不同针灸疗法治疗颈椎病颈部疼痛的疗效评价

Efficacy Assessment for Three Acupuncture Therapies with Short Duration points in Treating Cervical Spondylopathy

[目的]通过临床效应评价,观察和比较3种基于毫针的常用针灸疗法治疗颈椎病的疗效。[方法]采用随机对照的研究方法,对91例确诊为颈椎病的患者分别采用毫针、温针、电针治疗,以疼痛度为观察指标,比较初次及1个疗程治疗后3种不同方法的疗法。以5次为1个观察疗程。[结果]总有效率电针组93.55%,温针组90.00%,显著高于毫针组76.67%(P<0.01),愈显率电针组80.65%,温针组73.33%,显著高于毫针组26.67%(P<0.01);电针组与温针组比较无显著差异(P>0.05)。电针组和温针组初次治疗后疼痛下降指数分别为2.36±0.16和1.40±0.07,均大于毫针组0.89±0.10(P<0.01),而电针组又优于温针组(P<0.01)。各组疼痛下降指数在1疗程治疗后均显著大于初次治疗后(P<0.01)。电针组疼痛下降指数4.35±0.30,温针组3.66±0.22,明显大于毫针组2.88±0.25(P<0.01或P<0.05),而电针组和温针组比较无明显差异(P>0.05)。[结论]3种针灸疗法对颈椎病颈部疼痛均有良好治疗作用,电针和温针治疗的整体疗效要优于单纯毫针治疗;颈椎病颈部疼痛多次针灸治疗效果更佳。

[Objective] Through standard clinical efficacy assessment,systematically observe and compare the therapeutic effects of different acupuncture therapies based on filiform needle in treating cervical spondylopathy,so as to partly illustrate the common technical problems of these three therapies.[Methods] To treat 91 cervical spondylopathy patients by filiform needle,electroacupuncture（EA） or warming needle based on randomized and controlled study methods for 30min once every other day.Pain was measured and recorded before and after every time of treatment in order to observe and compare the therapeutic effects of these three different therapies.The whole course of treatment involved 5 treatments.[Results] Total effective rates of EA and warming needle groups were both higher than that of filiform needle group（76.67%） with 90.00.% in EA group and 93.55% in wanning needle group.Moreover,the good improvement rates of EA and warning needles groups（73.33% and 80.65%,respectively） were both higher than that of filiform needle group（26.67%）.However,there was no significant difference in both total effective rates and good improvement rates between EA group and warming needle group.After the first time of treatment,the decline indexes of shoulder pain of EA group（2.36±0.16） and warming needle group（1.40±0.07） were both significantly greater than that of filiform needle group（0.890.10）（P〈0.01） with declined index of EA group greater than that of warming needle group（P〈0.01）.After the whole course of treatment,the declined indexes of neck pain in EA and warming needle groups were 4.35±0.30 and 3.66±0.22,both greater than that of filiform needle group（2.88±0.25）（P〈0.01 or P〈0.05）.But there was no significant difference between declined indexes of EA group and warming needle group（P〉0.05）.[Conclusion] These three different short-duration acupuncture therapies based on filiform needle all achieved good therapeutic effects in treating patients with this disease.Total therapeutic effects of EA and warming needle groups were superior to that of filiform needle group.After the whole course of treatment,therapeutic effects of these three groups were better than that of first-time treatment,which meant the patients with cervical spondylopathy of vertebral artery type needed to be treated repeatedly by acupuncture therapies in the clinic.