穴位体表电刺激治疗肩关节周围炎和腰椎间盘突出症的临床对照研究

A CONTROLLED STUDY ON THE TREATMENT OF SHOULDER PAIN AND HERNIATED LUMBER DISC WITH TRANSCUTANEOUS ELECTRIC NERVE STIMULATION

摘要:

本文参照针灸理论和临床经验选取穴位,对53 名肩周炎患者和27 名腰椎间盘突出症患者采用韩氏穴位神经刺激仪( HANS) 进行体表神经电刺激(Transcutaneous Electric Nerve Stimulation , TENS) 治疗,观察其治疗效果,并随机选取同一时期肩周炎患者21 例、腰椎间盘脱出症患者24 例,采用常规理疗作为对照。结果表明,(1) 穴位TENS治疗对肩周炎和腰椎间盘突出症均有即时和长期的止痛作用,其即时止痛效果显著优于常规理疗;(2) 在改善关节功能及提高日常活动能力方面,TENS的疗效与常规理疗相近似。我们认为,鉴于HANS 治疗简便易行,建议在临床上得到更广泛的应用;该法如与常规理疗配合应用,有望增加疗效

Abstract:

Fifty three patients with shoulder pain as well as 27 patients with herniated lumber disc were treated with transcutaneous electric nerve stimulation (TENS). TENS was delivered using Han's Acupoint Nerve Stimulator (HANS) through traditional acupoints. Twenty one patients with shoulder pain as well as 24 patients with herniated lumber disc accepted conventional physiotherapy served as the control group. The result shows that (1) TENS of acupoints displays instant as well as long term analgesic effect in both conditions. In the case of shoulder pain, HANS is significantly more effective than conventional physiotherapy; (2) TENS displays a similar efficacy in prompting the improvement of joint function and the life activities as physiotherapy. We conclude that, since treatment with HANS is simple and easy to operate, it could be recommended for more popular use in clinical practice, and that a better therapeutic effect would be expected if it is used in combination with conventional physiotherapy.