最新尺胫针结合电针治疗腰椎间盘突出症的镇痛时效及对表面肌电图的影响.pdf

异。混合组和尺胫针组明显优于电针组，混合组起效时间最快。 3. 各组首次治疗后镇痛维持时间比较，尺胫针组为21.174.69 （小时），电针组 为15.126.99 （小时），混合组为30.6012.26 （小时），三组比较有（P0.01），有 显著性差异。混合组优于尺胫针组和电针组，混合组维持时间较长。 4.治疗后Oswestry 功能障碍指数评分比较：三组治疗均能改善腰椎间盘突出症 患者的 Oswestry 功能障碍指数，三组比较 P0.1。混合组明显优于尺胫针组和电针 组，混合组能够较好的提高患者Oswestry 功能障碍指数。 5.治疗后患者表面肌电RMS 及MF 的变化比较：各组治疗前后比较，P 值均0.05, 三组治疗均能改善腰部竖脊肌的表面肌电图值。各组组间比较，P 值均0.05,说明在 治疗后三组的表面肌电图RMS 和MF 的改善无统计学差异。 结 论：三组疗法对腰椎间盘突出症均有疗效，尺胫针对腰椎间盘突出症具有良好的 镇痛作用，其在镇痛起效速度和镇痛维持时间优于电针组，尺胫针结合电针组除了在 镇痛起效速度和镇痛维持时间优于电针组外，其近期镇痛疗效亦优于其他两组。在总 体疗效上尺胫针结合电针组有明显的优势，三种治疗方法对患者下腰部的表面肌电 RMS 及MF 均有影响。 关键词：腰椎间盘突出症；尺胫针；电针；镇痛时效；表面肌电图 Time-dependent Analgesic Effect and The Influence of Surface EMG of Treatment of Lumbar Disc Herniation by Chi-jing Needle Combined with Electric Acupuncture Abstract Objective: To assess the time-dependent analgesic effect,short-term efficacy and the influence of low back muscles’surface electromyography RMS (Root Mean Square) and MF (Median, Frequency) changes of Chi-jing needle combined with electroacupuncture among patients with idiopathic lumbar disc herniation. Discussed the synergistic effect of acupuncture treatment programs of Chi-jing needle combined with electroacupuncture, to provide synergistic effect treatment of lumbar disc herniation. Method: 108 cases included in the standard program were randomly divided into： Chi-jing needle group, electric acupuncture group and mixed group (i.e.Chi-jing needle combined with Electric acupuncture group, the same below). The location of the pain and acupuncture points of Chi-jing needle group were selected based on scale selection method of lesions with Foot-Taiyang Shin (ankle knee between) or / and foot Shaoyang meridian skin area Shin with arbitrary horizontal; flat spiked into the subcutaneous tissue, with up and down pressure, swung around, with twisting and swivel technique. The number of how many acupuncture