不同针灸方法治疗外伤性神经损伤疗效观察  

Efficacy observation on traumatic nerve injury treated with different acupuncture therapies

作　　者：李树成[1] 卢佩斯[1] 老锦雄[1] 邓聪[1] 谷婷婷[1] 

机构地区：[1]佛山市中医院针灸科,广东佛山528000

出　　处：《中国针灸》2013年第11期993-995,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察电针、温针灸与电温针(电针结合温针)治疗外伤性神经损伤的临床疗效差异,寻找治疗本病的较佳疗法。方法:将93例肌电图及神经电图显示为中度损伤的外伤性神经损伤患者,按单盲随机原则分为电针组、温针灸组和电温针组3组,每组31例,均以损伤神经相关走向的阳明经及少阳经穴为主,分别予以单纯电针、单纯温针以及电针配合温针治疗,每日1次,15次为一疗程,经3个疗程(共45次)治疗后复查肌电图和神经电图并统计结果。结果:在总治愈率及有效率方面,电温针组为96.8%(30/31),较电针组74.2%(23/31)及温针灸组77.4%(24/31)为优(P<0.05);在肌电图改善程度方面,电温针组(96.8%,30/31)高于其余两组(74.2%,23/31;74.2%,23/31)(P<0.05);在神经传导及波幅恢复程度方面,电温针组[(50.9±4.6)m/s、(8.8±2.9)μV×1 000]也高于其余两组[(43.7±3.1)m/s、(4.2±1.9)μV×1 000,(43.8±3.3)m/s、(4.5±2.2)μV×1 000](P<0.05)。结论:电温针是治疗外伤性神经损伤的较佳针灸方法。Objective To observe the difference in the efficacy on traumatic nerve injury among electroacupuncture, warm needling therapy and electroacupuncture plus warm needling therapy and explore the better therapeutic method. Methods The electromyography （EMG） and electroneurography （ENG） of 93 cases showed traumatic nerve injury of moderate damage. According to the single blind randomization principle, they were divided into an electroacupuncture （EA） group, a warm needling therapy （WN） group and an EA plus WN group, 31 cases in each one. The main acupoints were selected from Yangming Meridian and Shaoyang Meridian corresponding to the distribution of damaged nerves. EA, WN and EA plus WN were applied separately. The treatment was given once every day, 15 treatments made one session. After 3 sessions of treatment （45 treatments in total）, EMG and ENG were re-checked and the results were analyzed sta- tistically. Results Regarding the total effective rate and effective rate, it was 96.8% （30/31） in the EA plus WN group, which was better than 74.2% （23/31） in the EA group and 77.4% （24/31） in the WN group （P〈0.05）. Concerning to the improvements of EMG, the result in the EA plus WN group was 96.8% （30/31）, which was better than the other two groups [74.2% （23/31）,74. 2% （23/31）] （P〈0.05）. In terms of the recovery of nerve conduction and amplitude, the results in EA plus WIN group [（50. 9±4. 6）m/s,（8.8±2.9）μV×1000] were better than the other two groups [（43. 7±3. 1）m/s,（4.2±1.9）μV×1000,（43.8±3.3）m/s,（4.5±2.2）μV×1000] （P〈0.05）. Conclusion EA combined with WN is a better therapy of acupuncture and moxibustion in the treatment of traumatic nerve injury.

关 键 词：神经损伤 电针 温针灸 电温针 肌电图 神经电图 

分 类 号：R246.2[医药卫生—针灸推拿学]