针刺肌筋膜疼痛触发点治疗颈椎病疗效观察

Clinical Observation on Cervical Spondylosis Treated by Needling on Myofacial Pain Trigger Points

目的:探讨针刺肌筋膜疼痛触发点与常规的穴位针刺治疗颈椎病的临床疗效差异。方法:将符合条件的363例颈椎病患者随机分为治疗组(191例)和对照组(172例)。对照组患者用毫针针刺风池、颈夹脊、肩井、天宗、肩贞、外关等穴,接G6805电针仪治疗,同时配合推拿、颈椎牵引,静滴扩张血管药物;治疗组在上述疗法的基础上,针刺风池、颈夹脊、肩井、天宗、肩贞时,用毫针破坏相应的肌筋膜疼痛触发点后再留针通电。结果:两组病例治疗前后颈椎功能障碍指数变化均有统计学意义(P<0.05),治疗组和对照组治疗后比较差异有统计学意义(P<0.05);两组综合疗效以治疗组为优(P<0.05)。结论:针刺肌筋膜疼痛触发点能有效缓解疼痛和功能障碍,提高临床治愈率。

Objective： To explore effect differences between needling on myofacial pain trigger points and needling on routine acupoints for cervical spondylosis. Methods： Three hundred and sixtythree patients with cervi cal spondylosis selected were randomly divided into treatment group（ 191 cases）and control group（ 172 cases）. In the control group, filiform needle acupuncture was applied on GB20, EXB2 on the neck, GB21, Sill, SI9, SJ5, as well as G6805 electroacupuncture apparatus on these points, meanwhile, tuina therapy, cervical traction, and blood ves sel dilatation drugs for intravenous administration were given too. While in the treatment group, besides the above treatment, corresponding myofacial pain trigger points were destructed when needling on GB20, EXB2 on the neck, GB21, Sill and SI9. Results： There was statistically significant effect on neck disability index before and after treat ment in the same group （P〈0.05）, as well as that after treatment between both groups （P〈0.05）. Therapeutic effect in the treatment group was better than that in the control group （P〈0.05）. Conclusion： Needling on myofacial pain trigger points can effectively relieve pain and functional disorder so as to increase clinical cure rate.