| ObjectiveLumbar disc herniation (LDH) is a common clinical disease, acute attack of severe pain in the waist to the side of the lower extremity radiation, and lateral lumbar flexion and extension activities blocked the main symptoms. Acute lumbar disc herniation, if the pain is not timely, the waist was pathological muscle increased muscle tension, while the lumbar spinal nerve root edema will continue to cause permanent nerve damage. Therefore, when acute lumbar disc herniation, fast and lower back muscle pain and muscle tension, and eliminate the lumbar nerve root edema, for the treatment of lumbar disc herniation, prognosis and recovery are of great significance.Acupuncture is an important part of traditional medicine and its clinical efficacy has been affirmed. In recent years, clinical medical workers have done a lot of clinical and experimental studies confirmed lumbar disc herniation in the treatment of acupuncture's efficacy. However, most previous studies did not address acute lumbar disc herniation of the time when the relationship between acupuncture analgesia, ie emergency care study of this disease remains to be strengthened. Can be used to find out an emergency, the rapid onset of acute onset of lumbar disc herniation analgesic therapy is a must.Mention of this issue by observing the insertion point on the river after the acute lumbar disc herniation analgesic onset time, duration, summary McGill Pain Questionnaire (SF-MPQ), facial expressions of pain scale (FPS-R), improved Ashworth Scale (MAS) score changes,To facial pain expression scale (FPS-R) score to determine changes in onset time and duration of the modified Ashworth Scale (MAS) to determine changes in muscle tone.After analysis of lift and thrust through the River Point of acute lumbar disc herniation between analgesic efficacy of time, provide for the rapid insertion point after the river used in the emergency treatment of lumbar disc herniation provide the basis for acute attack.MethodsAll subjects in 2009,1 month - November 2010 in Wuhan, Central Hospital Rehabilitation inpatient acute lumbar disc herniation in 75 patients Strictly abide by the 1994 State Administration of Traditional Chinese disease diagnosis and efficacy of the formulation of criteria for the diagnosis of lumbar disc herniation, in all cases after a 1.5T MRI and 64-slice CT diagnosis. Single-blind randomized into 3 groups:25 patients in the group of "HouXi", hot group of 25 patients in the control group of 25 patients. "HouXi" group:After taking both sides of the River Point, needle lift and thrust line, and then use the "DaChangShu","GuanYuanShu","ShenShu", way to Electroacupuncture treatment, once daily treatment for 2 weeks; Hot group:local hot on the waist 5 minutes, and then use electric acupuncture, electric acupuncture method after the river with the group, once daily treatment for 2 weeks; Control group:only way to Electroacupuncture treatment by the method "HouXi" with the group, once daily treatment for 2 weeks.Recorded before and after treatment McGill Pain Questionnaire summary (SF-MPQ), facial expressions of pain scale (FPS-R), Modified Ashworth Scale (MAS) score changes.The FPS-R analgesia after the first treatment to determine onset time, duration, and then complete the statistical analysis, Analysis of MAS, SF-MPQ score change correlation.Results1,After the first treatment in each group the average onset time of analgesia compared with group after the river 17.95±1.41 (minutes), hot pack group,24.29±1.17 (minutes), the control group was 27.35±1.92 (minutes)."HouXi" group and the heat after the group had significant differences (P<0.01), hot compared with the control group there was significant difference (P<0.05).2,Each group after the first treatment duration of analgesia compared with group "HouXi" 17.22±1.82 (h), hot packs, group,15.25±1.55 (h), the control group was 14.10±1.12 (h), "HouXi" group and the heat after the group had significant differences (P<0.01), hot compared with the control group there was significant difference (P<0.05)。3,After treatment, SF-MPQ score difference before and after comparison group "HouXi" Group and the heat there was a significant difference (P<0.01), "HouXi" group compared with the control group there was significant difference (P <0.01), hot compared with the control group there was significant difference (P<0.05)4,After treatment, MAS score difference before and after comparison group "HouXi" Group and the heat there was a significant difference (P<0.01), "HouXi" group compared with the control group there was significant difference (P <0.01), hot compared with the control group there was significant difference (P<0.05)5,Each group of SF-MPQ score was positively correlated with the MAS scores.Conclusions1,River Point, after fast compared to mention hot plug and traditional acupuncture, can quickly produce analgesic effect. "HouXi" group after the onset time is better than hot group hot group than the control group。2,River Point after inserting quick to mention hot and traditional acupuncture compared to the first treatment can produce more lasting analgesic effect, "HouXi" group was better than hot group hot group than the control group。3,Analgesic efficacy in the latter group was superior to hot stream and control groups, hot group than the control group。4,Muscle tension and improve after treatment, the river was better than after the heat and control groups, hot group than the control group。5,River Point, after fast lift and thrust can be generated within a relatively short time the analgesic effect, and heat treatment can also produce a relatively short period of time analgesic effect, The mechanism may be reduced waist high muscle tension, so that their removal, EA played a nerve root edema, reducing the role of local nerve sensitivity. |
PDF Full Text Request