针刺“手四针”治疗风寒湿型颈型颈椎病临床观察

Clinical observation of cervical spondylosis of neck type with wind-cold-damp treated with fourhand-needling therapy

目的:比较"手四针"与常规针刺颈夹脊治疗风寒湿型颈型颈椎病的临床疗效差异。方法:将80例颈型颈椎病患者随机分为观察组和对照组,每组40例。观察组取患侧三间、外劳宫、中渚、后溪四穴,对照组取双侧颈4、颈5、颈6夹脊穴,均隔日针刺1次,分别于治疗前、首次治疗后即刻、治疗半个月后、治疗1个月后观察两组患者疼痛视觉模拟评分(VAS)及治疗1个月后的临床疗效。结果:两组治疗后各观察时点疼痛VAS评分均较治疗前降低(均P<0.05),观察组治疗后即刻的疼痛VAS评分较对照组降低更明显(P<0.01);观察组和对照组的治愈率分别为52.5%(21/40)、32.5%(13/40),总有效率分别为95.0%(38/40)、82.5%(33/40),观察组疗效优于对照组(均P<0.05)。结论:"手四针"与常规针刺颈夹脊治疗方法对于风寒湿型颈型颈椎病均有很好的疗效,"手四针"疗法的即刻疗效更显著。

Objective To compare the clinical efficacy between the four-hand-needling therapy and the routine needling therapy at neek-Jiaji （EX B 2） in the treatment of cervical spondylosis of neck type. Methods Eighty patients of cervical spondylosis of neck type were randomized into an observation group and a control group, 40 cases in each one. In the observation group, Sanjian （LI 3）, Wailaogong （EX-UE 8）, Zhongzhu （TE 3） and Houxi （SI 3） on the affected side were selected. In the control group, the neck-Jiaji （EX-B 2） on bilateral CA, C5 and C6 were selected. The treatment was given once every two days. The score of visual analogue scale （VAS） was ob- served before treatment, right after the first treatment, in a half of one month of treatment and in one month of treatment separately and the clinical efficacy was observed after 1-month treatment in the two groups. Results After treatment, VAS score was reduced as compared with that before treatment in the two groups （all P〈0.05）. The immediate VAS score after treatment in the observation group was reduced much more apparently as compared with that in the control group （P〈0.01）. The curative rate was 52.5% （21/40） in the observation group and was 32.5% （13/40） in the control group and the total effective rates were 95.0% （38/40） and 82.5% （33/40） respec tively. The efficacy in the observation group was better than that in the control group （both P〈0.05）. Conclusion The four-hand-needling therapy and routine acupuncture at neck-Jiaji （EX B 2） all have the very good efficacy on cervical spondylosis of neck type with wind-cold-damp. The immediate efficacy of the four-hand-needling therapy is much more significant.