罗飞鹏 杨帏勋 杞锦政

【摘要】 目的：分析根性坐骨神經痛采用中药蜂蜡外敷疗法的临床效果。方法：选择2019年1-10月笔者所在医院收治的108例根性坐骨神经痛患者，采用随机数字表法分成两组，每组54例。两组均予以针刺、电脑中频经络通治疗仪、TDP常规治疗，对照组加入中药封包外敷治疗，治疗组加入中药蜂蜡外敷疗法。比较两组ODI、SF-MPQ-2评分、住院时间、住院费用、复发率、临床疗效、不良反应情况。结果：治疗后及随访2个月后，治疗组ODI、SF-MPQ-2评分均低于对照组（P<0.05）;治疗组住院时间短于对照组，住院费用低于对照组（P<0.05）;治疗组总有效率为96.30%，显著高于对照组的75.93%（P<0.05）;治疗组不良反应发生率低于对照组，差异无统计学意义（P>0.05）;治疗组复发率低于对照组（P<0.05）。结论：中药蜂蜡外敷疗法治疗根性坐骨神经痛的临床效果显著，能够提高日常活动功能，缩短治疗周期，降低治疗成本，安全性高。

【关键词】 根性坐骨神经痛 蜂蜡 复发率 疗效 不良反应

doi：10.14033/j.cnki.cfmr.2020.19.004 文献标识码 A 文章编号 1674-6805（2020）19-00-03

Clinical Effect of Radicular Sciatica Treated by External Application of Chinese Medicine Beeswax/LUO Feipeng， YANG Weixun， QI Jinzheng. //Chinese and Foreign Medical Research， 2020， 18（19）： -12

[Abstract] Objective： To analyze the clinical effect of external application of Chinese medicine Beeswax on radicular sciatica. Method： A total of 108 patients with radicular sciatica admitted to our hospital from January to October 2019 were selected. They were divided into two groups by random number table method， 54 cases in each group. The two groups were treated with acupuncture， computer medium frequency meridian treatment instrument and TDP. On this basis， the control group was treated with external application of traditional Chinese medicine， and the treatment group was treated with external application of Chinese medicine Beeswax. The scores of ODI and SF-MPQ-2 before and after treatment， length of stay， cost of stay， recurrence rate， clinical effects and adverse reactions were compared between the two groups. Result： After treatment and follow-up for 2 months， the scores of ODI and SF-MPQ-2 in the treatment group were lower than those of the control group （P<0.05）. The length of stay in the treatment group was shorter than that of the control group， and the cost of stay in the treatment group was lower than that of the control group （P<0.05）. The total effective rate in the treatment group was 96.30%， which was significantly higher than 75.93% of the control group （P<0.05）. The incidence of adverse reactions in the treatment group was lower than that of the control group， but the difference was not statistically significant （P>0.05）. The recurrence rate in the treatment group was lower than that of the control group （P<0.05）. Conclusion： The clinical effect of external application of Chinese medicine Beeswax in the treatment of radicular sciatica is remarkable， which can improve their daily activity function， shorten the treatment cycle， reduce the cost of treatment， with good safety.

[Key words] Radicular sciatica Beeswax Recurrence rate Efficacy Adverse reactions

First-authors address： Renkang Hospital of Dongguan， Dongguan 523952， China

根性坐骨神经痛是继发性坐骨神经痛的一种类型，受损部位为坐骨神经的根部，通常是由腰椎间盘膨出或突出致腰椎管畸形、狭窄等引起[1]。本病可引起坐骨神经分布区域阵发性、持续性烧灼和刀割样疼痛，且多为单侧发病，在夜间病情易加重，严重影响患者的身体健康和生活质量。对于病情较轻者，临床上通常采用保守治疗方式。保守治疗分为药物治疗和非药物治疗，前者止痛效果快，但药物持续时间短，副作用较大;后者副作用小，但临床效果不确切[2]。相关研究提出，临床中可采用多种疗法叠加治疗本病，但可能会对人体造成潜在的不利影响[3]。因此，在现有的保守治疗方式中找寻更有效、安全、舒适的治疗方法，对临床有积极意义。有研究表明，中药蜂蜡可帮助神经受损患者快速改善病情[3]。但现阶段，将中药蜂蜡应用于根性坐骨神经痛中的研究极少。……