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电针承山、长强穴治疗痔疮疼痛疗效观察 被引量:47

Observation on therapeutic effect of electroacupuncture at Chengshan (BL 57) and Changqiang (GV 1) on hemorrhoidal pain
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摘要 目的:评价承山与长强穴配伍治疗痔疮疼痛的临床疗效。方法:将120例痔疮疼痛患者随机分为电针组与药物组,各60例。电针组取长强、承山穴,用频率为2/100Hz疏密波治疗;药物组使用止痛药曲马多口服和马应龙麝香痔疮栓剂纳肛对症治疗。两组共治疗5天,评价每日排便时疼痛的视觉模拟评分(VAS)变化情况。结果:电针组在治疗前VAS评分为6.64±3.66,从第2天针刺治疗后疼痛就明显减轻(P<0.05),第2天VAS评分为5.65±2.21,第5天VAS评分为1.85±1.24。药物组在治疗前VAS评分为6.58±3.18,从第3天起,疼痛较前明显减轻(P<0.05),VAS评分为4.86±2.04,第5天VAS评分2.24±1.46。两组在治疗第5天结束后,VAS疼痛评分组间差异无统计学意义(P>0.05)。结论:承山与长强穴远近配伍对改善痔疮排便疼痛是有效的。 Objective To assess the clinical effect of combination of far with near acupoints, Chengshan (BL 57) and Changqiang (GV 1), for acupuncture treatment of hemorrhoidal pain. Methods One hundred and twenty cases of hemorrhoids with pain were randomly divided into 2 groups, an electroacupuncture group and a medication group, 60 cases in each group. The electroacupuncture group were treated by electroaeupuncture at Changqiang (GV 1) and Chengshan (BL 57) with sparse-dense wave, frequency 2/100 Hz; and the medication group with oral administration of Tramadol and rectal application of Mayinglong Shexiang Zhichuang Suppository. The two group were treated for five days. Changes of pain were assessed by Visual Analogue Scale (VAS) scores at the defecation each day. Results In the electroaeupuncture group, VAS score was 6.64±3.66 before treatment and 5.65±2.21 on the second day of treatment with a significant decrease (P〈0.05), and 1.85±1.24 on the fifth day after treatment end. In the medication group, VAS score was 6.58±3.18 before treatment and 4. 86±2.04 on the third day after treatment with significant decrease compared with that before treatment, and 2.24±1.46 on the fifth day. There was no sig- nificant difference between the two groups in the pain score on the fifth day after the treatment end. Conclusion Combination of Chengshan (BL 57) with Changqiang (GV 1) is effective for improvement of hemorrhoidal pain in defecation.
出处 《中国针灸》 CAS CSCD 北大核心 2008年第11期792-794,共3页 Chinese Acupuncture & Moxibustion
关键词 电针 承山 长强 疼痛 Electroacupuncture Point BL 57 (Chengshan) Point GV 1 (Changqiang) Hemorrhoids Pain
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