指针按压远端阿是穴联合运动疗法治疗落枕的即刻疗效观察

Observation on the immediate effect of pressing distal Ashi acupoint plus exercise therapy on stiff neck

目的:观察指针按压远端阿是穴联合运动疗法治疗落枕的临床疗效。方法:将80例落枕患者按就诊顺序编号抽签随机分为治疗组和对照组,每组40例。治疗组以指针按压远端阿是穴联合运动疗法治疗,对照组采用全国高等中医药院校规划第十版教材《推拿治疗学》中落枕的治疗方法(一般推拿疗法),治疗1次后,观察两组治疗前后视觉模拟评分(VAS)及临床疗效。结果:治疗组的痊愈率为97.5%(39/40),对照组的痊愈率为47.5%(19/40),两组治疗方案痊愈率比较有统计学意义(P<0.05);治疗组的总显效率为100.0%(40/40),对照组的总显效率为97.5%(39/40),两组治疗方案显效率比较无统计学意义(P>0.05)。两组治疗后VAS评分均较治疗前下降(均P<0.01),治疗组治疗后VAS评分的下降明显优于对照组,差异有统计学意义(P<0.01)。结论:指针按压远端阿是穴联合运动疗法与一般推拿疗法均是治疗落枕的有效方法,指针按压远端阿是穴联合运动疗法在痊愈率方面优于一般推拿疗法。

Objective:Clinical efficacy of pressing distal Ashi acupoint(阿是穴)plus exercise therapy on stiff neck was observed.Methods:80 cases were randomly divided into the treatment group and control group according to the order of treatment,40 cases in each group.The treatment group took pressing distal Ashi acupoint plus exercise therapy;the control group received massage.Results:The cure rate was 97.5%(39/40)in the treatment group and 47.5%(19/40)in the control group.The cure rate in two groups showed a statistically significant difference(P<0.05).The total effective rate was 100.0%(40/40)in the treatment group and 97.5%(39/40)in the control group.There was no significant difference between two groups(P>0.05).The VAS score in two groups was lower than before treatment,and that in the treatment group was lower than the control group(P<0.01).Conclusion:Pressing distal Ashi acupoint plus exercise therapy on stiff neck was more effective.