HE Guanheng, RUAN Jingwen, LAI Xinsheng. Traumatic Peripheral Nerve Injury of Limbs in 28 Cases Treated by Electroacupuncture with Double-target Acupoints Selection Protocol[J]. Journal of Traditional Chinese Medicine2021, 62(1): 49-53.
HE Guanheng, RUAN Jingwen, LAI Xinsheng. Traumatic Peripheral Nerve Injury of Limbs in 28 Cases Treated by Electroacupuncture with Double-target Acupoints Selection Protocol[J]. Journal of Traditional Chinese Medicine2021, 62(1): 49-53.DOI: 10.13288/j.11-2166/r.2021.01.011.
Traumatic Peripheral Nerve Injury of Limbs in 28 Cases Treated by Electroacupuncture with Double-target Acupoints Selection Protocol
Objective To compare the clinical effect of electroacupuncture with double-target acupoints selection protocol and single-target acupoints selection protocol in the treatment of traumatic peripheral nerve injury of limbs. Methods Fifty-six patients with limb dysfunction caused by traumatic peripheral nerve injury were randomly divided into control group and treatment group with 28 cases in each group. The patients in the control group were treated with traditional single-target acupoints selection protocol
i.e. acupoints were selected along the route of the peripheral nerve trunk
while the patients in the treatment group were treated with the improved double-target acupoints selection protocol
i.e. acupoints were additionally selected along du mai(Governing Vessel)). Both groups were treated with electroacupuncture for 30 minutes
once every other day
three times a week
for 15 weeks in total. Electromyography was performed to test the amplitudes and conduction velocities of motor and sensory nerves before and after treatment. The clinical effect and neuro-electrophysiological effect were evaluated after treatment. Results The total effective rate of treatment group was 89.3%(25/28)
while that of control group was 78.6%(22/28)
with no significant difference between groups(P>0.05); however
the marked effective rate of treatment group was 67.9%(19/28)
which was significantly higher than 39.3%(11/28) of control group(P<0.05). In terms of neuro-electrophysiological effect
the total effective rate of treatment group and control group was 92.9%(26/28) and 76.6%(22/28) respectively
and the difference between groups were not statistically significant(P>0.05); the marked effective rate was 42.9% of treatment group
which was significantly higher than 14.3%(4/28) of control group(P<0.05). The amplitudes and conduction velocities of motor and sensory nerves after treatment were significantly improved than before treatment in both groups; and the improvements were more obviously in treatment group than in control group(P<0.05). Conclusion Both single-target and double-target acupoint selection protocols of electroacupuncture can effectively promote the recovery of nerve function after peripheral nerve injury
and the double-target electroacupuncture protocol is more effective
and has better improvements of electrophysiological indexes of the injured nerves.
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