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电针治疗在腰椎融合术后早期镇痛的临床观察
引用本文:张建坡,贾永伟,黄正,郭际,翟伟峰,陆洪源.电针治疗在腰椎融合术后早期镇痛的临床观察[J].吉林中医药,2022,42(2):237-240.
作者姓名:张建坡  贾永伟  黄正  郭际  翟伟峰  陆洪源
作者单位:上海中医药大学附属光华中西医结合医院脊柱外科 ,上海 200052
基金项目:上海市科学技术委员会项目(18401904500);上海市长宁区科委项目(CNKW2018Y15)。
摘    要:目的 探讨电针刺激对腰椎融合术后患者早期镇痛的临床疗效.方法 将59例腰椎融合术患者纳入本研究,随机分为电针治疗组29例和对照组30例.对照组口服塞来昔布,每次200 mg,每日2次,治疗2周.电针治疗组术后24 h,电针刺激双侧委中、承扶、阳陵泉、足三里,时间为30 min,每天1次,共治疗2周.在术后1天、术后3天...

关 键 词:电针刺激  腰椎融合术  术后镇痛

Exploration on the clinical effect of the electroacupuncture stimulation on patients with an early analgesia after a lumbar fusion surgery
ZHANG Jianpo,JIA Yongwei,HUANG Zheng,GUO Ji,ZHAI Weifeng,LU Hongyuan.Exploration on the clinical effect of the electroacupuncture stimulation on patients with an early analgesia after a lumbar fusion surgery[J].Jilin Journal of Traditional Chinese Medicine,2022,42(2):237-240.
Authors:ZHANG Jianpo  JIA Yongwei  HUANG Zheng  GUO Ji  ZHAI Weifeng  LU Hongyuan
Institution:(Department of Spine Surgery,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200052,China)
Abstract:Objective To explore the clinical effect of the electroacupuncture stimulation on patients with an early analgesia after a lumbar fusion surgery.Methods A total of 59 patients with a lumbar fusion surgery were enrolled in this study,and they were randomly divided into an electroacupuncture treatment group (29 cases) and a control group (30 cases).The control group took celecoxib orally,200 mg each time,twice a day for 2 weeks,while in the electroacupuncture treatment group,24 hours after the operation,the two sides of Weizhong (B40),Chengfu (B36),Yanglingquan (G34),and Zusanli (S36) were stimulated with electroacupuncture for 30 minutes,once a day,for a total of 2 weeks.The VAS score,ODI score,and degree of straight leg elevation were compared between the two groups on the first day,the third day,the first week and the second week after surgery.Results Compared with the first day after surgery,the VAS scores and ODI scores of pain in lower extremities and the waist in the two groups were lower than those on the third day,the first week and the 2nd week after surgery,while the degree of straight leg elevation was increased,and all the above indexes in the electroacupuncture treatment group were better than those in the control group (P<0.05).Conclusion The electroacupuncture treatment can relieve rigidity of muscles,activate collaterals and relieve pain,reducing the pain of patients after the lumbar surgery and the use of analgesics by increasing tissue metabolism,promoting qi and blood circulation and eliminating inflammatory edema.
Keywords:electroacupuncture stimulation  lumbar fusion  postoperative analgesia
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