世界中医药2017，Vol.12Issue(12)：3078-3081,4.DOI:10.3969/j.issn.1673-7202.2017.12.055
耳穴联合腰夹脊穴对椎间盘源性腰痛急性发作的即刻效应
Observation on Immediate Effects of Auricular Acupuncture Combined with Lumbar Jiaji Points on Acute Discogenic Low Back Pain
摘要
Abstract
Objective:To observe the immediate effects of auricular acupuncture combined with lumbar Jiaji points ( EX-B2) in the treatment of acute lumbar discogenic pain,and to provide new ideas for clinical treatment of lumbago.Methods:A total of 90 patients with acute lumbar pain who were admitted to our hospital from January 2016 to December 2016 were enrolled in this study.In accordance with the order of treatment,the selected patients were divided into observation group and control group,45 cases in each group.There were no statistical differences in age,gender,course of disease of two groups (P>0.05),which meant they were comparable.The control group was treated with normal acupuncture in Jiaji (EX-B2),and the observation group was added magnetic auricular plaster treatment based on control group.The McGILL scores,JOA score of low back pain and Oswestry disa-bility index score of patients 30 min before and after treatment were recorded respectively.Enzyme linked immunosorbent assay (Elisa) was used to detect the concentrations of five HT (5-HT) and beta endorphin (β-EP) in the peripheral blood of the pa-tients 30 min before and after treatment.Results:The differences in McGILL,JOA low back pain score and Oswestry disability in-dex score efficacy of two groups before and after treatment were not statistically significant ( P>0.05 ),which meant they were comparable.After treatment,the scores showed improvement after treatment,but the score of the observation group was signifi-cantly better than the control group with statistically significant difference ( P<0.05 ).Before treatment,the difference in 5-HT content in the blood of two groups were not statistically significant (P>0.05).After treatment,5-HT of two groups was found sig-nificantly increased,and that in treatment group was better than in control group (P<0.05).Before treatment,the difference in beta-EP content of two groups were not statistically significant (P>0.05).After treatment,it was found that beta-EP contents of two groups were significantly decreased,and the decrease in observation group was larger than that in the control group ( P<0.05).Conclusion:For Auricular points combined lumbar Jiaji point (EX-B2) in the treatment of discogenic low back pain,the immediate effect of the acute exacerbation of patients showed that it can improve the overall symptoms and pain /limb function,and the effect and possible mechanism might be related with 5-HT and beta-EP changes.关键词
耳穴/腰夹脊穴/椎间盘源性腰痛/急性发作/即刻效应Key words
Auricular points/Lumbar Jiaji (EX-B2)/Acute discogenic low back pain/Immediate effect分类
医药卫生引用本文复制引用
毕圣洁,郑文贤,林建忠,吴素华..耳穴联合腰夹脊穴对椎间盘源性腰痛急性发作的即刻效应[J].世界中医药,2017,12(12):3078-3081,4.基金项目
2014年建设中医药强省立项资助科研课题(20141147) （20141147）
