“三穴五法"对腰椎间盘突出根性痛的镇痛作用(英文)

Analgesia of "three points and five methods" therapy on radiculalgia in protrusion of lumbar intervertebral disc*★

背景:腰椎间盘突出症的治疗主要以手术为主,有研究表明通过非手术治疗可以有效地改善其临床症状。目的:观察“三穴五法”对腰椎间盘突出根性痛的镇痛及腰部和下肢功能恢复的效果。设计:以患者为研究对象,非随机化同期对照研究。单位:一所大学的医院骨科和针灸推拿学院。对象:选择1999-03/2003-06河南中医学院第一附属医院骨科、第三附属医院推拿科住院的腰椎疾病患者210例,随机分为实验组(n=108)和对照组(n=102)。方法:实验组采用“三穴五法”治疗。对照组采用传统手法治疗。分别于治疗后5,10,30min,1,2……24h进行疼痛和功能测评,并将评分结果统计分析。主要观察指标:①两组患者镇痛效果。②两组患者综合功能测评结果。结果:实验组总有效率为94.44%,平均镇痛时间(18.40±2.11)h;对照组总有效率为82.35%,平均镇痛时间(10.60±2.63)h。实验组镇痛效果及综合功能测评结果均优于对照组(t=4.86,4.42,P<0.01)。结论:“三穴五法”对腰椎间盘突出根性痛患者具有缓解腰部疼痛、改善腰部症状,恢复下肢功能的作用。

BACKGROUND：Operation is the main therapy for protrusion of lumbar intervertebral disc.The researches have indicated that non-operation therapy can improve effectively its clinical symptoms. OBJECTIVE：To observe the effect of “three points and five methods” therapy on analgesia of radiculalgia in protrusion of lumbar intervertebral disc and on recovery of motor function in lumbar region and lower limbs. DESIGN：Non-randomized concurrent control study based on the patients. SETTING：Orthopedic department and college of acupuncture and massage of one university-affiliated Hospital. PARTICIPANTS：Totally 210 inpatients of lumbar vertebral disorders were selected from Orthopedic Department of First Affiliated Hospital of Henan College of Traditional Chinese Medicine and Department of Acupuncture and Massage of Third Affiliated Hospital from March 1999 to June 2003,which were randomized into experimental group （n=108） and control group（n=102）. METHODS：“Three points and five methods” therapy was adopted in experimental group and the traditional manipulation was for the control. The evaluation on pain and motor function was carried on at minutes 5,10,30,and hours 1,2,...,24 successively for statistical analysis. MAIN OUTCOME MEASURES：①Effect of analgesia in the two groups. ② Results of evaluation on comprehensive function in the two groups. RESULTS＇Total effective rate was 94.44% and the average time of analgesia was（18.40±2.11） hours in the experimental group.Total effective rate was 82.35% and the average time of analgesia was （10.60±2.63） hours in the control group. The analgesia effect and evaluation results on comprehensive function in the experimental group were superior to that in the control group（t=4.86,4.42,P 〈 0.01）. CONCLUSION：“Three points and five methods” therapy releases lumbar pain, improves lumbar symptoms and recovers motor function of lower limbs for the patients with radiculalgia in protrusion of lumbar intervertebral disc.