电针疗法“颈四针”穴与“颈夹脊”穴治疗神经根型颈椎病的疗效对照观察

Observation on treating cervical spondylosis by electroacupuncture

目的:观察电针疗法的不同取穴对神经根型颈椎病的临床疗效差异。方法:采用随机对照的临床研究方法,将60例患者分为颈四针组与颈夹脊组,颈四针组局部取天柱、颈百劳、大杼、肩井。颈夹脊组取颈第2、4、7夹脊穴。针刺得气后接通G6805-D型电疗仪,以对应两侧为一组接正负极,选用连续波,频率为5Hz,每次治疗30min,每日治疗一次, 7次为一个疗程。2个疗程后,分别统计两组患者的症状体征积分、疼痛综合评分,并将两组统计结果进行比较。结果:颈四针组在临床的治愈率、总有效率方面均优于颈夹脊组,P <0.05有统计学意义。结论:针刺颈四针穴在病症改善与各项疼痛控制方面都优于针刺颈夹脊穴。

Objective： To observe the difference efficacy of different acupoints of electroacupuncture on cervical spondylosis. Methods： 60 patients were divided into the Jingjiaji （ 颈夹脊 ） group and the Jingsizhen （ 颈四针） group. The jingsizhen group was treated by electroacupuncture in Tianzhu （天柱）, Jiangbailao （颈百劳）, Dazhu （大杼） and Jianjing （肩井）. The Jingjiaji group took the 2nd, 4th and 7th Jiaji points of the neck. Each treatment is 30 minutes, once daily, and 7 times as a course. After two courses, the scores of symptoms and signs and the comprehensive score of pain were compared between groups. Results： The clinical cure rate and total efficiency in the Jingsizhen group was superior to the Jingjiaji group, with a statistically signifcant diference, P〈0.05. Conclusion： Acupuncture at Jingsizhen points is superior to Jingjiaji points in improving symptoms and various pain control.