铍针结合整脊治疗颈型颈椎病临床观察

Clinical observation on cervical type cervical spondylosis treated with sword-like needle and chiropractic spinal manipulation

目的：比较铍针结合整脊与单纯整脊治疗颈型颈椎病的疗效差异。方法：将138例颈型颈椎病患者随机分为铍针整脊组（76例）、整脊组（62例）。铍针整脊组穴取风池、天柱、c3～C5夹脊穴等，行铍针疗法，并结合整脊治疗；整脊组单纯采用整脊治疗，均隔日治疗1次，10天为一疗程，共治疗1个疗程。观察两组患者治疗前后视觉模拟量表（VAS）评分，并比较两组疗效。结果：两组患者治疗后VAS评分较治疗前均明显降低（均P〈0．01），且治疗后铍针整脊组VAS评分低于整脊组（1．50±0．58VS1．87±1．05，P〈0．01）；铍针整脊组治愈48例、显效20例、好转8例、无效0例，整脊组分别为30例、16例、15例、1例，铍针整脊组总体疗效优于整脊组（P〈0．05）。结论：铍针结合整脊治疗颈型颈椎病可有效缓解疼痛，疗效优于单纯整脊治疗。

Objective To compare the difference in the efficacy on cervical type of cervical spondylosis （CS） between the combined treatment of sword-like needle and chiropractic spinal manipulation （the combined therapy） and the simple chiropractic spinal manipulation. Methods One hundred and thirty-eight cases of cervical type of CS were randomized into a combined therapy group （76 cases） and a simple chiropractic spinal manipulation group （62 cases）. In the combined therapy group, the sword-like needle therapy was applied at Fengchi （GB 20）, Tianzhu （BL 10） and Jiaji （EX-B 2 ） C3-C5. The chiropractic spinal manipulation was used in combination. In the chiropractic spinal manipulation group, the simple chiropractic spinal manipulation was adopted. The treatment was given once every other day in the two groups, 10 days made one session. One session of treatment was required. Visual analog scale （VAS） score was observed before and after treatment in the two groups and the efficacies were compared between the two groups. Results VAS score after treatment was reduced obviously as compared with that before treatment in the patients of the two groups （both P〈0.01） and VAS score after treatment in the combined therapy group was lower than that in the simple chiropractic spinal manipulation group （1.50：1： 0.58 vs 1.87~1.05, P%0.01）. In the combined therapy group, 48 cases were cured, 20 cases remarkably effec- tive, 8 cases improved and 0 case failed. In the chiropractic spinal manipulation group, 30 cases were cured, 16 cases remarkably effective, 15 cases improved and 1 case failed. The overall efficacy in the combined therapy group was better than that in the chiropractic spinal manipulation （P〈0.05）. Conclusion The sword-like needle therapy combined with chiropractic spinal manipulation relieve effectively pain in cervical type of CS and the efficacy is superior to the simple chiropractic spinal manipulation.