辨位定点针刀松解术治疗颈椎病的临床研究

Clinical study of position differentiation fixed-point needle-knife lysis in treatment of cervical spondylosis

目的:观察辨位定点针刀松解术治疗颈椎病的临床疗效。方法:将60例颈椎病患者随机分为针刀治疗组和针刺对照组,每组30例。针刀治疗组根据患者不同的临床症状分型,进行针刀松解术治疗,每周1次,3周为1个疗程;针刺对照组选取主穴为天柱、大椎、后溪、颈椎夹脊穴,同时根据不同证型配穴加减,每周4次,3周为1个疗程。两组患者共治疗1个疗程后进行疗效评定。疗效评定标准以患者临床症状、体征改善程度和NPQ颈痛量表为主。结果:针刀治疗组总有效率为93.3%,与针刺对照组总有效率为66.7%比较,差异具有统计学意义(P<0.05)。两组患者治疗前后NPQ评分量表差值比较有显著性差异(P<0.05)。结论:辨位定点针刀松解术能显著改善颈椎病患者的临床症状,对不同分型的颈椎病患者都具有肯定疗效,并且在临床治愈率和远期疗效方面优于针刺疗法,值得临床上推广和应用。

Objective： To observe the clinical efficacy of position differentiation fixed-point needle-knife lysis in treatment of cervical spondylosis. Methods： Sixty cervical spondylosis patients were randomly divided into a needle-knife treatment group and an acupuncture control group, 30 in each one. The needle-knife treatment group was treated with needleknife lysis by different clinical syndromes, once a week; 3 weeks were required for one course. The acupuncture control group was treated with acupuncture at Tianzhu（BL10）, Dazhui（DU14）, Houxi（SI3）, jiaji acupoints along the cervical vertebra, as well as the adjunct acupoints according to different syndromes; 4 times a week and 3 weeks were required for one course. The efficacy was assessed in two groups after one course of treatment, which mainly included clinical symptoms, syndrome improved extent and northwick park neckpain scale（NPQ）. Results： The total effectiveness rate was 93.3% in the needle-knife treatment group, which had significant difference with the 66.7% in the acupuncture control group（P〈0.05）. There was obvious difference in NPQ difference value before and after the treatment of two groups（P〈0.05）. Conclusion： The position differentiation fixed-point needleknife lysis could effectively improve the clinical symptoms in cervical spondylosis patients for different syndromes; moreover, it is superior to the acupuncture therapy in clinical cure rate and long-term efficacy worth clinical expansion and application.