不同针刺方法治疗颈椎病颈痛的临床研究

Clinical study on different acupuncture treatments for cervical spondylosis and neck pain

目的:通过不同针刺方法治疗颈椎病颈痛的疗效对比,探讨针刺治疗颈椎病颈痛的有效方法。方法:将105例患者随机分为浅刺针法组、常规穴位浅刺组及常规针刺组各35例。浅刺针法组采用浅刺针法治疗,常规穴位浅刺组在常规穴位上进行浅刺治疗,常规针刺组采用常规针刺法治疗,以NPQ-颈痛量表和Mc GILL-疼痛量表作为疗效评价指标,参考《临床疾病诊断依据治愈好转标准》制定总体疗效评定标准,治疗2个疗程后判断疗效及愈显率。结果:浅刺针法组、常规穴位浅刺组、常规针刺组的总愈显率分别为88.57%、72.73%、64.71%;3组的NPQ-颈痛量表和Mc GILL-疼痛量表等指标均有改善,而浅刺针法组的疗效优于常规穴位浅刺组和常规针刺组(P<0.01)。结论:浅刺针法治疗颈椎病颈痛疗效优于常规穴位浅刺、常规针刺。

Objective： To compare the therapeutic effects of different acupuncture methods for neck pain of cervical spondylosis, and to explore the effective method of acupuncture for neck pain of cervical spondylosis. Methods： A total of 105 patients were randomly divided into shallow pricker acupuncture group, conventional acupoints shallow pricker acupuncture group and conventional acupuncture group. There were 35 cases in the spur group. The shallow pricker acupuncture group was treated with shallow acupuncture, the conventional acupoints shallow pricker acupuncture group （control group 1） was treated with shallow pricker acupuncture in conventional acupoints, and the conventional acupuncture group （control group 2） was treatedwith conventional acupuncture. The NPQ-neck pain scale and the McGILL-pain scale were used as the evaluation indexes for efficacy. The overall efficacy evaluation criteria were formulated in reference to the Clinical Disease Diagnosis Based on the Cure and Improvement Standard, and the therapeutic effect and the cure rate were judged after 2 courses of treatment. Results： The total cure rates of shallow pricker acupuncture group, conventional acupoints shallow pricker acupuncture group and conventional acupuncture group were respectively 88.57%, 72.73%, and 64.71%. The NPQ-neck pain scale and the McGILL-pain scale were improved in the three groups. The curative effect of the shallow pricker acupuncture group was better than that of the conventional acupoints shallow pricker acupuncture group and the conventional acupuncture group （P〈0.01）. Conclusion： The curative effect of neck pain of cervical spondylosis in shallow pricker acupuncture is better than conventional acupuncture and conventional acupoints shallow pricker acupuncture.