电针治疗慢性睾丸痛疗效观察

Therapeutic effect of electroacupuncture on chronic orchialgia

目的:比较电针和西药治疗慢性睾丸痛的疗效差异,探讨慢性睾丸痛的更优治疗方法。方法:将86例慢性睾丸痛患者随机分为电针组(56例)和吲哚美辛组(30例),所有病例除常规口服阿米替林抗抑郁治疗外,电针组加用电针针刺肾俞、次髎、三阴交、太冲等穴,吲哚美辛组加用吲哚美辛栓塞肛治疗,两组疗程均为2周。治疗前后用疼痛数字评价量表进行疼痛程度评分,比较两组在治疗第3、7、10、14天各治疗时间点的疼痛评分差异。结果:两组以上各时间点疼痛评分较治疗前均明显改善(P<0.05,P<0.01),两组在治疗的第7、10、14天比较,电针组疼痛评分低于吲哚美辛组(均P<0.05)。结论:电针配合阿米替林治疗慢性睾丸痛有较好疗效,优于吲哚美辛配合阿米替林治疗,值得推广应用。

Objective To compare the efficiency difference in chronic orchialgia between electroacupuncture and western medicine and explore the better therapy for chronic orchialgia. Methods Eighty-six cases of chronic orchialgia were randomly divided into an electroacupuncture group （56 cases） and an Indomethacin group （30 cases）. Except the conventional oral administration of Amitriptyline for anti-depression, electroacupuncture was applied at Shenshu （BL 23）, Ciliao （BL 32）, Sanyinjiao （SP 6）, Taichong （LR 3） and others in electroacupuncture group, and Indometacin suppository anal therapy was used in Indometacin group. The session of treatment in two groups was 2 weeks. Before and after treatment, pain number assessment scale was adopted for the assessment of pain severity separately to compare the differences in pain score on 3rd, 7th, 10th and 14th days after treatment. Results The pain score at each time point was improved remarkably as compared with that before treatment in two groups （P〈0.05, P〈0.01）. In comparison on the 7th, 10th and 14th days of two groups, the pain scores in electroacupuncture group was lower than those in Indometacin group （all P〈0.05）. Conclusion Electroacupuncture combined with Amitriptyline treatment is quite effective on chronic orchialgia, which is superior to the effect of Indomethacin combined with Amitriptyline treatment and deserves to be promoted in application.