ACUPUNCTURE AND CHRONIC PAIN MECHANISMS
ACUPUNCTURE AND CHRONIC PAIN MECHANISMS
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DOI：
10.1016/0304-3959(76)90006-3
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发表时间：
1976-01-01
期刊：
影响因子：
7.4
通讯作者：
GREGG, JM
中科院分区：
文献类型：
--
作者：
GHIA, JN;MAO, W;GREGG, JM
在使用多学科疼痛临床方法和差异性脊柱阻滞（DSB）研究潜在的疼痛机制后，将40例腰部以下慢性疼痛患者（不适合常规药物和/或手术治疗）随机分配至2种不同的针灸方法中的一种。一组在经典穴位接受针刺，称为经络穴位针刺（MLN），另一组接受压痛区针刺（TAN），针插入疼痛区的皮节分布。两组之间的反应无显著差异。然后将结果与DSB分类的个体疼痛问题的预定躯体心理学基础相关。一组患者在蛛网膜下腔注射0.25%普鲁卡因后进行交感神经阻滞或注射0.5%普鲁卡因后进行痛觉减退而无运动功能丧失后疼痛缓解，报告称在随后进行针刺治疗后疼痛水平得到最大主观改善。另一组患者疼痛持续，尽管感觉和运动阻滞（1%普鲁卡因）反应非常差，针灸治疗。DSB是对针灸疗法的补充，因为它有助于选择患者进行治疗。
Patients (40) with chronic pain below the waist level not amenable to conventional medical and/or surgical treatment were randomly assigned to one of 2 different methods of acupuncture, after studying the underlying pain mechanisms using a Multidisciplinary Pain Clinic approach and the differential spinal block (DSB). One group received acupuncture needling in the classical acupuncture points referred to as meridian loci needling (MLN) and the other group received tender area needling (TAN) with needles inserted in the dermatomal distribution of the painful areas. The responses between the 2 groups showed no significant difference. Results were then related to the predetermined somatopsychological basis of the individual''s pain problems as classified by the DSB. A group of patients, in whom pain relief occurred upon subarachnoid injection of 0.25% procaine followed by sympathetic blockade or 0.5% procaine injection followed by hypalgesia without motor loss, reported maximum subjective improvement in their pain level following acupuncture therapy performed at a later time. The other group of patients in whom pain persisted despite sensory and motor blockade (1% procaine) responded very poorly to acupuncture therapy. DSB was complimentary to acupuncture therapy in that it facilitated patient selection for the therapy.