Li Jing, Lu Jin, Ding Qin-Neng, Duan Guang-Yu, Tong Kai, Zhou Yu-Yan
The Third Affiliated Hospital, Nanjing University of CM, Nanjing 210001, Jiangsu Province, China.
Zhongguo Zhen Jiu. 2011 Oct;31(10):887-91.
To observe the difference of the therapeutic effect of acupuncture at Jiaji (EX-B 2) combined with superficial needling for lumbar disc herniation (LDH) and to explore the synergy effect between acupuncture at Jiaji (EX-B 2) and superficial needling.
Sixty patients with LDH were randomly divided into an observation group and a control group, 30 cases in each group. The observation group was treated with superficial needling at the corresponding myofascial fasciae trigger point (MTrP) and leave the plastic tube in the body for 6 hours, and then acupuncture at Jiaji (EX-B 2) and the needle was remained for 30 min. The control group was treated with superficial needling simply. Both groups were treated once daily, five days in succession with 2 days interval, 10 times constituting a treating course for 2 courses. The average onset time of analgesic effect and the effect-lasting time after the first treatment were observed. The mean pain scores after the first treatment and after two treatment courses were compared by McGill pain inquire scale.
There was no significant difference in the average onset time of the two groups [(5.10 +/- 3.70) min vs (5.93 +/- 5.09) min, P > 0.05]. But the effect-lasting time of (13.00 +/- 6.90) h in the observation group was longer than that of (6.27 +/- 3.98) h in the control group (P < 0.01). Compared with the scores of Pain Rating Index (PRI), Visual Analogue Scale (VAS) and Present Pain Intensity (PPI) after the first treatment, there were no significant statistical differences between the two groups (all P > 0.05). But the same comparison after 2 treating courses showed that the scores of PRI, VAS and PPI in the observation group were lower than the control group (all P < 0.01).
Acupuncture at Jiaji (EX-B 2) can extend the analgesic time and enhance the analgesic effect of the superficial needling.
观察夹脊穴（EX - B 2）结合浮针治疗腰椎间盘突出症（LDH）的疗效差异，探讨夹脊穴（EX - B 2）与浮针之间的协同效应。
将60例LDH患者随机分为观察组和对照组，每组30例。观察组在相应肌筋膜触发点（MTrP）行浮针治疗并留置塑料软管6小时，然后针刺夹脊穴（EX - B 2）并留针30分钟。对照组单纯行浮针治疗。两组均每日治疗1次，连续治疗5天，间隔2天，10次为1个疗程，共治疗2个疗程。观察首次治疗后镇痛起效的平均时间及效应持续时间。采用麦吉尔疼痛问卷量表比较首次治疗后及两个疗程治疗后的平均疼痛评分。
两组镇痛起效的平均时间差异无统计学意义[（5.10±3.70）分钟 vs （5.93±5.09）分钟，P＞0.05]。但观察组效应持续时间为（13.00±6.90）小时，长于对照组的（6.27±3.98）小时（P＜0.01）。与首次治疗后的疼痛评级指数（PRI）、视觉模拟评分法（VAS）及现存疼痛强度（PPI）评分比较，两组差异均无统计学意义（均P＞0.05）。但两个疗程治疗后相同指标比较显示，观察组PRI、VAS及PPI评分均低于对照组（均P＜0.01）。
针刺夹脊穴（EX - B 2）可延长浮针的镇痛时间，增强其镇痛效果。
