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电针承山(BL 57)、长强(GV 1)穴治疗痔痛的疗效观察

[Observation on therapeutic effect of electroacupuncture at Chengshan (BL 57) and Changqiang (GV 1) on hemorrhoidal pain].

作者信息

Li Ning, He Hong-Bo, Wang Cheng-Wei, Yang Chun-Mei

机构信息

Center of Rehabilitation and Acupuncture-Moxibustion, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Zhongguo Zhen Jiu. 2008 Nov;28(11):792-4.

Abstract

OBJECTIVE

To assess the clinical effect of combination of far with near acupoints, Chengshan (BL 57) and Changqiang (GV 1), for acupuncture treatment of hemorrhoidal pain.

METHODS

One hundred and twenty cases of hemorrhoids with pain were randomly divided into 2 groups, an electroacupuncture group and a medication group, 60 cases in each group. The electroacupuncture group were treated by electroacupuncture at Changqiang (GV 1) and Chengshan (BL 57) with sparse-dense wave, frequency 2/100 Hz; and the medication group with oral administration of Tramadol and rectal application of Mayinglong Shexiang Zhichuang Suppository. The two group were treated for five days. Changes of pain were assessed by Visual Analogue Scale (VAS) scores at the defecation each day.

RESULTS

In the electroacupuncture group, VAS score was 6.64 +/- 3.66 before treatment and 5.65 +/- 2.21 on the second day of treatment with a significant decrease (P < 0.05), and 1.85 +/- 1.24 on the fifth day after treatment end. In the medication group, VAS score was 6.58 +/- 3.18 before treatment and 4.86 +/- 2.04 on the third day after treatment with significant decrease compared with that before treatment, and 2.24 +/- 1.46 on the fifth day. There was no significant difference between the two groups in the pain score on the fifth day after the treatment end.

CONCLUSION

Combination of Chengshan (BL 57) with Changqiang (GV 1) is effective for improvement of hemorrhoidal pain in defecation.

摘要

目的

评估远近配穴法针刺承山(BL 57)与长强(GV 1)治疗痔痛的临床疗效。

方法

将120例痔痛患者随机分为2组,即电针组和药物组,每组60例。电针组采用疏密波、频率2/100Hz电针针刺长强(GV 1)和承山(BL 57);药物组采用口服曲马多及直肠应用马应龙麝香痔疮栓。两组均治疗5天。每天排便时采用视觉模拟评分法(VAS)评估疼痛变化。

结果

电针组治疗前VAS评分为6.64±3.66,治疗第2天为5.65±2.21,明显降低(P<0.05),治疗结束后第5天为1.85±1.24。药物组治疗前VAS评分为6.58±3.18,治疗后第3天为4.86±2.04,与治疗前相比明显降低,第5天为2.24±1.46。治疗结束后第5天两组疼痛评分差异无统计学意义。

结论

承山(BL 57)与长强(GV 1)配伍对改善排便时痔痛有效。

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