电针华佗夹脊穴对慢性腰痛患者焦虑情绪和疲劳程度的影响

Effect of Electroacupuncture at Huatuo Jiaji Point on Anxiety and Fatigue in Patients with Chronic Low Back Pain

目的探讨电针华佗夹脊穴对慢性腰痛患者临床症状、焦虑情绪和疲劳程度的影响。方法将96例慢性腰痛患者随机分为电针组和对照组,每组48例。对照组予以盐酸乙哌立松片口服,50 mg,1日3次,共治疗14 d。电针组取穴L1~L5的夹脊穴,并在同侧L1和L5华佗夹脊穴接电针,连续波,频率为2 Hz,每次20 min,1日1次,共治疗14 d。分别于治疗前后评估两组患者Mc Gill疼痛量表(SF-MPQ)中疼痛分级指数(PRI)、现时疼痛强度(PPI)、视觉模拟量表(VAS)评分,焦虑自评量表(SAS),疲劳量表-14(FS-14)的情况并进行比较。结果2组患者在治疗前的PRI、PPI、VAS、SAS和FS-14的评分比较,差异无统计学意义(P>0.05)。2组治疗后的评分均较治疗前降低(P<0.05),且电针组改善程度优于对照组(P<0.05)。结论电针腰部华佗夹脊穴疗法可改善慢性腰痛患者临床症状,减轻疼痛,缓解患者的焦虑状态,改善患者的疲劳情况。

Objective To investigate the effect of electroacupuncture at Huatuo Jiaji point on clinical symptoms,anxiety and fatigue of patients with chronic low back pain.Methods 98 patients with chronic low back pain were randomly divided into electroacupuncture group and control group,with 48 patients in each group.The control group received eperisone hydrochloride tablets orally,50mg,3 times a day,a total of 14 days of treatment.The electroacupuncture group selected the Huatuo jiaji point of L1-L5,and connected the electroacupuncture point to Huatuo Jiaji point of l1-l5 on the same side,with continuous wave frequency of 2Hz,20min/time,once a day,for a total of 14 days.The pain rating index(PRI),current pain intensity(PPI),visual analogue scale(VAS),anxiety self-rating scale(SAS)and fatigue scale-14(FS-14)of McGill Pain Scale(SF-MPQ)of the two groups were evaluated before and after treatment,and the differences were analyzed.Results There was no significant difference in PRI,PPI,VAS,SAS and FS-14 scores between the two groups before treatment(P>0.05).The scores of both groups after treatment were lower than those before treatment(P<0.05),and the improvement degree of the electroacupuncture group was better than that of the control group(P<0.05).Conclusion The electro-acupuncture at The Huatuo Jiaji point can improve the clinical symptoms of patients with chronic low back pain,relieve pain,relieve anxiety,and improve the fatigue of patients.