针刺结合经皮穴位电刺激治疗颈椎病颈痛的临床研究

Acupuncture Combined with Transcutaneous Electrical Acupoint Stimulation for Neck Pain of Cervical Spondylosis

目的:对比观察针刺、经皮穴位电刺激及针刺结合经皮穴位电刺激对颈椎病颈痛的疗效。方法:将58例颈椎病颈痛患者随机分为针刺组、经皮组和结合组,治疗后用NPQ颈痛量表进行疗效评价,观察治疗前、治疗结束和治疗结束随访1个月时的组间评分差异。结果:针刺组、经皮组与结合组有效率分别为94.74%、89.47%与100%,各组治疗后较治疗前NPQ评分均明显降低,差异具有统计学意义(P<0.01),在治疗结束时,结合组与经皮组NPQ评分差异有统计学意义(P<0.01),结合组均数低于经皮组;结合组与针刺组NPQ评分差异有统计学意义(P<0.05),结合组均数低于针刺组;随访1个月时,各组间差异有统计学意义(P<0.01)。结论:针刺和经皮穴位电刺激是治疗颈椎病颈痛安全且有效的方法,将针刺与经皮穴位电刺激联合应用,可获得更好的疗效。

Objective：To observe the efficacy of acupuncture and transcutaneous electrical acupoint stimulation （ TEAS） on neck pain of cervical spondylosis as well as acupuncture combined with TEAS .Methods：58 cases with neck pain of cervical spondylosis were randomly divided into acupuncture group ,TEAS group and combined group .The curative effect was evaluated by NPQ scale before treatment , after treatment and one month after stopping treatment .Results：The effective rates in acupuncture group , TEAS group and combined group were 94 .74%, 89 .47% and 100% respectively .The NPQ score in each group was significantly decreased after treatment compared with that before treatment , with a statistically significant difference （P〈0.01）.The mean of the combined group was lower than the acupuncture group and the TEAS group , with statistical differences respectively（P〈0.05）.In addition, NPQ score in each group had statistical differences at one month after stopping treatment（P〈0.01）.Conclusion：Both acupuncture and TEAS are safe and effective treatments for neck pain of cervical spondylosis .Moreover , there is a better efficacy by combining acupuncture with TEAS .