Effect of auricular point sticking on pain due to lumbar strain

摘要

目的

观察耳穴贴压对腰肌劳损疼痛的影响。

方法

将60 例腰肌劳损患者按1:1 比例随机分为2 组, 观察组30 例给予耳穴贴压配合外贴膏药治疗, 对照组30 例仅给予外贴膏药治疗。于治疗前、 治疗3 d、治疗2 星期进行简化McGill疼痛问卷(Short-form of McGill Pain Questionnaire, SFMPQ)评分 及副反应评估。

结果

治疗3 d后, 观察组McGILL疼痛问卷的(Pain Rating Index, PRI)、视觉模拟评分 (Visual Analogue Scale, VAS)、现有疼痛强度(Present Pain Intensity, PPI)均较治疗前有改善(均P<0.05), 而对照组在PRI、VAS、PPI方面改善均无统计学意义; 治疗2 星期后, 两组的PRI、VAS、PPI较治疗前均有明显改善(均P<0.01), 两组PRI差异有统计学意义(P<0.05), VAS、PPI无统计学差异。治疗后两组副反应均较低, 有少许皮肤瘙痒, 但两组间差异无统计学意义。

结论

耳穴贴压配合外贴膏药治疗腰肌劳损疼痛疗效优于单纯的外贴膏药, 且安全可靠。

Abstract

Objective

To observe the effect of auricular point sticking on pain due to lumbar strain.

Methods

Sixty patients with lumbar strain were randomized at ratio of 1:1 into two groups. The 30 cases in the observation group were given auricular point sticking plus externally applied medicinal plaster; the other 30 cases in a control group were only treated by the plaster. The Short-form of McGill Pain Questionnaire (SFMPQ) was adopted before treatment, after 3-day treatment, and at the end of 2-week treatment, for scoring and evaluation.

Results

After 3-day treatment, the observation group gained significant improvement in Pain Rating Index (PRI), Visual Analogue Scale (VAS), and Present Pain Intensity (PPI) (P<0.05), while the improvements of PRI, VAS, and PPI in the control group were insignificant. After 2-week treatment, both groups gained significant progress in PRI, VAS, AND PPI compared with pre-treatment (P<0.01), and the inter-group comparison of PRI showed marked difference (P<0.05), but the differences in comparing VAS and PPI between the two groups were insignificant. There were merely any side effects happening in the two groups, except that some patients felt itchy, and the inter-group comparison did not show statistical significance.

Conclusion

Auricular point sticking plus externally applied medicinal plaster has better effect than single plaster in treating lumbar strain induced pain, and it’s safe and credible.