Huang Shi-Rong, Pan Liang-de, Ma Yan-Wen, Wang Zhi-Jun, Chen Ying-Ying, Yu Zhong-Xiang
Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China.
Department of TCM, People's Hospital of Shanghai Pudong New District.
Zhongguo Zhen Jiu. 2021 Apr 12;41(4):391-4. doi: 10.13703/j.0255-2930.20200409-k0001.
To observe the clinical effect of single acupoint [Yaotu (extra)] electroacupuncture (EA) therapy on lumbar intervertebral disc herniation (LIDH) and its promotion and application in community medical institutions.
This research adopted a three-level promotion model, and used multi-center collaboration topics as a platform. A total of 240 patients with LIDH were divided into a group A (top three hospital, 80 cases, 3 cases dropped off), a group B (secondary hospital, 80 cases, 8 cases dropped off), and a group C (community health center, 80 cases, 7 cases dropped off). All groups were treated with EA at a single acupoint [Yaotu (extra)] under the guidance of a unified experimental protocol. The EA was given 60 min each time and performed 3 times a week for a total of 2 weeks. The changes of visual analogue scale (VAS) scores of three groups before and after each treatment were compared, and the clinical efficacy was evaluated.
Compared with before each treatment, the VAS scores of three groups after each treatment decreased (<0.05). Except for the second and fifth treatments, the immediate effect in the group A was higher than that in the group B and C (<0.05). The total effective rate of group A, group B, and group C respectively was 90.9% (70/77), 93.1% (67/72), 86.3% (63/73), and there was no statistically significant difference among the three groups (>0.05).
The single acupoint EA therapy has a significant effect in the treatment of LIDH, can quickly relieve the pain symptoms, and has the characteristics of simple operation and easy control, suitable for promotion and application in primary hospitals.
观察单穴[腰突(奇穴)]电针疗法治疗腰椎间盘突出症(LIDH)的临床疗效及其在社区医疗机构中的推广应用。
本研究采用三级推广模式,以多中心协作课题为平台。将240例LIDH患者分为A组(三甲医院,80例,脱落3例)、B组(二级医院,80例,脱落8例)和C组(社区卫生服务中心,80例,脱落7例)。所有组均在统一实验方案指导下采用单穴[腰突(奇穴)]电针治疗。每次电针60分钟,每周进行3次,共2周。比较三组每次治疗前后视觉模拟评分(VAS)的变化,并评估临床疗效。
与每次治疗前比较,三组每次治疗后VAS评分均降低(<0.05)。除第二次和第五次治疗外,A组的即时效应高于B组和C组(<0.05)。A组、B组、C组的总有效率分别为90.9%(70/77)、93.1%(67/72)、86.3%(63/73),三组间差异无统计学意义(>0.05)。
单穴电针疗法治疗LIDH疗效显著,能迅速缓解疼痛症状,且具有操作简单、易于掌控的特点,适合在基层医院推广应用。