Balanced acupuncture, a single-acupoint balance therapy, regulates the balance of the cerebral center, and is characterized by exerting quick effects and a short treatment course. A total of 20 low-back and leg pain p...Balanced acupuncture, a single-acupoint balance therapy, regulates the balance of the cerebral center, and is characterized by exerting quick effects and a short treatment course. A total of 20 low-back and leg pain patients with lumbar disc herniation were treated with balanced acupuncture or body acupuncture. Central mechanisms of vaded acupunctures were compared using resting-state functional MRI. Patients from both groups received functional MRI before and after acupuncture. Functional connectivity in brain regions that were strongly associated with the bilatera amygdala was analyzed utilizing AFNI software. Visual analogue scale scores were greater in the balanced acupuncture group compared with the body acupuncture group. Function of the endogenous pain regulation network was enhanced in patients in the balanced acupuncture group, but was not changed in the body acupuncture group. This result indicates that the analgesic effects of body acupuncture do not work through the central nervous system. These data suggest that balanced acupuncture exerts analgesic effects on low-back and leg pain patients with lumbar disc herniation by regulating the function of the endogenous pain regulation network.展开更多
目的分析接纳与承诺护理与腰背功能锻炼在骶管阻滞镇痛术治疗腰椎间盘突出(lumbar intervertebral disk protrusion,LIDP)引起坐骨神经痛患者中的应用价值。方法选取2022年8月至2023年8月绵阳市中心医院收治的100例行骶管阻滞镇痛术治疗...目的分析接纳与承诺护理与腰背功能锻炼在骶管阻滞镇痛术治疗腰椎间盘突出(lumbar intervertebral disk protrusion,LIDP)引起坐骨神经痛患者中的应用价值。方法选取2022年8月至2023年8月绵阳市中心医院收治的100例行骶管阻滞镇痛术治疗的LIDP坐骨神经痛患者作为研究对象,按照随机数字表法分为观察组与对照组,每组50例。观察组采取接纳与承诺护理与腰背功能锻炼,对照组采取腰背功能锻炼,比较两组护理满意度、日本骨科协会下腰痛评估量表(Japanese Orthopaedic Association low back pain scale,JOA)评分、视觉模拟评分法(visual analogue scale,VAS)、接纳与行动问卷第二版(acceptance and action questionnaire-second edition,AAQ-Ⅱ)、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)。结果观察组护理总满意度为96.00%,高于对照组的78.00%,差异有统计学意义(P<0.05);护理后,两组JOA评分均高于护理前,VAS、AAQ-Ⅱ评分均低于护理前,且观察组JOA评分高于对照组,VAS、AAQ-Ⅱ评分均低于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论对LIDP骶管阻滞镇痛术后引起的坐骨神经痛患者采取接纳与承诺护理联合腰背功能锻炼可增强护理效果,改善腰背功能,较单独腰背功能锻炼更能缓解患者负面情绪,减轻术后疼痛,提高自我接纳能力。展开更多
基金funded by the Scientific Research Innovation Program regarding Traditional Chinese Medicine of Guangzhou University of Chinese Medicine (Central mechanism of balanced acupuncture for lumbar disc herniationusing functional MRI), No. 09CX068
文摘Balanced acupuncture, a single-acupoint balance therapy, regulates the balance of the cerebral center, and is characterized by exerting quick effects and a short treatment course. A total of 20 low-back and leg pain patients with lumbar disc herniation were treated with balanced acupuncture or body acupuncture. Central mechanisms of vaded acupunctures were compared using resting-state functional MRI. Patients from both groups received functional MRI before and after acupuncture. Functional connectivity in brain regions that were strongly associated with the bilatera amygdala was analyzed utilizing AFNI software. Visual analogue scale scores were greater in the balanced acupuncture group compared with the body acupuncture group. Function of the endogenous pain regulation network was enhanced in patients in the balanced acupuncture group, but was not changed in the body acupuncture group. This result indicates that the analgesic effects of body acupuncture do not work through the central nervous system. These data suggest that balanced acupuncture exerts analgesic effects on low-back and leg pain patients with lumbar disc herniation by regulating the function of the endogenous pain regulation network.
文摘目的分析接纳与承诺护理与腰背功能锻炼在骶管阻滞镇痛术治疗腰椎间盘突出(lumbar intervertebral disk protrusion,LIDP)引起坐骨神经痛患者中的应用价值。方法选取2022年8月至2023年8月绵阳市中心医院收治的100例行骶管阻滞镇痛术治疗的LIDP坐骨神经痛患者作为研究对象,按照随机数字表法分为观察组与对照组,每组50例。观察组采取接纳与承诺护理与腰背功能锻炼,对照组采取腰背功能锻炼,比较两组护理满意度、日本骨科协会下腰痛评估量表(Japanese Orthopaedic Association low back pain scale,JOA)评分、视觉模拟评分法(visual analogue scale,VAS)、接纳与行动问卷第二版(acceptance and action questionnaire-second edition,AAQ-Ⅱ)、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)。结果观察组护理总满意度为96.00%,高于对照组的78.00%,差异有统计学意义(P<0.05);护理后,两组JOA评分均高于护理前,VAS、AAQ-Ⅱ评分均低于护理前,且观察组JOA评分高于对照组,VAS、AAQ-Ⅱ评分均低于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论对LIDP骶管阻滞镇痛术后引起的坐骨神经痛患者采取接纳与承诺护理联合腰背功能锻炼可增强护理效果,改善腰背功能,较单独腰背功能锻炼更能缓解患者负面情绪,减轻术后疼痛,提高自我接纳能力。
