快刺法治疗颈型颈椎病的疗效观察

发布时间：2018-05-04 16:25

本文选题：颈椎病 + 颈型　；参考：《中国针灸》2017年09期

【摘要】：目的:比较快刺法和留针法治疗颈型颈椎病的临床疗效差异。方法:将60例颈型颈椎病患者随机分为快刺组和留针组,每组30例。两组均取风池、颈夹脊穴(C2、C4、C6)、肩井、肩井一穴、肩井二穴,快刺组针刺得气后即出针,留针组针刺得气后留针30 min。每周治疗3次,隔日1次,1周为一疗程,治疗2个疗程。观察治疗前后患者Northwick Park颈痛量表(Northwick Park neck pain questionnaire,NPQ)、简式Mc Gill疼痛量表(short-form Mc Gill pain questionnaire,SF-MPQ)[包括疼痛分级指数(pain rating index,PRI)、视觉模拟量表(visual analogue scale,VAS)和现有疼痛强度(present pain intensity,PPI)]评分,并比较两组疗效。结果:治疗后两组NPQ积分均低于治疗前(均P0.01),且快刺组优于留针组(P0.01);治疗后两组SF-MPQ各项评分均较治疗前降低(均P0.01),其中快刺组PRI感觉评分、PRI总分均优于留针组(均P0.05),PRI情感评分、VAS评分、PPI评分组间比较差异均无统计学意义(均P0.05)。快刺组总有效率为83.3%(25/30),留针组总有效率为76.7%(23/30),差异无统计学意义(P0.05)。结论:快刺法和留针法均可有效治疗颈型颈椎病,明显改善颈型颈椎病临床症状,快刺法优于留针法。
[Abstract]:Objective: to compare the clinical efficacy of rapid acupuncture and retention acupuncture in the treatment of cervical spondylosis. Methods: 60 patients with cervical spondylosis were randomly divided into fast acupuncture group and needle retention group with 30 cases in each group. In both groups, the wind ponds were taken, the cervical Jiaji acupoints were C2C4C6N, the first point of the shoulder well, the second point of the shoulder well, the quick needling group produced the needle after the gas was punctured, and the needle retention group kept the needle 30 minutes after the gas was punctured. Three times a week, once a week as a course of treatment, 2 courses of treatment. Before and after treatment, the scores of Northwick Park Park neck pain questionnaire (NPQI), short-form Mc Gill pain questionnaire (SF-MPQs) [including pain rating index, visual analogue scale (VAS) and present pain intensity present pain intensity-PPI] were observed and compared between the two groups. Results: after treatment, the NPQ scores in both groups were lower than those before treatment (all P 0.01), and the SF-MPQ scores in the fast acupuncture group were better than those in the needle retention group (P 0.01), and the SF-MPQ scores in the fast acupuncture group were lower than those in the control group (all P 0.01), and the total PRI sensory score in the fast pricking group was better than that in the rest acupuncture group (P < 0.05). There was no significant difference in P0.05 / PRI emotion score, VAS score and PPI score between the two groups (all P 0.05). The total effective rate of fast pricking group was 83.3% and that of needle retention group was 76.723 / 30. The difference was not statistically significant (P 0.05). Conclusion: both rapid acupuncture and acupuncture can effectively treat cervical spondylosis and improve the clinical symptoms of cervical spondylosis.
【作者单位】：山东中医药大学针灸推拿学院;中国中医科学院;
【分类号】：R246.9

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