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目的 观察针刺推拿结合穴位注射治疗坐骨神经痛的临床疗效.方法 将76例患者随机分为两组,治疗组采用针刺、推拿及穴位注射疗法,取环跳及委中等穴位,注射液是舒血宁注射液、维生素B12及2％利多卡因的混合液;对照组单纯采用针刺及推拿疗法治疗.结果 治疗组与对照组的总有效率分别为92.11％,73.68％,两组比较有显著性差异(P＜0.05);视觉模拟评分(VAS):治疗组与对照组在第1疗程和第2疗程结束后疗效有统计学差异(P＜0.05),在第三疗程结束后疗效有显著性差异(P＜0.01).结论 针刺推拿结合穴位注射治疗坐骨神经痛临床疗效肯定,值得推广运用.“,”Objective To observe the clinical efficacy of acupuncture and massage combined with acupoint injection in treatment of sciatica.Methods 76 cases of patients with sciatica were randomly divided into treatment group and control group,138 cases in each group.Treatment group was treated by acupuncture (Huantiao and Weizhong acupoints),massage and acupoint injection (mixed liquor of Shuxuening injection,vitamin B12 and 2％ lidocaine).Control group was treated by acupuncture and massage.Results The total effective rate was 92.11％ in treatment group and 73.68％ in control group,the comparison of the two groups had significant difference (P ＜ 0.05).After treatment,VAS scale score of both groups decreased,the efficacies of the two groups at the first course of treatment group and the second period of treatment both had statistically difference (P ＜ 0.05),there was significant difference in the third period of treatment (P ＜ 0.01).Conclusion Acupuncture and massage combined with acupoint injection has sure efficacy,which is worthy of application in clinical practice.