Acupuncture for 40 cases of spasmodic torticollis

针刺治疗痉挛性斜颈40例(英文)

Objective To evaluate the clinical effectiveness of professor WU Lian-zhong＇s ＂resuscitation and regulating muscle＂ acupuncture method for spasmodic torticollis（ST） based on syndrome differentiation,and to compare the efficacy of acupuncture treatment between the patients with spasmodic torticollis who were not given botulinum toxin A by injection and the patients given botulinum toxin A by injection.Methods Forty patients were divided into treatment group（not given botulinum toxin A by injection） and control group（given botulinum toxin A by injection）,with 20 patients in each group.＂Resuscitation and regulating muscle＂ acupuncture method was adopted in both two groups,and the treatment lasted for 6 months.The clinical efficacy in both two groups was compared after treatment.Tsui＇s Scale was applied to evaluate the overall effect,the abnormal posture of cervical spine and dystonic tremor.Toronto Western Spasmodic Torticollis Rating Scale（TWSTRS） was used for scoring the severity of torticollis,quality of life and pain.Results After treatment,the markedly effective rate and the total effective rate in treatment group were 35.0% and 90.0%,respectively,which were superior to those in control group,namely 20.0% and 75.0%,and the efficacy difference was statistically significant for the total effective rate（P0.05）.It was shown according to the Tsui＇s Scale and TWSTRS that the differences were statistically significant when compared the two groups before and after treatment（all P0.01）;the difference of intergroup comparison after treatment was statistically significant（P0.05）.No adverse effect was found in both two groups during acupuncture treatment.Conclusion ＂Resuscitation and regulating muscle＂ acupuncture method can effectively improve the clinical symptoms of ST patients,and better efficacy is found in the patients not given botulinum toxin A by injection.The course of treatment of acupuncture treatment for torticollis patients is longer,and the patients should insist on treatment,and keep a good attitude.

目的:评价武连仲教授"开窍顺筋"针刺法辨证治疗痉挛性斜颈(ST)的临床有效性以及比较针刺治疗未注射A型肉毒素型痉挛性斜颈患者和注射A型肉毒素型患者的疗效差异。方法:将40例患者分为试验组(未注射A型肉毒素)和对照组(注射A型肉毒素),每组20例。两组均采用"开窍顺筋"针刺法,均治疗6个月,比较两组治疗后的临床效果。采用Tsui’s评分量表进行整体疗效评价以及进行颈部姿势异常、肌张力障碍性震颤评分;TWSTRS评分量表进行斜颈严重性、生活质量和疼痛评分。结果:治疗后试验组显效率、总有效率分别为35.0%、90.0%,优于对照组的20.0%、75.0%,总有效率差异有统计学意义(P<0.05);Tsui’s评分和TWSTRS评分显示,两组治疗前、后组内比较均有统计学意义(均P<0.01);治疗后组间比较有统计学差异(均P<0.05)。两组针刺过程中均未见不良反应。结论:"开窍顺筋"针刺法可以有效改善ST患者的临床症状,尤其对于未注射A型肉毒毒素患者疗效更佳。针刺治疗斜颈患者的疗程较长,需保持良好心理,长期坚持。