[针在腰部手术后的多模式止痛中的应用:随机对照试验]
Fayan Wen1, Qiaoli Zhang2, Jingqian Zhang1
1Graduate School, Gansu University of CM, Lanzhou 730030, China.
Zhongguo zhen jiu = Chinese acupuncture & moxibustion
|January 20, 2026
概括
针有效地减少了对止痛药的需求,并在后腰椎体融合 (PLIF) 后改善了恢复. 这项研究表明,针可以加速腰部退行性疾病患者的短期术后恢复.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 综合医学是一个整体的医学.
背景情况:
- 腰部退行性疾病往往需要手术干预,如后腰部体融合 (PLIF).
- 有效的多模式止痛疗法对于治疗术后疼痛和促进PLIF后恢复至关重要.
研究的目的:
- 评估针作为PLIF后多式止痛的一部分的短期影响.
- 评估针对减轻疼痛,止痛药消耗和功能恢复的影响.
主要方法:
- 一个随机对照试验,涉及60名接受PLIF的患者.
- 观察组在标准护理和患者控制的静脉静脉止痛 (PCIA) 之外接受了针,而对照组接受了标准护理和PCIA.
- 关键的结果指标包括PCIA消费,埃托里科西布使用,视觉模拟量表 (VAS) 疼痛评分,日本整形医学协会 (JOA) 腰部功能评分和15项康复质量 (QOR-15) 评分.
主要成果:
- 针组在手术后48小时内显著减少PCIA消耗和 etoricoxib使用.
- 在治疗3天和7天后,针组与对照组相比,针组的VAS,JOA和QOR-15得分有显著改善.
- 两组之间没有发现术后住院时间的显著差异.
结论:
- 针作为一个有效的组成部分多式联络止痛后PLIF.
- 它可以减少对阿片类和非阿片类止痛药的需求.
- 针加快了短期缓解疼痛和功能恢复的患者接受PLIF的腰部退行性疾病.
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