1. 上海中医药大学附属龙华医院骨伤科,上海,200032
2. 上海中医药大学教务处,上海,201203
扫 描 看 全 文
许金海, 查建林, 王国栋, 等. 耳穴压豆对腰椎间盘突出症患者疼痛短期疗效影响的临床研究[J]. 上海中医药杂志, 2019,53(11):61-66.
XU Jinhai, ZHA Jianlin, WANG Guodong, et al. Clinical study on short-term efficacy of ear point-pressing on pain in patients with lumbar disc herniation[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(11):61-66.
许金海, 查建林, 王国栋, 等. 耳穴压豆对腰椎间盘突出症患者疼痛短期疗效影响的临床研究[J]. 上海中医药杂志, 2019,53(11):61-66. DOI: 10.16305/j.1007-1334.2019.11.013.
XU Jinhai, ZHA Jianlin, WANG Guodong, et al. Clinical study on short-term efficacy of ear point-pressing on pain in patients with lumbar disc herniation[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(11):61-66. DOI: 10.16305/j.1007-1334.2019.11.013.
目的:观察耳穴压豆对腰椎间盘突出症患者疼痛的短期疗效。 方法:将96例腰椎间盘突出症患者随机分为治疗组与对照组,每组48例。治疗组予耳穴压豆联合筋痹方口服,对照组予假耳穴压豆联合筋痹方口服。两组疗程均为2周,观察安全性,比较疼痛视觉模拟评分(VAS)、压痛阈评分、耐痛阈评分、Oswestry功能障碍指数问卷表评分(ODI)。 结果:①试验期间,治疗组脱落8例,对照组脱落6例,最后完成研究者为治疗组40例,对照组42例。②自治疗开始至治疗14 d时,两组VAS评分均呈降低趋势,治疗组下降更为明显。组间治疗60 min、治疗7 d比较,差异均有统计学意义,治疗组VAS评分较对照组更低(P<0.05)。③自治疗开始至治疗14 d时,两组压痛阈评分总体呈先上升后下降的趋势,治疗组更为明显,在治疗60 min时达到最高值,而对照组在治疗7 d时达到最高值。组间治疗60 min比较,差异有统计学意义,治疗组压痛阈评分较对照组更高(P<0.05)。④自治疗开始至治疗14 d时,两组耐痛阈评分总体呈先上升后下降的趋势,治疗组更为明显,两组均在治疗7 d时达到最高值。组间治疗60 min、治疗7 d比较,差异有统计学意义,治疗组耐痛阈评分较对照组更高(P<0.05)。⑤组间治疗7 d、治疗14 d比较,ODI评分差异有统计学意义,治疗组明显低于对照组(P<0.05)。⑥试验期间,两组均无不良反应发生。 结论:相对单用筋痹方而言,加用耳穴压豆可更好地在短期内提高患者的压痛阈和耐痛阈,快速减轻腰部疼痛程度,这种效应能够持续到7 d;加用此疗法还能在14 d内更加明显地减轻患者腰椎功能障碍。
Objective:To observe the short-term efficacy of ear point-pressing in reducing pain in patients with lumbar disc herniation (LDH). MethodsNinety-six patients with LDH were randomly assigned into treatment group and control group, forty-eight patients in each group. The treatment group was treated with ear point-pressing combined with Jinbi recipe. The control group was given sham ear point-pressing combined with Jinbi recipe. The treatment course was 2 weeks in both groups. Safety was observed, and the pain VAS score, tenderness threshold score, pain tolerance threshold score and Oswestry dysfunction index (ODI) questionnaire score were compared. Results:①During the trial, there were 8 and 6 drop-outs in the treatment group and the control group, respectively. 40 patients in the treatment group and 42 in the control group completed the study. ②From the start of treatment to day 14 of treatment, the VAS scores showed a decreasing trend in both groups, with more significant decrease in the treatment group. There were significant differences in VAS scores at 60 minutes and 7 days after treatment, with lower scores in the treatment group than in the control group (P<0.05). ③From the start of treatment to day 14 of treatment, the tenderness threshold scores generally increased first and then decreased in both groups. The tenderness threshold score showed a more obvious tendency in the treatment group, having the highest value at 60 minutes after treatment, while the highest value occurred at 7 days after treatment in the control group. At 60 minutes after treatment, the tenderness threshold score was higher in the treatment group than in the control group (P<0.05). ④From the start of treatment to day 14 of treatment, the pain tolerance threshold scores generally increased first and then decreased in both groups, with a more obvious tendency in the treatment group. The highest value occurred at 7 days after treatment in both groups. There were significant differences in pain tolerance threshold scores at 60 minutes and 7 days after treatment, with higher scores in the treatment group than in the control group (P<0.05). ⑤There were significant differences in ODI scores at 7 and 14 days after treatment, with significantly lower scores in the treatment group than in the control group (P<0.05). ⑥During the trial, no adverse reactions occurred in either group. Conclusion:Compared with Jinbi recipe alone, the addition of ear point-pressing can better improve the patients’ tenderness threshold and pain tolerance threshold in a short term, and quickly reduce the degree of low back pain. This effect can last up to 7 days after treatment. The addition of ear point-pressing can also relieve lumbar vertebral dysfunction more remarkably in patients within 14 days.
腰椎间盘突出症耳穴压豆筋痹方短期疗效止痛
lumbar disc herniationear point-pressingJinbi recipeshort-term effiacypain relief
0
浏览量
434
下载量
0
CSCD
13
CNKI被引量
关联资源
相关文章
相关作者
相关机构