Clinical Study Of Acupotomy Combined With Acupuncture In Sciatica Patients

ObjectiveTo evaluated the effect of acupotomy combined with acupucture on sciatica by a randomized controlled trial.MethodsAccording to the inclusive criteria,60 cases were chosen from Xiang Shang TCM clinic in Tai Zhong.60 cases were randomly divided into a treatment group (n=30) and a control group(n=30). The treatment group was treated with acupotomy combined with acupucture, the acupuncture at lumbar paravertebral points (L3-5), Zhibian (BL54), Huangtiao, Qihaishu, Shenshu, and Ashi points. The control group was treated with ibuprofen and prednisone. After receiving a course of treatment, the clinical effect was evaluated according to the Health Questionnaire (MOS SF-36) and Simplify the McGill Pain Questionnaire, and the safety of acupuncture therapy was evaluated, too. All evaluations were used blind method.Results1. In the treatment group, there were no statistically significant differences between pre and post treatment on the safety indexes, such as blood routine, urine routine, liver function and electrocardiograph (P>0.05)2. After treatment, there were statistically significant differences between the two groups in pain rating index score(PRI), visual analog scale scores(VAS) and pain intensity (PI) (P<0.05)3. After treatment, in the treatment group,10 cases were cured,11 cases were remarkably effective,9 cases were effective,0 cases were ineffective and the total effective rate was 100%. While in the control group,5 cases were cured,7 cases were remarkably effective,13 cases were effective,5 cases were ineffective and the total effective rate was 83.3%. There were statistically significant differences between the two groups in the clinical effect (P＜0.05)4.There were no statistically significant differences between sexuality and effectiveness (P>0.05), whereas there were statistically significant differences between the age, course and effectiveness (P<0.05) ConclusionThe total clinical effect of acupotomy combined with acupucture were superior to the routine western medicine therapy. Acupuncture therapy could effectively relieve pain, improve the survival quality and without any side effect.