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电针治疗犬胸腰椎间盘疾病的评估

Evaluation of electroacupuncture treatment for thoracolumbar intervertebral disk disease in dogs.

作者信息

Hayashi Ayne Murata, Matera Julia Maria, Fonseca Pinto Ana Carolina Brandão de Campos

机构信息

Department of Surgery, School of Veterinary Medicine, University of São Paulo, São Paulo-SP, Brazil.

出版信息

J Am Vet Med Assoc. 2007 Sep 15;231(6):913-8. doi: 10.2460/javma.231.6.913.

DOI:10.2460/javma.231.6.913
PMID:17867976
Abstract

OBJECTIVE

To evaluate use of electroacupuncture combined with standard Western medical treatment versus Western medical treatment alone for treatment of thoracolumbar intervertebral disk disease in dogs.

DESIGN

Prospective controlled study.

ANIMALS

50 dogs with signs of thoracolumbar intervertebral disk disease.

PROCEDURES

Dogs were randomly allocated to 1 of 2 treatment groups and classified as having grade 1 to 5 neurologic dysfunction. Dogs in group 1 received electroacupuncture stimulation combined with standard Western medical treatment; those in group 2 received only standard Western medical treatment. A numeric score for neurologic function was evaluated at 4 time points to evaluate effects of treatments.

RESULTS

Time (mean +/- SD) to recover ambulation in dogs with grade 3 and 4 dysfunction in group 1 (10.10 +/- 6.49 days) was significantly lower than in group 2 (20.83 +/- 11.99 days). Success (able to walk without assistance) rate for dogs with grade 3 and 4 dysfunction in group 1 (10/10 dogs) was significantly higher than that of similarly affected dogs in group 2 (6/9 dogs). Dogs without deep pain perception (grade 5 dysfunction) had a success (recovery of pain sensation) rate of 3 of 6 and 1 of 8 in groups 1 and 2, respectively, but the difference was not significant. Overall success rate (all dysfunction grades) for group 1 (23/26; 88.5%) was significantly higher than for group 2 (14/24; 58.3%).

CONCLUSIONS AND CLINICAL RELEVANCE

Electroacupuncture combined with standard Western medical treatment was effective and resulted in shorter time to recover ambulation and deep pain perception than did use of Western treatment alone in dogs with signs of thoracolumbar intervertebral disk disease.

摘要

目的

评估电针结合标准西医治疗与单纯西医治疗对犬胸腰椎间盘疾病的疗效。

设计

前瞻性对照研究。

动物

50只患有胸腰椎间盘疾病体征的犬。

方法

将犬随机分为2个治疗组之一,并根据神经功能障碍分为1至5级。第1组犬接受电针刺激结合标准西医治疗;第2组犬仅接受标准西医治疗。在4个时间点评估神经功能的数字评分,以评估治疗效果。

结果

第1组3级和4级功能障碍犬恢复行走的时间(平均±标准差,10.10±6.49天)显著低于第2组(20.83±11.99天)。第1组3级和4级功能障碍犬的成功(无需辅助行走)率(10/10只犬)显著高于第2组中类似受影响的犬(6/9只犬)。无深部痛觉(5级功能障碍)的犬,第1组和第2组的成功(痛觉恢复)率分别为6只中的3只和8只中的1只,但差异不显著。第1组的总体成功率(所有功能障碍等级)(23/26;88.5%)显著高于第2组(14/24;58.3%)。

结论及临床意义

对于有胸腰椎间盘疾病体征的犬,电针结合标准西医治疗有效,与单纯西医治疗相比,恢复行走和深部痛觉的时间更短。

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