输刺臂丛神经阳性反应点治疗神经根型颈椎病的镇痛时效观察

Clinical Observation on Analgesic Time-Limit Effect of Shu-Needling Positive Reaction Points of Brachial Plexus in the Treatment of CSR

目的:观察输刺臂丛神经阳性反应点治疗神经根型颈椎病的镇痛时效,验证输刺阳性点的即时效应。方法:随机将60例符合纳入标准的患者分为试验组、对照组,试验组采用输刺阳性点,对照组则常规针刺,均治疗20次,每日1次,分别于首次治疗时观察起效时间、首次后观察维持时间来分析即刻镇痛效应,且于治疗前、首次治疗后、治疗20次后观察简式McGill疼痛量表(SF-MPQ)和广泛性焦虑自评量表(GAD-7)来进行疗效分析。结果:两组镇痛起效时间比较,试验组低于对照组,差异有统计学意义(P<0.05);但首次治疗后维持时间,两组比较无统计学差异(P>0.05);试验组、对照组在SF-MPQ和GAD-7改善方面均有疗效(P<0.05),但试验组低于对照组(P<0.05),有统计学差异;且试验组SF-MPQ积分中PPI和VAS方面降低更快。结论:输刺臂丛神经阳性反应点对神经根型颈椎病的镇痛作用起效更快,且在改善疼痛及情绪方面更具优势,更适合基层推广。

Objective:To observe the analgesic time-limit effect of Shu-needling positive reaction points of brachial plexus in the treatment of cervical spondylotic radiculopathy(CSR) and to explore its immediate effect. Methods:60 CSR patients were randomly divided into the trial group and the control group.The trial group was treated with Shu-needling the positive reaction points,whereas the control group was treated with routine acupuncture.The needling was once a day for twenty days.The immediate analgesic effect was analyzed by observing onset time at the first treatment and maintenance time after the first treatment,and the curative effect was analyzed by observing the short-form McGill pain scale(SF-MPQ) and the generalized anxiety self-rating scale(GAD-7) before the treatment,after the first treatment and after twenty times of the treatment. Results:In terms of the onset time of analgesia,it came earlier in the trial group than that in the control group( P <0.05).However,there was no significant difference in the analgesia duration after the first treatment( P > 0.05).Both the trial group and the control group showed efficacy in improving SF-MPQ and GAD-7( P < 0.05),but the scores of the trial group were lower than those of the control group( P <0.05).In the trial group,the scores of PPI and VAS decreased faster. Conclusion:Shu-needling positive reaction points of brachial plexus has a faster analgesic effect in the treatment of CSR,and it has more advantages in improving pain and emotion,which was more suitable for promotion at the gross-roots level.