不同刺法针刺颈夹脊穴治疗颈椎病疗效观察

Observation on Therapeutic Effects of Different Needling Methods of Acupuncture at Cervical Jiaji Points on Cervical Spondylopathy

采用颈夹脊穴不同针刺方法治疗颈椎病104例,其中传导组53例,根据患者X线片提示,在病变椎体水平的夹脊穴处刺入1.5～2.0寸,行提插泻法,使患侧上肢抽动1～2次,健侧行捻转手法;对照组用常规针刺手法治疗。结果传导组总有效率明显优于对照组(P<0.01),疼痛的即时止痛效应及长时止痛效应均以传导组为优(P均<0.01)。传导组针刺治疗后血清中吗啡样物质含量有显著增加(P<0.01),对照组针刺前后差异无显著性(P>0.05)。

104 cases of cervical spondylopathy were treated with acupuncture of Jiaji (EX -BL) points with defferent needling methods. In 53 cases of conduction group, the needle was inserted at the level of affected vertebral body into a depth of 1. 5-2. 0 cun based on indication of X - film, with reducing method of lifting and thrusting, making the upper limb of the affected side vibrating 1 - 2 times, and twirling and rotating method was used in the health side. Routine needling method was used in the control group. Results indicated that the total effective rate, the transient analgesic effect and long - term anelgesic effect in the conduction group were significantly superior to those of the control group (all P<0. 01).