银质针导热治疗高龄患者慢性软组织疼痛的安全性及疗效  

Safety and efficacy of silver needle thermo-conduction therapy for elderly patients with chronic pain in soft tissue

作　　者：范后宝 张广宇 郭松 董剑 郑昊 

机构地区：[1]江苏省徐州仁慈医院疼痛科,221000

出　　处：《实用疼痛学杂志》2015年第3期213-215,共3页Pain Clinic Journal

摘　　要：目的观察银质针治疗80岁以上高龄老年慢性疼痛患者的安全性及疗效。方法慢性疼痛时间超过半年，同时VAS评分大于5的80岁以上老年软组织疼痛患者40例，根据不同疼痛部位采用不同长度的银质针，对准深层病变方向行直刺或斜刺至病变部，并观察针刺前10min、局部麻醉即刻、局部麻醉后5rain、针刺即刻和针刺治疗后1h时心率、呼吸、血压、血氧饱和度、心电图变化，检测治疗前和治疗后血常规、C反应蛋白、转氨酶及心肌酶的变化；同时观察治疗1周、3周后分别进行疼痛VAS评分、治疗效果评级及相关并发症。结果围治疗期不同时点各指标差异无统计学意义（P〉0．05）；治疗后1周、3周患者疼痛明显缓解（P〈0．05），其优良率分别为97．5％（39／40例）和90．0％（36／40例）。治疗时心电图有异常改变者治疗后消失。结论银质针治疗高龄慢性疼痛患是相对安全有效的方法。Objective To evaluate the safety and efficacy of silver needle in the treatment of elderly patients with chronic pain in soft tissue. Methods Forty patients with chronic pain over the age of 80, more than six months and VAS 〉 5, were received silver needle thermo-conduction therapy. The data concerned were documented and analyzed before and after the treatment, including blood routine examination, C-reac- tive protein, aminotransferase, myocardial enzymes determination. The changes of heart rate, respiration, blood pressure, oxygen saturation of blood and electrocardiogram were monitored dynamically before, during and after silver needle thermo-conduction therapy and local anesthesia. Results There was no significant difference in all indexes at each time point during peri-treatment （P 〉 0.05）. VAS was significantly decreased 1 and 3 weeks after the treatment （P 〈 0.05） , the excellent and good rate was 97.5% （39/40 cases） and 90.0% （36/40 cases） respectively. The changes of electrocardiogram during the treatment disappeared after the treatment. Conclusion The silver needle thermo-conduction therapy is safe and effective for relieving the soft tissue chronic pain in elderly patients.

关 键 词：老年人 疼痛 慢性病 银质针 

分 类 号：R441.1[医药卫生—诊断学]