Zou Ran, Xu Yun, Zhang Hong-xing
Department of Acupuncture and Moxibustion, the Hospital of Integrated Traditional and Western Medicine of Wuhan, Wuhan 430022, Hubei, China.
Zhongguo Gu Shang. 2009 Oct;22(10):759-61.
To explore the analgesic effect of electroacupuncture (EA) combined with acupoint-injection in treating lumbar intervertebral disc herniation.
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 (BLA0) and Kunlun (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.
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, P < 0.01).
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.
探讨电针（EA）联合穴位注射治疗腰椎间盘突出症的镇痛效果。
将60例腰椎间盘突出症患者按随机数字表法随机分为治疗组（30例，A组）和对照组（30例，B组）。研究中男性31例，女性29例，年龄35～62岁，平均48.3岁。A组患者采用电针（每日1次，共10次）及穴位注射（每2日1次，共5次），穴位选取腰4夹脊（EX-B2）、腰5夹脊（EX-B2）、秩边（BL54）、环跳（GB30）、阳陵泉（GB34）、委中（BL40）、昆仑（BL60）；B组患者采用单纯电针治疗（每日1次，共10次）。治疗10天后，采用视觉模拟评分法（VAS）检测并比较主要疼痛评分，并根据疗效标准从症状和体征方面比较两组的临床疗效。
A组的镇痛效果优于B组，两组主要疼痛评分比较差异有统计学意义（t = 7.18，P < 0.01）。A组的临床疗效优于B组，两组比较差异有统计学意义（u = 2.91，P < 0.01）。
电针联合穴位注射是治疗腰椎间盘突出症的一种方便且高效的疗法，能有效缓解患者疼痛，值得临床推广应用。
