银质针对腰椎间盘突出症镇痛作用及其对血浆β-内啡肽的影响  

Analgesic effect of silver acupuncture and its influence on level of serum β-Ep in patients with lumbar disc herniation

作　　者：张琴[1] 郭成坤[1] 

机构地区：[1]荆门市第一人民医院康复科,湖北荆门448000

出　　处：《中国康复》2012年第5期342-344,共3页Chinese Journal of Rehabilitation

摘　　要：目的:观察银质针对腰椎间盘突出症(LDH)的镇痛作用及其对血浆β-内啡肽(β-EP)的影响。方法:72例LDH患者分为观察组38例和对照组34例,观察组采用银质针治疗,对照组采用常规电针治疗。结果:治疗10d后,观察组MPQ疼痛评分中选词阳性项目数、PRI感觉分、PRI总分、VAS及PPI评分均明显高于对照组(均P<0.01),而PRI情绪分2组间比较差异无统计学意义。治疗后观察组的镇痛起效时间明显早于对照组,镇痛维持时间明显长于对照组(均P<0.01);2组即刻和远期的VAS评分均较治疗前明显下降(均P<0.01),且观察组较对照组下降更显著(P<0.01);2组β-内啡肽含量与治疗前比较均上升(均P<0.01),且观察组上升更明显(P<0.01)。结论:银质针可提高LDH患者血浆β-EP活性,具有良好的即时和远期镇痛效应,且维持时间长。Objective：To observe the analgesic effect of silver acupuncture at jiaji acupoint and its influence on the level of serum i3-endorphin（^-EP）in patients with lumbar disc herniation（LDH）. Methods.. Seventy-two cases of LDH were randomly divided into observation group（n= 38）and control group（n= 34）. The observation group was given silver acupuncture and the control group electroacupuncture as usual. Results：After treatment for 10 days,the number of positive words in the MPQ pain scores,PRI feeling scores, total PR] scores, VAS and PPI scores in obser- vation group were significantly higher than those in control group（all P〈0.01） ,but there was no significant differ- ence in the PRI emotional scores between the two groups. After treatment, the analgesic onset time was earlier, and duration of analgesia was significantly longer in observation group than in control group（all P〈0.01 ）;immediate and long-term VAS scores were decreased significantly as compared with those before treatment（all P〈0.01） ,more obviously in observation group（P〈0.01） ;serum β-EP levels ascended in two groups as compared with pre-treatment （all P〈0.01）,and those in observation group were increased more significantly than in control group（P〈0.01 ）. Conclusion： Silver acupuncture at jiaji acupoint can increase the level of serum β-EP and displays better immediate as well as long-term analgesic effect.

关 键 词：银质针 电针夹脊穴 腰椎间盘突出症 镇痛 Β-内啡肽 

分 类 号：R246.2[医药卫生—针灸推拿学]