Efficacy study on pestle needle combined with Chinese herbal fumigation for cervical spondylosis

杵针结合中药熏洗治疗颈椎病的临床疗效研究（英文）

Objective：To observe the clinical effect of pestle needle combined with Chinese herbal fumigation on cervical spondylosis and provide a safe effective therapy for this condition.Methods：A total of 54 cases were randomly allocated into two groups（27 cases in each group） according to their sequence of consultation.Patients in both groups were treated with the same Chinese herbal fumigation.Patients in the treatment group were additionally treated with pestle needle therapy on a unique set of Ba Zhen points around Dazhui（GV 14）,Fengfu（GV 16） and the distance between Naohu（GV 17） and Dazhui（GV 14） along the He Che pathway,whereas patients in the control group were additionally treated with routine acupuncture therapy.Then the short-term and long-term efficacies were observed and compared after treatment using the visual analog scale（VAS） and pain rating index（PRI）.Results：At the end of treatment,VAS scores were significantly decreased in both groups,and the VAS score in the treatment group was lower than that in the control group（P〈0.05）.The intra-group differences were statistically significant in VAS scores 1 month,3 and 6 months after treatment（all P〈0.05）.At the end of treatment,the sensory and total PRI scores in the treatment group were significantly lower than those in the control group,showing statistically significant differences（both P〈0.01）;and there was no significant between-group difference（P〈0.05） in the affective PRI score.At the end of treatment,the total effective rate was 85.2% in the treatment group,versus 65.4% in the control group,showing a statistical significance（P〈0.05）.The follow-up six months later showed that the total effective rate was 92.6% in the treatment group,versus 76.9% in the control group,showing a statistical significance（P〈0.05）.Conclusion：Pestle needle therapy is a stable and positive therapy for cervical spondylosis.

目的:观察杵针结合中药熏洗治疗颈椎病的临床效果,为颈椎病治疗提供更安全有效的治疗方法。方法:将54例颈椎病患者按就诊顺序随机分为2组,每组27例,两组患者均采用相同的中药熏蒸治疗。治疗组在中药熏洗基础上加用杵针大椎八阵穴、风府八阵穴、河车路脑户至大椎段治疗,对照组则加用常规针刺治疗。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分及疼痛分级指数(pain rating index,PRI)积分,比较两组近期及远期临床疗效。结果:治疗结束时,两组V AS评分均较本组治疗前下降,且治疗组V AS评分低于对照组(P<0.05)。治疗结束后1个月、3个月及6个月,两组V AS评分均与本组治疗前差异有统计学意义(P<0.05)。治疗结束时,治疗组P RI感觉分及P RI总分的减少值均高于对照组,组间差异均有统计学(均P<0.01),而P RI情绪分的减少值组间无统计学差异(P>0.05)。治疗结束时治疗组总有效率为85.2%,对照组为65.4%,两组总有效率具有统计学差异(P<0.05);治疗结束6个月后随访,治疗组总有效率为92.6%,对照组为76.9%,两组总有效率差异具有统计学意义(P<0.05)。结论:杵针治疗颈椎病疗效肯定且稳定。