［摘 要］ 目的：观察经皮神经电刺激（TENS）结合腹针取穴治疗颈肩腰腿痛患者即时镇痛作用的临床疗效。方法：将120例颈肩腰腿痛患者随机分为腹针TENS组、经穴TENS组、电针组、非腹针TENS组，每组30例。各组选取不同刺激点采用相同刺激参数进行治疗，并于治疗前后分别记录视觉模拟评分（VAS）。结果：腹针TENS组在治疗前后VAS评分差异有非常显著性意义(P<0．01)，其即时镇痛作用总有效率（96．7%）与经穴TENS组（93．3%）、电针组（96．7%）相比差异无显著性意义(P>0．05)，与非腹针TENS组（10．0%）相比差异有非常显著性意义(P<0．01)。结论：腹针TENS具有较好的即时镇痛作用，并可以在使用较少刺激点的情况下提高镇痛效应。
Observation on the transient analgesic effect of abdominal acupuncture TENS on pain of neck, shoulder, loin and legs
WANG Zhang-lian, CHEN Li-fang, ZHU Wei-ming ( Hospital of Acupuncture & Massage Affiliated to Zhejiang TCM University, Hangzhou 310009, China)
ABSTRACT Objective To observe on the transient analgesic effect of abdominal points transcutaneous electrical nerve stimulation (TENS) combined with abdominal acupuncture according to the holographic theory on pain of neck, shoulder, loin and legs.Methods One hundred and twenty cases of pain of neck, shoulder, loin and legs were randomly divided into 4 groups: abdominal acupuncture TENS group, acupoints TENS group, electroacupuncture (EA) group, non-abdominal acupuncture TENS group, 30 cases in each group. All the cases were treated by the same stimulation parameters, but different stimulation points. The VAS scores were recorded before and after treatment. ResultsThe VAS scores were significantly different before and after treatment in abdominal acupuncture TENS group (P<0．01); the total effective rate of the transient analgesic effect was 96．7% in the abdominal acupuncture TENS group, 93．3% in the acupoints TENS group, 96．7% in the EA group with no significant difference among the 3 groups, but with a very significant difference between the abdominal acupuncture TENS group and the non-abdominal acupunctureTENS group (10．0%), P<0．01. Conclusion Abdominal acupuncture TENS has a better transient analgesic effect and can use less stimulation points to increase the analgesic effect.