本研究评价针刺治疗对退行性腰椎疾病患者术后疼痛的疗效,探讨针刺术后镇痛效果与患者针刺感受的关系。
这项回顾性研究分析了97例因退行性腰椎疾病而接受同一位外科医生手术的患者的医疗记录。这些患者被分为针刺组(n=32),患者自控镇痛(PCA)组(n=27),和口服镇痛组(n=38)根据不同的术后镇痛方法。在他们住院期间,患者使用视觉模拟量表(VAS)完成每日疼痛评估,并记录补充哌替啶的注射时间。此外,针灸组使用中文版麻省总医院针灸感觉量表(C-MASS)。
三个治疗组均显示术后疼痛显著减轻,如降低的VAS分数所示。针灸组,然而,反弹疼痛少于其他两组(P<0.05)。针刺组和PCA组的急性镇痛效果均优于口服镇痛组。此外,术后第二天C-MASS指数越高,术后第4天VAS评分越低.针刺感觉的“隐痛”也存在显着差异。
结果表明,针刺对退行性脊柱疾病单纯手术后的疼痛和不适有益。值得注意的是,患者的针刺感觉与疼痛VAS评分的改善之间存在不成比例的相关性。
This study evaluated the effectiveness of acupuncture treatment on postoperative pain in patients with degenerative lumbar spine disease, and explored the relationship between the postoperative analgesic effect of acupuncture and the
sensation of acupuncture experienced by the patients.
This retrospective study analyzed the medical records of 97 patients who had undergone an operation by the same surgeon due to degenerative lumbar disease. These patients were divided into acupuncture group (n = 32), patient-controlled analgesia (PCA) group (n = 27), and oral analgesia group (n = 38) according to the different postoperative analgesic methods. During their hospitalization, patients completed daily evaluations of their pain using a visual analogue scale (VAS), and injection times of supplemental meperidine were recorded. Also, the Chinese version of the Massachusetts General Hospital Acupuncture
Sensation Scale (C-MASS) was used in the acupuncture group.
Each of the three treatment groups showed significant reductions in postoperative pain, as shown by reduced VAS scores. The acupuncture group, however, had less rebound pain (P < 0.05) than the other two groups. Both the acupuncture and PCA groups experienced acute analgesic effects that were superior to those in the oral analgesia group. In addition, the higher the C-MASS index on the second day after surgery, the lower the VAS score on the fourth day after surgery. There was also a significant difference in the \"dull pain\" in the acupuncture
sensation.
The results demonstrated that acupuncture was beneficial for postoperative pain and discomfort after simple surgery for degenerative spinal disease. It is worth noting that there was a disproportionate relevance between the patient\'s acupuncture
sensation and the improvement of pain VAS score.