针挑治疗颈椎病的随机对照研究

Randomized controlled study on picking therapy for treatment of cervical spondylosis

目的:运用随机对照临床研究方法,对针挑治疗颈椎病进行疗效评价。方法:将158例患者随机分为针挑治疗组(针挑组)56例、常规针刺对照组(针刺组)55例与局麻对照组(局麻组)47例。取穴均为颈百劳、大椎、肩井等,分别采用针挑法、常规针刺法及局部麻醉法治疗。采用简化McGill疼痛询问量表等量化计分,结合临床症状、体征进行疗效分析。结果:针挑组痊愈率为57.1%,优于针刺组的23.6%与局麻组的14.9%(均P<0.01),针挑治疗基本无不良反应。结论:针挑疗法对于颈椎病是一种高效、安全的疗法。

Objective To use randomized controlled clinical research method to assess therapeutic effect of picking therapy on cervical spondylosis. Methods One hundred and fifty-eight cases were randomly divided into a picking therapy group （ n =56）, a routine acupuncture group （ n =55） and a local anesthesia group （ n =47）. They were treated respectively with picking therapy, routine acupuncture and local anesthesia at Jing bailao （EX HN 15）, Dazhui （GV 14）, Jianjing （GB 21）, etc. Brief McGill Pain Questionaire was used for score, which was combined with clinical symptoms and signs to analyze the therapeutic effect. Results The cured rate was 57.1 % in the picking therapy group, better than 23.6% in the acupuncture group and 14. 9% in the local anesthesia group （P〈 0. 01）, and adverse reaction was basically not found in the picking therapy group. Conclusion Picking therapy is a highly effective and safe therapy for cervical spondylosis.