温通针法治疗颈肩臂综合征临床疗效观察

Observations on the Clinical Efficacy of Warming-promotion Method of Acupuncture in Treating Neck and Shoulder-arm Syndrome

目的:观察以颈夹脊穴为主,并根据不同兼症配以局部和远端的腧穴,运用温通针法治疗颈肩臂综合征的临床疗效。方法:将80例患者按简单随机法(投币法)随机分为温通针法组(治疗组)40例;常规针刺组(对照组)40例。两组均在两个疗程后进行疗效比较,在第1次治疗后以视觉模拟评分法(VAS)观察对疼痛的即时止痛效果,从治疗频次上对两组治愈病例进行比较。结果:治疗组总有效率明显优于对照组,差异有统计学意义(P<0.05);第1次治疗后即时止痛效果两组间比较,差异有统计学意义(P<0.05);两组治愈疗程比较,差异亦有统计学意义(P<0.05)。结论:温通针法治疗颈肩臂综合征的疗效及即时止痛效果均优于常规针刺治疗,且治愈疗程明显缩短、频次少。

Objective:To observe the clinical efficacy of warming-promotion method of acupuncture in treating neck and shoulder-arm syndrome as mainful acupoint placed aside spine of neck,and as minor acupoint placed the vicinity and distance of neck according to the differently secondary symptom.Methods: Eighty cases were randomly divided into a warming promotion method of acupuncture group(n=40) and a routine acupuncture group(n=40) by simple randomization(method of throwing coin).After treatment for 2 courses,the two therapeutic effects were compared.Observe the immediately painless efficacy afrer the first treatment by the way of VAS.Compare the curative cases between the two groups through the frequency of treatment.Results:The treatment group was superior to the control group in the curative and total efficacy rate;there was a statistical difference between the two groups(P<0.05).Compare the immediately painless effect afrer the first treatment,and there was a statistical difference between the two groups(P<0.05).Compare the curative course of treatment,and there was a statistical difference between the two groups,too(P<0.05).Conclusion :The therapeutic and immediately painless effects of the warming-promotion method of acupuncture group are significantly superior to the routine acupuncture group with obviously less time of treatment and frequency.