用简化McGill量表评定“项八针”对神经根型颈椎病疼痛的影响

Effect of Nape Eight- needle Acupuncture on Neck Pain Caused by Cervical Radiculopathy with Short- Form McGill Pain Questionnaire

目的:运用简化McGill量表评定"项八针"法对神经根型颈椎病疼痛的影响。方法:60例神经根型颈椎病患者随机分为治疗组和对照组,每组30例。治疗组采用"项八针"法针刺治疗,对照组采用牵引疗法治疗,两组每周均治疗3次,1周为1个疗程,共治疗2个疗程。分别于治疗前、治疗1个疗程后及治疗2个疗程后运用简化McGill疼痛量表对疗效进行评估。结果:两组治疗1个疗程后、治疗2个疗程后的PRI感觉项、PRI情感项、PRI总分、VAS以及PPI评分均较治疗前明显降低,具有高度显著差异(P<0.01);治疗1个疗程后,治疗组的PRI情感项及PPI评分改善率较对照组明显升高,具有显著差异(P<0.05),治疗组的PRI感觉项、PRI总分及VAS改善率较对照组明显升高,具有高度显著差异(P<0.01);治疗2个疗程后,治疗组的PPI评分改善率较对照组明显升高,具有显著差异(P<0.05),治疗组的PRI感觉项、PRI情感项、PRI总分及VAS改善率较对照组明显升高,具有高度显著差异(P<0.01)。结论:"项八针"能明显减轻神经根型颈椎病患者的颈痛程度,缓解患者的负面情绪,临床治疗作用优于牵引疗法。

Objective：To estimate the clinical effect of nape eight -needle acupuncture on the neck pain caused by cervical radiculopathy with short -form McGill pain questionnaire .Methods： 60 patients suffered from cervical radiculopathy were randomized into a treatment group and a control group ,with 30 in each group . The treatment group was intervened by nape eight -needle acupuncture therapy while the control group was by cervical traction therapy .All the patients received treatment three times a week , and we regarded one week as one course ,with two courses in all .Short-form McGill pain questionnaire was adopted to assess the clinical effect of nape eight -needle acupuncture and cervical traction before and after treatments .Results：After one and two courses ’ treatment , PRI-sensory subscore , PRI-affective subscore , total score , VAS and PPI score in both groups decreased obviously with highly significant differences （ P＆lt;0 .01 ） .After one course ’ s treat-ment, improvement rates of PRI -affective subscore and PPI score in treatment group increased more obviously than those in control group , and there were statistically significant differences （ P＆lt;0 .05 ）;while improvement rates of PRI-sensory subscore , total score and VAS score in treatment group increased more obviously than those in control group, and there were highly significant differences （P＆lt;0.01）.After two courses＆#39;treatment, improvement rates of PPI score in treatment group increased more obviously than those in control group , and＆amp;nbsp;there were statistically significant differences （ P＆lt;0 .05 ）;while improvement rates of PRI -sensory subscore , PRI-affective subscore , total score and VAS score in treatment group increased more obviously than those in control group with highly significant differences （P＆lt;0.01）.Conclusion：Compared with cervical traction thera-py, nape eight-needle acupuncture therapy could more remarkably improve neck pain and psychologic status of patients who suffer from cervical radiculopathy .