[1]韦业燕.内热针治疗腰椎间盘突出症所致坐骨神经痛的临床疗效观察[J].大众科技,2022,24(09):126-129.
　Clinical Effect Observation of Internal Heat Needle in the Treatment of Sciatica Caused by Lumbar Disc Herniation[J].Popular Science & Technology,2022,24(09):126-129.
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内热针治疗腰椎间盘突出症所致坐骨神经痛的临床疗效观察()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年09
页码:
126-129
栏目:
医药与卫生
出版日期:
2022-09-20

文章信息/Info

Title:
Clinical Effect Observation of Internal Heat Needle in the Treatment of Sciatica Caused by Lumbar Disc Herniation
作者:
韦业燕　
（广西钦州市灵山县人民医院，广西 灵山 535400）
关键词:
内热针; 腰椎间盘突出症; 坐骨神经痛; 甲钴胺; 对乙酰氨基酚
Keywords:
internal heat needle lumbar disc herniation sciatica mecobalamin acetaminophen
文献标志码:
A
摘要:
目的：探索内热针在治疗腰椎间盘突出症所致坐骨神经痛的疗效及可行性。方法：将102例腰椎间盘突出症所致坐骨神经痛患者随机分为对照组和观察组各51例，对照组给予口服对乙酰氨基酚片（0.3 g/次，3/d）＋甲钴胺分散片（0.5 mg/次，1/d），治疗14 d；观察组予内热针治疗，1周2次，每次20分钟，治疗2周。比较两组患者治疗有效率、治疗前后疼痛视觉模拟评分法（visual analogue scale，VAS）和JOA下腰痛评价表（Japanese Orthopaedic Association，JOA）。结果：治疗14天后，观察组总有效率达75%，对照组总有效率为71%，观察组总有效率优于对照组。通过秩和检验，与对照组比较，Z＝-1.258，P＞0.05，不存在显著差异。观察组患者治疗前、后的VAS、JOA评分和对照组比较，差异无统计学意义（P＞0.05）。两组患者治疗后VAS、JOA评分均分别比治疗前降低（P＜0.05），差异具有统计学意义。结论：内热针的治疗为临床治疗提供可靠有效的特色新方案，造福广大患者，值得在临床上的推广及发展。
Abstract:
Objective: To explore the efficacy and feasibility of internal heat needle in the treatment of sciatica caused by lumbar disc herniation. Methods: 102 patients with sciatica caused by lumbar disc herniation were randomly divided into control group and observation group, with 51 cases in each group. The control group was given acetaminophen tablets (0.3 g/time, 3/d) + mecobalamin dispersible tablets (0.5 mg/time, 1/d) orally for 14 days the observation group was treated with internal heat needle twice a week for 20 minutes each time for 2 weeks. The treatment efficiency, visual analog scale (VAS) and JOA lower back pain assessment (JOA) before and after treatment were compared between the two groups. Results: After 14 days of treatment, the total effective rate of the observation group was 75%, and that of the control group was 71%. The total effective rate of the observation group was better than that of the control group. By rank sum test, compared with the control group, z = -1.258, P>0.05, there was no significant difference. There was no significant difference in VAS and JOA scores between the observation group and the control group before and after treatment (P>0.05). The VAS and JOA scores of the two groups after treatment were significantly lower than those before treatment (P<0.05), and the difference was statistically significant. Conclusion: The treatment of internal heat needle provides a reliable and effective characteristic new scheme for clinical treatment, benefiting the majority of patients, which is worthy of clinical promotion and development.

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备注/Memo

备注/Memo:
【收稿日期】2022-07-08 【作者简介】韦业燕（1984－），女，广西灵山人，广西钦州市灵山县人民医院主治医师，研究方向为内热针。
更新日期/Last Update: 2022-10-14