针刺和针药复合对腰椎间盘突出症术后镇痛作用的临床研究  

A Clinical Study on Analgesic Effect of Acupuncture and Acupuncture Combined with Medicine on Postoperative Pain of Resection of Nucleus Pulposus of Lumbar Intervertebral Disc

作　　者：莫孝荣[1] 陈正秋[1] 石宏[1] 

机构地区：[1]中国中医研究院针灸研究所,北京100700

出　　处：《针刺研究》2000年第4期296-299,共4页Acupuncture Research

摘　　要：用电针、电针加半量度冷丁和全量度冷丁三种方法 ,对 30例腰椎间盘突出症患者术后疼痛的镇痛作用进行了观察和比较。结果发现 ,单纯电针组在术后第一天基本不出现或仅有轻微疼痛 ,以后 2天不再出现疼痛。其术后第一天和第二天的镇痛优良率或优级率皆高于另外两组。针药复合组较单纯药物组在术后第一天的镇痛优良率好。术后第三天 3组皆达到完全的镇痛效果。电针开始产生镇痛作用的时间和持续时间皆长 ;度冷丁镇痛与之相反。二者结合可取长补短。为此 ,我们提倡术后镇痛应在早期疼痛未出现前进行预防性电针。若电针后仍出现疼痛 ,则用电针加半量度冷丁即可达到较好的效果。The analgesic effect of 3 kinds of therapies, electroacupuncture (EA), EA combined with half dose of dolantin (EAHDD) and full dose of dolantin (FDD) on postoperative pain was observed and compared in 30 cases of protrusion of lumbar intervertebral disc after surgical operation. It was found that postoperative pain did not appear in 9 of the 10 cases and slight pain occurred in the rest one case on the same day after the operation in EA group. The excellent or good analgesic rate of EA group was higher than that of either EAHDD group or FDD group (P<0. 01), and the excellent and good analgesic rate of the EAHDD group was higher than that of FDD group on the first day after the operation (P<0.05). Excellent analgesic effect was obtained in all the three groups on the 3rd day after the operation. Compared with the effect of dolantin, the analgesic effect of EA initiated later, but remained longer. In order to strengthen the strong point and offset the weakness, the combination of the two therapies with a reduced dose of anesthetics is advisable. Therefore, we advocate that EA should be applied earlier after operation to prevent pain occurrence. If pain still appears after EA, a half dose of dolantin may be used to achieve the best analgesic effect.

关 键 词：腰椎间盘突出症 针药复合镇痛 针刺疗法 

分 类 号：R274.915.3[医药卫生—中西医结合] R246.2[医药卫生—中医骨伤科学]