内热针刺激层次对颈肩综合征的疗效分析

Therapeutic efficacy of internal heating-needle stimulus levels in treating neck shoulder syndrome

目的观察内热针针刺层次对颈肩综合征治疗的影响。方法将80例颈肩综合征患者随机分为治疗组60例和对照组20例,治疗组又按针刺层次及浅深不同分为筋膜层组、肌肉层组、骨膜层组,而对照组采用口服塞来昔布治疗。观察两组之间及治疗组内各小组之间治疗前后有效率及VAS评分,并比较临床疗效。结果内热针治疗组总有效率及治疗后VAS评分与对照组相比较,差异具有统计学意义(P<0.05)。筋膜层组及肌肉层组有效率和治疗后VAS评分均优于骨膜层组(P<0.05),筋膜层组有效率和治疗后VAS评分与骨膜层组差异无统计学意义(P>0.05)。结论内热针可以有效地治疗颈肩综合征,而针刺层次和深浅会影响治疗效果,针刺筋膜层及肌肉层效果相当,骨膜层效果差。

Objective To explore the efficacy of stimulus levels of inner heating-needle stimulation in treating patients with neck shoulder syndrome. Methods A total of 80 patients suffering from neck shoulder syndrome were randomly recruited and divided into treatment group（ n = 60） and control group（n = 20）. According to the insert layer and depth, the patients in treatment group were further divided into fascia group, muscle layer group, and periosteal layer group. The patients in control group were treated with oral celecoxib alone. The effective rate and VAS score between the two groups before and after the treatment were observed and compared. Results The total effective rate and the VAS score were statistically different between two groups （ P 〈 0. 05 ）. Among different treatment groups, the effective rate in fascia group and muscle layer group were significantly higher than those in periosteal layer group after the inner heating-needle treatment （P 〈 0. 05）, while there was no significant difference in the effective rate and VAS score between muscle layer group and fascia group（P 〉 0. 05）. Conclusion Inner heating-needle stimulation can be a valid approach in effectively treating patients with neck shoulder syndrome, and the depth of insertion will affect the therapeutic efficacy. The efficacy of heating-needle stimulation applied into fascia layer and muscle layer is similar, but it is significantly stronger than that of stimulation of periosteal layer.