电针深刺颈夹脊穴治疗单纯性颈椎曲度异常临床随机对照观察

Clinical Randomized Control Observation on the Treatment of Cervical Curvature Abnormality by Deep Electro-acupuncture at Cervical Jiaji Points

目的：观察电针深刺颈夹脊穴疗法对单纯性颈椎曲度异常的影响并判断其临床价值。方法：138名单纯性颈椎曲度异常患者（因失随访入组实际131人）按随机量表法（分段随机化）分为3组,电针深刺组（A组）53人、普通电针组（B组）46人、物理治疗组（C组）32人。A组接受C3~C6棘突水平夹脊穴深刺电针治疗,针尖触及骨质;B组接受C3~C6棘突水平夹脊穴电针治疗,但针尖不触及骨质;C组接受颈部中频电疗、超短波照射等物理治疗。3组疗程均为10天。3组在治疗前以及治疗后半年接受X线检查,并经椎体Borden氏测量法测量颈椎曲度,进行统计学分析。结果：A、B、C 3组治疗前测量值分别为（6.9±1.9）mm、（7.3±2.1）mm、（6.9±1.7）mm;A、B、C 3组治疗后半年测量值分别为（14.1±2.6）mm、（10.1±1.5）mm、（9.7±1.9）mm。A组治疗后颈椎曲度恢复水平与B组、C组有显著统计学差异（P〈0.01）。结论：电针深刺颈夹脊穴疗法治疗单纯性颈椎曲度异常疗效较好,可有效恢复颈椎生理曲度,优于普通电针法及物理治疗法。

Objective： To observe the effect of deep electro- acupuncture at cervical Jiaji points on simple cervical curvature abnormality and its clinical value. Methods： 138 patients with simple cervical curvature abnormality（ from the loss of follow- up of the Group actually 131） in random questionnaires were randomly divided into three groups,electro- acupuncture（ EA） deep needling Group（ group A） with 53 cases; common EA Group（ Group B） with 46 cases; the physical therapy group（ Group C） with 32 cases. Group A： C3~ C6 spinous level deep sting treated with EA at Jiaji points,with tip touching bone; Group B received levels of C3 ~ 6spinous Jiaji points EA,but the tip did not touch the bone; Group C： cervical physical therapy such as electrotherapy and ultra short wave radiation. All three groups were treated for 10 days. Three groups before treatment and six months after treatment were conducted by X- ray examination. Measure cervical curvature by the Borden＇s measurement for statistical analysis. Results： Measured values in Groups A,B and C before treatment were（ 6. 9 ±1. 9） mm,（ 7. 3 ± 2. 1） mm and（ 6. 9 ± 1. 7） mm; Six months after treatment measurements in Groups A,B and C were（ 14. 1 ± 2. 6） mm,（ 10. 1 ± 1. 5） mm and（ 9. 7 ± 1. 9） mm. The levels of recovery of cervical curvature after treatment between group A and group B or group C had a statistically significant difference（ P〈0. 01）.Conclusion： EA deep acupuncture at cervical Jiaji points for the treatment of simple cervical curvature abnormality is effective,and is superior to the common EA and physical therapy.