mg tid), 4) EA plus Beclofen (GABA receptor agonist, 10 mg tid), and 5) EA plus Clonidine (alfa 2 receptor agonist of NA). All the medicines were put into the capsules with the same color and same size. Double blind principle was employed to carry out the observations.EA stimulation (0.4~ 0.6 mA, 50 Hz) was applied to bilateral Dachangshu (BL 25), Shenshu (BL 23), Chengshan (BL 57), Huantiao (GB 30), Yanglingquan (GB 34) and Weizhong (BL 40) points, for 30 min, once a day or every other day and with 5~10 times being a therapeutic course. Results: Curative effect was classified into 3 kinds. Significant effect meant that the total integral was decreased by more than 50%; improvement meant that the total integral value was decreased by 15~49% and no effect meant that the integral value was decreased by less than 14%. After treatment, the integral values of different groups decreased significantly in comparison with pre treatment of each group (P<0.025). It indicates that both simple EA and EA plus medicine groups had a marked curative effect. The total curative effect rates of Simple EA group, EA plus placebo, EA plus Nifedipine,
作者 徐建钟 刘家英 张永刚 张丹敏 李艳华 方宗仁 Xu Jianzhong, Liu Jiaying 1, Zhang Yonggang 2, Zhang Danmin 3, Li Yanhua 1, Fang Zongren 1 (Beijing Municipal TCM Hospital, Beijing,100010; 1Institute of Acupuncture and Moxibustion, China Academy of TCM, Beijing, 100700; 2Chaoyang
出处 《针刺研究》 CAS CSCD 2001年第3期 187-189,共3页 Acupuncture Research
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