纳米穴位贴敷缓解脊髓损伤并发肌痉挛疗效观察

Clinical observation on nanometer acupoint mounting method for alleviation of myospasm complicated by spinal injury

目的:观察纳米穴位贴敷缓解脊髓损伤并发肌痉挛的临床效应。方法:将60例患者随机分为观察组(30例)和对照组(30例)。观察组取受伤部位脊柱两侧夹脊穴各4个穴,及肾俞、上髎、次髎、阳陵泉、悬钟,应用纳米穴位贴敷治疗;对照组贴敷氧化锌贴片,取穴、疗程与观察组相同。2天换贴1次,7次为一疗程,3个疗程结束后,分别于1周和1个月后统计疗效。结果:治疗前两组间肌痉挛程度分级差异无统计学意义(P>0.05)。治疗后1周,观察组患者肌痉挛Ⅰ级15例、Ⅱ级9例、Ⅲ级5例、Ⅳ级1例,对照组分别为1例、7例、14例、8例,对两组数据采用Ridit分析,观察组患者治疗前后肌痉挛程度差异有统计学意义(P<0.01),两组之间治疗后肌痉挛程度分级差异亦有统计学意义(P<0.01)。治疗后1个月统计结果亦如此。结论:纳米穴位贴敷疗法简单易行、安全无副作用,是缓解脊髓损伤并发肌痉挛的又一新途径。

Objective To observe clinical effect of nanometer acupoint mounting method for alleviation of myospasm complicated by spinal injury. Methods Sixty cases were randomly divided into an observation group and a control group, 30 cases in each group. The observation group were treated by nanometer mounting at 4 Jiaji （EX-B 2） points each on both sides of the affected spine and Shenshu （BL 23）, Shangliao （BL 31）, Ciliao （BL 32）, Yang-lingquan （GB 34）, Xuanzhong （GB 39） ; and the control group by mounting zinc oxide sticking tablets at the above acupoints. The mounting was replaced once each two days, 7 times constituting one course. One week and one month after the end of 3 courses, their results were recorded, respectively. Results Before treatment, there was no significant difference between the two groups in grades of the myospasm degree （P〉0.05）. One week after the end of treatment, 15 cases were grade Ⅰ of myospasm, 9 cases were grade Ⅱ , 5 cases were grade Ⅲ and 1 case was grade Ⅳ in the observation group, and 1 cases grade Ⅰ , 7 cases grade Ⅱ , 14 cases grade Ⅲ , 8 cases grade Ⅳ in the control group. Ridit analysis on the data indicated that there were significant differences before and after treatment in the myospasm degree （P〈0.01） and between the two groups after treatment （P〈0.01）. One month after the end of treatment, the results were similar to those one week after the end of treatment. Conclusion Nano- meter acupoint mounting method is a new one for alleviation of myospasm complicated by spinal injury, with convenience, safety and no side effect.