电针内麻点用于四肢手术后镇痛效应

目的:观察电针刺激内麻点用于四肢骨科手术后镇痛的有效性和安全性.方法:采用随机分组、平行对照、多中心临床试验方法,纳入200例病人,试验组100例为电针刺激内麻点加口服安慰剂,对照组100例为安慰针加口服盐酸曲马多片.结果:两组镇痛治疗前、后各时点的疼痛体征改善情况,试验组平均分数下降高于对照组(P<0.001);两组治疗后镇痛疗效比较,试验组优于对照组(P<0.001,P<0.05);两组治疗安全性等级比较,试验组明显高于对照组(P<0.001).结论:电针刺激内麻点用于四肢手术后镇痛效果及安全性均优于常规镇痛药.

Clinical observation on analgesic effect of electroacupuncture at Neimadian after operation of extremities

Objective To observe effectiveness and safety of electroacupuncture at Neimadian for analgesia in the extremities after orthopedic operation. Methods Two hundred cases enrolled were divided into two groups. The test group of 100 cases were treated with electroacupuncture at Neimadian and oral administration of placebo, and the control group of 100 cases with oral administration of tramadoli hydrochloride. Results The mean score for pain signs at all the time points before and after analgesic treatment in the test group had more decreases as compared with the control group (P<0.001); and in the good rate after treatment, the test group was higher than the control group (P<0.001,P<0.05), and for safety, the test group was higher than the control group (P<0.001). Conclusion The analgesic effect and safety of electroacupuncture at Neimadian are superior to the routine analgesic after operation of the extremities.