微创埋线治疗颈椎病颈痛临床观察

Clinical Observations on Microinvasive Thread Embedding for the Treatment of Neck Pain Due to Cervical Spondylosis

目的观察微创埋线PGLA对颈椎病疼痛的治疗作用。方法将105例以颈痛为主诉的颈椎病患者随机分为3组,每组35例。埋线组采用PGLA埋线疗法,对照组采用埋线针针刺法(不埋线),针刺组采用常规针刺治疗。结果埋线组、针刺组与对照组在症状体征改善方面有显著差异(P<0.05);在VAS及PPI评分上,治疗后埋线组及针刺组与两组治疗前比较差异均有统计学意义(P<0.05),治疗后埋线组、针刺组分别与对照组比较差异均有统计学意义(P<0.05);对照组总有效率为17.1%,针刺组总有效率为77.1%,埋线组总有效率为94.3%,埋线组总有效率显著高于针刺组、对照组(P<0.05)。结论颈椎病疼痛的治疗作用来自于埋线材料PGLA对穴位的刺激而非单纯的埋线针损伤刺激,PGLA埋线治疗颈椎病疼痛效果显著。

Objective To investigate the therapeutic effect of microinvasive PGLA thread embedding on neck pain due to cervical spondylosis. Method One hundred and five cervical spondylosis patients with complaints of neck pain were randomly allocated to three groups, 35 cases each. The thread embedding group received PGLA thread embedding therapy;the control group, acupuncture with thread-embedding needles （without thread embedding）;the acupuncture group, conventional acupuncture. Result There was a significant difference in the relief of symptoms and signs between the thread embedding or acupuncture group and the control group （P〈0.05）. There were statistically significant pre-/post-treatment differences in the VAS score and the PPI score in the thread embedding and acupuncture groups （P〈0.05）. There were statistically significant post-treatment differences in the above scores between the thread embedding or acupuncture group and the control group （P〈0.05）. The total efficacy rate was 17.1% in the control group, 77.1%in the acupuncture group and 94.3%in the thread embedding group. The total efficacy rate was significantly higher in the thread embedding group than in acupuncture and control groups. Conclusion The therapeutic effect on neck pain due to cervical spondylosis is produced by PGLA thread stimulation of the acupoints and not by simple injurious stimulation with thread-embedding needles. PGLA thread embedding has a marked therapeutic effect on neck pain due to cervical spondylosis.