| ObjectiveTo evaluated the effect of acupucture on sciatica by a randomized controlled trial.MethodsAccording to the inclusive criteria,60 cases were chosen from Taibei Hankun Chinese clinic.60 cases were randomly divided into a treatment group (n=30) and a control group(n=30). The treatment group was treated with acupuncture at lumbar paravertebral points (L2-4), Zhibian (BL54), Huangtiao, Yinmen, Weizhong, Chengshan, Kunlun, Xuanzhong 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. After treatment, in the treatment group,9 cases were cured,10 cases were remarkably effective,11 cases were effective,0 cases were ineffective and the total effective rate was 100%. While in the control group,5 cases were cured,6 cases were remarkably effective,14 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).2. 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).3. In the treatment group, mild pain patients,5 cases were cured,1 case was remarkably effective, and no case was effective or ineffective, moderate pain patients,19 cases were cured,1 case was remarkably effective,11 case were remarkably effective,5 cases were effective, and 3 case was ineffective, severe pain patients, no cases were cured,3 case was remarkably effective, 1 cases were effective, and no case was ineffective. There were statistically significant differences between the two groups (P<0.05).4. 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).5. Various indexes of MOS SF-36 were significantly improved in both groups after the treatment(P< 0.01). There were statistically significant differences between the two groups in general health, energy, social function, emotional function and mental health (P< 0.05).ConclusionThe total clinical effect of acupuncture therapy was superior to the routine western medicine therapy. Acupuncture therapy could effectively relieve pain, improve the survival quality and without any side effect. |