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1.广州中医药大学第一附属医院/广东省中医临床研究院(广东 广州 510405)
2.广州市黄埔区夏港街社区卫生服务中心(广东 广州 510700)
王燕,女,本科,主管护师,主要从事火龙罐及护理学的临床研究工作
段礼宁,主治医师;E-mail:2282351590@qq.com
田艳霞,主管护师;E-mail: 275132958@qq.com
收稿:2025-03-06,
网络首发:2026-08-03,
纸质出版:2026-08-10
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王燕,刘文莉,何丽婷,等.火龙罐治疗坐骨神经痛(亚急性期)的临床疗效观察[J].上海中医药杂志,2026,60(8):65-71.
Wang Yan,Liu Wenli,He Liting,et al.Clinical efficacy of fire dragon cupping in treatment of sciatica(subacute phase)[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(8):65-71.
王燕,刘文莉,何丽婷,等.火龙罐治疗坐骨神经痛(亚急性期)的临床疗效观察[J].上海中医药杂志,2026,60(8):65-71. DOI: 10.16305/j.1007-1334.2026.z20250306005.
Wang Yan,Liu Wenli,He Liting,et al.Clinical efficacy of fire dragon cupping in treatment of sciatica(subacute phase)[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(8):65-71. DOI: 10.16305/j.1007-1334.2026.z20250306005.
目的
2
评估火龙罐治疗坐骨神经痛(亚急性期)的短期疗效和安全性,为临床提供证据。
方法
2
将104例坐骨神经痛(亚急性期)患者随机分为试验组和对照组,每组各52例。试验组采用火龙罐治疗,对照组采用常规艾灸治疗,治疗频次均为每周3次,连续治疗4周,共计12次。比较两组视觉模拟评分法(VAS)、健康调查简表(SF-36)、Oswestry功能障碍指数(ODI)、日本骨科协会评分(JOA)、罗兰-莫里斯功能障碍问卷(RMDQ)、汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分情况。
结果
2
①最终完成试验者104例,其中试验组52例、对照组52例。②治疗后,试验组VAS评分显著低于对照组,差异有统计学意义(
P
<
0.05)。③治疗后,试验组SF-36、ODI、JOA、RMDQ、HAMD、HAMA评分均显著优于对照组(
P
<
0.05)。④试验期间,两组均未发生严重不良事件。
结论
2
火龙罐治疗坐骨神经痛(亚急性期)能够在短期内显著改善患者疼痛、功能状态和心理状态,且安全性良好,为临床提供了新的治疗选择。
Objective
2
To evaluate the short-term efficacy and safety of fire dragon cupping in the treatment of sciatica(subacute phase), and to provide evidence for clinical practice.
Methods
2
A total of 104 patients with sciatica(subacute phase) were randomly divided into an experimental group (
n
=52) and a control group (
n
=52). The experimental group received fire dragon cupping therapy, while the control group was treated with conventional moxibustion. Both groups were treated 3 times a week for 4 consecutive weeks, with a total of 12 sessions. The Visual Analogue Scale (VAS), 36-Item Short Form Health Survey (SF-36), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) score, Roland-Morris Disability Questionnaire (RMDQ), Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) scores were compared between the two groups.
Results
2
①A total of 104 patients completed the trial, including 52 in the experimental group and 52 in the control group. ②After treatment, the VAS score of the experimental group was significantly lower than that of the control group, with a statistically significant difference (
P
<
0.05). ③After treatmen
t, the scores of SF-36, ODI, JOA, RMDQ, HAMD and HAMA in the experimental group were significantly better than those in the control group (
P
<
0.05). ④No serious adverse events occurred in either group during the treatment period.
Conclusion
2
Fire dragon cupping significantly improves pain, functional status and psychological state in patients with sciatica(subacute phase) in the short term with good safety, providing a new therapeutic option for clinical practice.
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