雷射針灸治療坐骨神經痛——病例研究

Laser Acupuncture Therapy in Patients with Sciatica: A Case Study

"目的：坐骨神經痛及其所致殘疾是老年患者中的重要議題，本病例研究說明雷射針灸治療坐骨神經痛的重大應用前景。 臨床特徵：一位55 歲女士主訴左臀部疼痛放射到腳，起初到急診和骨科就醫，被診斷為坐骨神經痛及腰骶神經根症候群，但罔效。 治療及結果：四天後患者坐輪椅來針灸科求診，我們使用鎵鋁砷' 治立安雷射' 照射穴位， _治療能量為每穴0.375 J，每天一次，穴取環跳、陽陵泉、足竅陰、大腸俞、秩邊、委中、崑崙、至陰、足三里、厲兌。單次治療後患者疼痛緩解達50％以上，治療8 次後能夠重返粗重工作。患者持續接受每週約3 次的雷射針灸治療，在56 次治療後得到完全緩解，追蹤一年並未復發。 結論：我們認為有經驗的醫師能使用雷射針灸作為替代或輔助療法，應用於常規治療無效的坐骨神經痛患者。  Objective: Sciatica and the disability that results from it are important issues among older patients. This case study illustrates the potential application of laser acupuncture for sciatica. Clinical features: A 55-year-old woman complained of pain in the left buttock radiating to foot. The patient visited the emergency department and orthopedic clinic for initial treatment which was ineffective. Her sciatica and lumbosacral radicular syndrome was diagnosed. Intervention and outcome: The patient was confined to a wheelchair and visited us for further treatment four days later. The gallium aluminum arsenide Handylaser Trion was used to apply 0.375 J of energy to each of the following acupuncture points once daily: GB30, GB34, GB44, BL25, BL40, BL54, BL60, BL67, ST36, and ST45. She experienced pain relief of more than 50% after one treatment, and was able to return to heavy work after eight treatments. She continued to receive laser acupuncture therapy about three times a week and was in complete remission after 56 therapeutic sessions. She was free of sciatica at her one-year follow-up. Conclusion: We believe that an experienced physician may use laser acupuncture as alternative or complementary therapy in patients with sciatica who are ineffective to conventional treatment. "