不同配穴方法针刺治疗颈型颈椎病90例疗效评价

Therapeutic Evaluation on Different Combination of Acu-points for Cervical Spondylosis of 90 Cases

目的研究颈椎远部、近部、远近结合3种配穴方法针刺治疗颈型颈椎病的疗效。方法采用随机对照试验方法,将符合纳入标准的患者分为远部配穴组、近部配穴组和远近配穴组,各30例。采用临床症状、体征评分和VAS疼痛计分,考察不同配穴方法对颈型颈椎病的疗效。结果3组配穴方法对各项指标治疗前后的计分改善、综合计分、综合疗效、镇痛改善等4方面均有较好疗效(P<0.01);但3组治疗后各项指标比较差异无统计学意义(P>0.05)。结论三种配穴方法对于颈型颈椎病均有很好的疗效;远部配穴和近部配穴尽管取穴数比远近配穴少,但是可以取得与远近配穴一样的疗效。

Objective To study the difference of 3 ways of combination of acu-points in the effect on cervical spondylosis. Metnods The enrolled patients were randomized into 3 groups： distal point group, adjacent point group, and distal ＋ adjacent point group, 30 patients in each. The effect was compared by scoring clinical symptoms, signs, and VAS pain. Results All 3 ways of combination of acu-points were effective in score improvement, comprehensive scores, comprehensive therapeutic effect, and analgesia improvement （P〈0.01）. But the difference in all indices of three groups after treatment was not significant （P〉0.05）. Conclusion Three ways of combination of points are effective for cervical spondylosis, Although the points selected are less than those of distal plus adjacent combination, the therapeutic effect is the same.