Department of Veterinary Surgery, Konkuk University, Seoul, Republic of Korea.
Am J Chin Med. 2010;38(6):1015-25. doi: 10.1142/S0192415X10008433.
The clinical efficacy of electroacupuncture and acupuncture in combination with medication for the treatment of thoracolumbar intervertebral disc herniation was investigated in paraplegic dogs with intact deep pain perception. To evaluate the additional effect of electroacupuncture, dogs treated with conventional medicines alone were compared to dogs treated with electroacupuncture and acupuncture and conventional medicine. Medical records of 80 dogs were reviewed for this investigation and classified into two groups undergoing different treatment methods: (1) treatment with conventional medicine alone (Group C, n = 37) and (2) treatment with conventional medicine combined with electroacupuncture and acupuncture (Group CE, n = 43). Prednisone was the conventional medicine and electroacupuncture was applied at GV07 and GV02-1 at 0.5-2.5 mV, mixed Hz of 2 and 15 Hz for 25-30 min. Acupuncture was performed locally at urinary bladder meridian points near the lesion, and bilaterally distantly at GB30, GB34, and ST36. Treatment efficacy was evaluated by post-operative neurologic function, ambulation, relapse, complication, and urinary function. Ambulation recovery was more prevalent in Group CE than Group C (p = 0.01) and recovery of ambulation and back pain relief time was shorter in Group CE compared to Group C (p = 0.011 and 0.001, respectively). Relapse rate was significantly lower in Group CE (p = 0.031). The results suggest that a combination of electroacupuncture and acupuncture with conventional medicine is more effective than conventional medicine alone in recovering ambulation, relieving back pain, and decreasing relapse. Electroacupuncture and acupuncture is thus a reasonable option for the treatment of intervertebral disc herniation in paraplegic dogs with intact deep pain perception.
本研究旨在探讨电针和针刺联合药物治疗深痛觉完整截瘫犬胸腰椎间盘突出症的临床疗效。为评估电针的附加疗效,将单纯接受常规药物治疗的犬与接受电针和针刺联合常规药物治疗的犬进行比较。回顾性分析了 80 例犬的病历资料,将其分为接受不同治疗方法的两组:(1)单纯接受常规药物治疗(C 组,n=37)和(2)常规药物联合电针和针刺治疗(CE 组,n=43)。泼尼松为常规药物,电针选用 GV07 和 GV02-1,电压 0.5-2.5 mV,2 Hz 和 15 Hz 混合频率,治疗 25-30 min。针刺在病变附近的膀胱经穴位局部进行,双侧穴位取 GB30、GB34 和 ST36。通过术后神经功能、步态、复发、并发症和尿功能评估治疗效果。CE 组的步态恢复情况明显优于 C 组(p=0.01),且 CE 组的步态恢复和腰痛缓解时间均短于 C 组(p=0.011 和 0.001)。CE 组的复发率明显低于 C 组(p=0.031)。结果表明,电针和针刺联合常规药物治疗比单纯常规药物治疗更有效地恢复运动功能、缓解腰痛和降低复发率。因此,电针和针刺是治疗深痛觉完整截瘫犬椎间盘突出症的一种合理选择。