穴位注射与运动疗法治疗颈椎退行性骨关节炎的临床研究

Clinical Research on Point Injection and Motor Therapy for Combined Treatment of Degenerative Neck Osteoarthritis

对颈椎退行性骨关节炎 (degenerativeneckosteoarthritis.NOA)的治疗国内尚无可靠有效的方法 ,本研究拟通过随机对照研究观察穴位注射与运动疗法治疗颈椎骨质增生的临床疗效 ,探索一种新的有效方法。将 6 0例NOA患者随机分为治疗组 (试验组 ) 30例 ,对照组 30例。试验组用穴位注射 (丹参 4ml注入阿是穴 )与运动疗法。对照组用超短波治疗 (剂量 :微热 ,放置方法 :并置 ,波形 :连续波 ,每次 2 0min ,每日 2次 ,连用 4周 ) ,对治疗前后临床症状和功能活动进行评估并进行统计学处理 (t检验 )。结果 :两组颈部骨质增生处的疼痛都有显著改善 (P <0 0 0 1 ) ,但在关节功能改善方面 ,试验组远远优于对照组 (P <0 0 0 1 )。除了血小板 (plt)之外 ,试验组的血液流变学指标也有显著改善 (P <0 0 5 )。提示穴位注射与运动疗法不仅能缓解NOA患者的疼痛 ,而且能显著改善其功能活动及血液流变学 ,因而是一种防治NOA的有效疗法。

To research the clinical effect of point injection and motor therapy for treatment of degenerative neck osteoarthritis (NOA) by means of randomized controlled trial so as to seek a new effective therapy. Subjects and Methods: 60 patients with NOA were randomly divided into trial group (30 cases) and control group (30 cases). The former group was treated with point injection plus motor therapy, and the latter was treated with motor therapy plus ultrashortwave therapy(continuous wave, micro heat, 20 min every time, twice a day and 4 weeks all together). Then, the clinical symptoms and functional activity before and after treatment were assessed and dealt with Student's t Test.Results: After treatment, the pain of the neck in the two groups was relieved significantly([WT5BX]P<0.001),but the joint functional improvement of the former group was superior to that of the later group markedly([WT5BX]P<0.01).Except blood platelet(plt),indexes of the hemorheology in trial group were improved markedly(P<0.05). Conclusion: Point injection and motor therapy can not only relieve the pain caused by NOA, but also improve the functional activity and the hemorheology significantly.