Abstract
Objective
To observe the clinical efficacy of electroacupuncture (EA) combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation (LIDH).
Methods
A total of 80 LIDH cases were randomly allocated into a treatment group and a control group by the random number table, 40 in each group. Cases in the treatment group were treated with EA combined with iontophoresis of Chinese medicine, whereas cases in the control group were treated with EA alone. Cases in both groups were treated once a day, 10 times for one course and there was a 3-day interval between two courses. The therapeutic efficacies in two groups were assessed after two courses of treatment. The short-form McGill pain questionnaire (SF-MPQ) and Japanese Orthopedic Association (JOA) low back pain evaluation questionnaire were used for the scoring system before treatment, after the first treatment and 2 courses of treatment.
Results
After two courses of treatment, the total effective rate was 95.0% in the treatment group, versus 87.5% in the control group, showing a statistical difference (P<0.05). The therapeutic efficacy in the treatment group was significantly better than that in the control group after the first treatment and 2 courses of treatment. The score of SF-MPQ in the treatment group was more significantly decreased and the JOA score in the treatment group was more significantly increased, showing statistical differences (P<0.01).
Conclusion
EA at Jiaji (EX-B 2) points combined with iontophoresis of Chinese medicine is better than EA alone in alleviating low back and leg pain and improving functions of the low back and leg as well as the quality of life of LIDH patients.
摘要
目的
观察电针腰夹脊穴配合中药离子导入治疗腰椎间盘突出症(lumbar intervertebral disc herniation, LIDH)的疗效。
方法
采用随机数字表法将80例LIDH患者随机分为观察组和对照组, 每组40例。 观察组采用电针腰部夹脊穴结合中药离子导入治疗, 对照组采用与观察组相同的电针治疗。 两组患者均每日治疗1次, 10次为1个疗程, 2个疗程中间休息3 d, 治疗2个疗程后进行疗效观察。 治疗前、 首次治疗后及治疗2个疗程后, 进行简式McGill疼痛询问量表(short-form McGill pain questionnaire, SF-MPQ)和日本骨科协会(Japanese Orthopedic Association, JOA)下腰痛评分量表评分。
结果
经2个疗程治疗后, 治疗组总有效率为95.0%, 对照组为87.5%, 两组总有效率差异有统计学意义(P<0.05); 其中首次治疗与2个疗程治疗后比较, 治疗组的疗效均明显优于对照组, SF-MPQ评分均明显降低, 下腰痛JOA评分升高明显, 治疗组更为显著, 差异有统计学意义(P<0.01)。
结论
电针腰夹脊穴结合中药离子导入能够有效缓解LIDH患者的腰腿痛, 改善腰腿部功能障碍, 从而提高患者的生活质量, 其疗效优于单纯电针腰夹脊穴。
Similar content being viewed by others
References
Liang GW. Therapeutic efficacy observation on comprehensive rehabilitation therapy for lumber disc herniation. Zhonghua Wuli Yixue Yu Kangfu Zazhi, 2009, 31(3): 191–193.
State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects of Diseases and Syndromes in Traditional Chinese Medicine. Nanjing: Nanjing University Press, 1994: 214–215.
Yang SB, Mei ZG, Cai SJ, Chen JH, Zhou C. Clinical observation on treatment of different connectors used in electroacupuncture at Jiaji (EX-B 2) points for treatment of relapsed lumbar disc herniation. Hubei Zhongyi Zazhi, 2011, 33(6): 14–16.
Ma GZ, Zhang Y, Chen L, Feng XX. Comparative study on the therapeutic efficacies of electroacupuncture with various waves for lumbar disc herniation and the effect on serum interleukin 6. Shanghai Zhenjiu Zazhi, 2014, 33(2): 153–156.
Wang Y, Zhang Y, Wang W, Cao Y, Han JS. New evidence in synergetic analgesic effect of endomorphin and dynorphin. Zhongguo Tengtong Yixue Zazhi, 2002, 8(2):118–119.
Miu HS. Theory and Practice of Rehabilitation Medicine. Shanghai: Shanghai Scientific & Technical Publishers, 2000: 1167–1168.
Liu ZX. Common Diagnostic Classification Methods and Functional Assessment Criteria in Orthopedics. Beijing: Beijing Science and Technology Press, 2005: 335, 339–340.
Lu YY. Chinese herbal fumigation combined with electroacupuncture at Jiaji (EX-B 2) points for lumbar disc herniation in 60 cases. Zhongguo Zhongyiyao Keji, 2012, 19(1): 87–88.
Wu WQ, Liu FM, Guo YP. Application and action mechanism of Jiaji (EX-B 2) points in lumbar disc herniation. Zhongguo Zhongyi Jizheng, 2011, 20(12): 1997–1998.
Guo HQ. Needling Jiaji (EX-B 2) points for lumbar disc herniation in 43 cases. Zhongyi Zazhi, 2007, 48(4): 338–339.
Zhao JY. Electroacupuncture at lumbar Jiaji (EX-B 2) points for lumbar disc herniation. JCAM, 2008, 24(4): 10–11.
Yan HL, Tao RG, Cao J, An J. Electroacupuncture for lumbar disc herniation in 31 cases. JCAM, 2002, 18(5): 39–40.
Yuan FG, Liu F. Electroacupuncture using electrodes connecting lumbar vertebrae for lumbar disc herniation in 96 cases. Hebei J TCM, 2003, 25(10): 767–768.
Li L, Yuan K, Zhang LH, Wang H. Randomized controlled observation on treating lumbar disc herniation by EA at Jiaji (EX-B 2) points. Zhonghua Zhongyiyao Xuekan, 2013, 31(3): 630–632.
Chen XH, Guo SF, Han JS. Selection of optimal analgesic stimulation using sparse-dense wave in electroacupuncture. Beijing Yike Daxue Xuebao, 1993, 25(5): 338.
Cai YL, Wang SS, Wang Y. Observation and TCM care on low-temperature radiofrequency ablation combine with iontophoresis of Chinese medicine for lumbar disc herniation. Neimenggu Zhongyiyao, 2014, (6): 93.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zhang, Jp., Tang, Q. & Zhu, Lw. Electroacupuncture combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation. J. Acupunct. Tuina. Sci. 13, 105–110 (2015). https://doi.org/10.1007/s11726-015-0831-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-015-0831-0
Keywords
- Intervertebral Disc Displacement
- Low Back Pain
- Electroacupuncture
- Acupuncture Therapy
- Point, Jiaji (EX-B 2)
- Drugs, Chinese Herbal
- Iontophoresis