不同取穴电针对腰椎间盘突出症镇痛作用的动态对照研究

DYNAMIC CONTROL OBSERVATION ON THE CLINCAL ANALGESIC EFFECT OF DIFFERENT POINTS ELECTROACUPUNCTURE ON LUMBAR INTERVERTEBRAL DISC HERNIATION

目的:探寻电针治疗腰椎间盘突出症(LIDH)腰腿痛的有效方法。方法:将全部入组98例患者随机分成治疗组(n=53)与对照组(n=45)。采用简化疼痛量表(SF-MPQ)对两组患者腰腿痛进行连续动态观测,治疗组采用局部单穴电针,对照组采用常规取穴电针,各组的电针参数与针刺频度一致。结果:首次治疗后两组SF-MPQ每次后续评分均较治疗前有显著性差异(P<0.001),且每个时间点该指标组间也分别具有显著性差异(P<0.001),各组SF-MPQ评分治疗后各时间点与首次治疗前比较均有显著性差异(P<0.01)。结论:与常规取穴电针相比,局部单穴电针对LIDH腰腿痛具有更好的镇痛作用。

Objective： To search for an effective therapy for the treatment of lumbar intervertebral disc herniation （LIDH）. Methods ： All 98 cases of LIDH patients were randomly divided into treatment group （n =53） which was treated with local single-point electroacupuncture stimulation （SPEAS） and control group （n = 45 ） which was treated with conventional electroacupuncture stimulation （CEAS）. The lumbocrural pain content of each group was continuously evaluated with SF-MPQ before every treatment and 2 days after the 8th treatment. SPEAS and CEAS subjects were treated with the same time, intensity and frequency acupuncture. Results： The dynamic evaluation results of SF-MPQ have presented significant differences than baseline since the second treatment （P 〈 0.01 ） and significant differences between the early and late treatment （P 〈0. 001 ） in the two groups. However, the changing range of the observation index of SPEAS group was more significant than that in the CEAS group （P 〈 0.001 ） at the same time point. Conclusion： SPEAS is more effective than CEAS in the treatment of LIDH.