电针加穴位注射对腰椎间盘突出症镇痛效应的临床观察

Evaluation on analgesic effect of electroacupuncture combined with acupoint-injection in treating lumbar intervertebral disc herniation

目的:探讨电针加穴位注射治疗腰椎间盘突出症的临床疗效及对镇痛效果的影响。方法:将60例腰椎间盘突出症患者按入组先后随机数字表法分为电针结合穴位注射治疗组(A组)和单纯针刺组(B组),每组30例。其中男31例,女29例,年龄35～62岁,平均48.3岁。A组于夹脊穴、秩边、环跳、阳陵泉、委中、昆仑予以电针针刺,1次/d,共10次,另配以穴位注射(当归注射液:1次/2d,共5次);B组于夹脊穴、秩边、环跳、阳陵泉、委中、昆仑予以单纯针刺(1次/d,共10次)。经10d治疗后,通过目测类比定级法(VAS)比较治疗前后两组的平均疼痛分数,并根据疗效评定标准,从症状体征上比较两组的临床疗效。结果:两组在平均疼痛分数上差异具有统计学意义(t=7.18,P<0.01),A组的镇痛效果优于B组;两组的临床疗效比较,差异有统计学意义(u=2.91,P<0.01),A组优于B组。结论:电针加穴位注射治疗腰椎间盘突出症操作简单、疗效好,并能更好地缓解患者的疼痛,值得临床推广使用。

Objective：To explore the analgesic effect of electroacupuncture （EA） combined with acupoint injection in treating lumbar intervertebral disc herniation. Methods：Sixty patients with lumbar intervertebral disc herniation were divided randomly into treatment group（30 cases,group A） and control group（30 cases,group B） according to random digits table. Involved 31 males and 29 females in the study,the age was from 35 to 62 years with an average of 48.3 years. The patients in group A were treated with EA（once a day,a total of 10 times） and acupoint injection（once every two days,a total of 5 times） at L4 Jiaji（EX-B2）,L5 Jiaji （EX-B2）,Zhibian （BL54）,Huantiao （GB30）,Yanglingquan （GB34）,Weizhong （BL40） and Kun-lun （BL60）;and the patients in group B were treated with single EA （Once a day,a total of 10 times）. After 10 days of treatment,the visual analogue scale （VAS） was adopted to examine and compare the main pain score, and the clinical effects were compared between two groups from the symptoms and signs in accordance with efficacy criteria. Results：The paregoric effect of group A was better than that of group B,there was significant differences in the main pain score between two groups（t=7.18,P 0.01）. The clinical effect of group A was better than that of group B,there was significant differences between two groups （u= 2.91,P0.01）. Conclusion：EA combined with acupoint injection is a convenient and highly effective therapy for lumbar intervertebral disc herniation,which can effectively relieve the pain of the patients,should be to promote clinical use.