The Study Of Early Postoperative Analgesia Efficacy Of Electro-acupuncture Therapy In Neima Point For LDH

ObjectivesThis study is designed to compare the analgesic effect, side effects etc of two methods:electro-acupuncture therapy in Neima point and oral celecoxib analgesic for lumbar disc herniation (LDH).And to verify the early postoperative analgesia efficacy of electro-acupuncture therapy in Neima point for spinal surgery. Hopefully could find a safe, effective and low side effects method for orthopedic perioperative analgesia, in order to alleviate the suffering of patients after surgery and to improve their quality of life.MethodsSelect patients met the inclusion criteria60, controlled clinical trials using methods into the pits treatment group and the control group of drugs. Drug control group were given half an hour to start oral celecoxib200mg ql2h; pitting treated within half an hour after the start to give the contralateral pitting acupuncture treatment q12h (after0.5h,12h,24h,36h, respectively, treatment time, a total of4times). Each group of patients before and after treatment indicators after48hours of pain scores at each time point, the use of pain medications, side effects and postoperative conditions such as sleep by day VAS score, observation and recording their results using statistical methods analysis, processing, scientific and systematic evaluation of the analgesic effect of two analgesic methods and possible side effects.Result60patients in the treatment group,30cases pitting drug control group of30cases. The results showed that: ①within48h observed in the treatment group completed23(76.67%), falling7(23.33%); the control group21(70.00%), falling9(30.00%), x2test analysis carried out between the two groups were significantly different (P=0.036<0.05).②0.5hours after the initial treatment of VAS scores in the treatment group1.23±1.18points,1.76±1.36points in the control group, two groups t test analysis, there are quite significant differences (P<0.01) statistically.2h after the first treatment and2times,3times to give a half-hour after treatment VAS scores between the two groups, two groups t test analysis showed differences (P<0.05) statistically.48hours after the first treatment, both groups were not analgesic treatment, VAS scores two situations:the treatment group3.78±1.08points,3.63±1.36points in the control group, t-test analysis of the two groups were statistically differences (P<0.05)③tracking two groups of patients continued analgesic pain conditions and needs48hours after the treatment group had10cases (43.40%) no longer need to be given analgesic treatment, the control group,7cases (33.33%) do not need to given analgesic treatment, x2test analysis carried out between the two groups were significantly different (P=0.033<0.05).④the pitting acupuncture treatment group because of side effects such as fainting occurs pitting internal analgesic drugs and switched off Case1(3.33%), drug control nausea due to oral celecoxib, gastrointestinal discomfort and not Change analgesic drugs off2cases (6.67%), x2test analysis carried out between the two groups differ (P=0.014<0.05).⑤among the treatment groups pitting pitting because the treatment is ineffective, the need for additional analgesia shedding6cases (20.00%) while the control group due to the analgesic effect of oral celecoxib poor the need for additional analgesic drugs shedding seven cases (23.33%), x2test analysis conducted between the two groups differ (P=0.022<0.05).ConclusionThe method of electro-acupuncture therapy in Neima point for lumbar disc herniation anesthesia postoperative pain treatment is effective, the analgesic effect is better than oral celecoxib;the side effects of electro-acupuncture therapy in Neima point group is lower than oral celecoxib group;the effective time of electro-acupuncture therapy in Neima point group is longer than oral celecoxib group.