摘要
目的:比较合谷刺配合输刺阳性反应点与常规针刺治疗颈型颈椎病的临床疗效。方法:将90例颈型颈椎病患者随机分成观察组和对照组,每组45例。观察组采用合谷刺配合输刺阳性反应点的方法治疗,选取颈部和肩背部阳性反应点;对照组采用常规针刺法,主穴取天柱、风池、曲池、外关、C4～C6夹脊穴、阿是穴,配穴取阴郄、膈俞。两组均隔日治疗1次,10次为一疗程,治疗1个疗程。分别于治疗前、首次治疗后及治疗结束后观察两组症状体征评分和疼痛视觉模拟评分表(VAS)评分,并于治疗结束后比较两组的综合临床疗效。结果:两组首次治疗后、治疗结束后症状体征评分和VAS评分均较治疗前明显降低(均P<0.05);首次治疗后,两组间症状体征评分和VAS评分比较差异无统计学意义(均P>0.05);治疗结束后,观察组症状体征评分和VAS评分较对照组明显降低(均P<0.05);观察组愈显率为84.1%(37/44),优于对照组的65.1%(28/43,P<0.05)。结论:合谷刺配合输刺阳性反应点和常规针刺均能有效治疗颈型颈椎病,首次治疗后的即刻疗效无明显差异,疗程结束后,合谷刺配合输刺阳性反应点的疗效优于常规针刺。
Objective To observe the clinical effects on cervical spondylosis of neck type treated with the combined therapy of Hegu needling and Shu needling techniques at the positive reaction points as compared with the conventional acupuncture. Methods A total of 90 patients of cervical spondylosis of neck type were randomized into an observation group and a control group, 45 cases in each one. In the observation group, the combined therapy of Hegu needling and Shu needling techniques at the positive reaction points was adopted. The positive reaction points were selected in the neck, shoulder and back regions. In the control group, the conventional acupuncture therapy was provided. The main acupoints were Tianzhu（BL 10）, Fengchi（GB 20）, Quchi（LI 11）, Waiguan（TE 5）, Neck-Jiaji（EX-B 2） of C4 to C6 and ashi points. The supplementary acupoints were Yinxi（HT 6） and Geshu（BL 17）. The treatment was given once every two days, 10 treatments as one course in the two groups. Separately, before treatment, after the 1 st treatment and at the end of one course of treatment, the scores of symptoms and physical signs and the scores of visual analogous scale（VAS） were observed in the two groups. The comprehensive clinical effects were compared between the two groups at the end of treatment. Results After the 1 st treatment and at the end of treatment, the scores of symptoms and physical signs and VAS scores were reduced obviously as compared with those before treatment in the two groups（all P0.05）. After the 1 st treatment, the scores of symptoms and physical signs and VAS scores were not different significantly between the two groups（both P0.05）. At the end of treatment, the scores of symptoms and physical signs and VAS scores in the observation group were reduced more obviously as compared with the control group（both P0.05）. The curative and remarkably effective rate was 84.1%（37/44） in the observation group, better than 65.1%（28/43） in the control group（P0.05）. Conclusion Either the combined therapy of Hegu needling and Shu needling techniques at the positive reaction points or the conventional acupuncture is effective in the treatment of cervical spondylosis of neck type. The combined therapy of Hegu needling and Shu needling techniques at the positive reaction points achieves the superior effects as compared with the conventional acupuncture.
作者
黄外军
姜爱平
ttUANG Waijun;JIANG Aiping(Department of Integrated Chinese and Western Medicine,Hospital of Beijing Capital International Airport,Beijing 100621,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700)
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第11期1157-1160,共4页
Chinese Acupuncture & Moxibustion
关键词
颈型颈椎病
气滞血瘀型
合谷刺
输刺
阳性反应点
夹脊穴
cervical spondylosis
qi and blood stagnation type
Hegu needling
Shu needling
positive reation points
Point EX-B1（Jiaji）
