指针按压远端阿是穴联合运动疗法治疗落枕的临床观察

Clinical Observation on the Application of Acupuncture Distal Ashi Point Combined with Exercise Therapy in Treating 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例落枕患者随机分为对照组和治疗组,每组40例。2组以相同的方法找到远端阿是穴,在治疗过程中均联合运动疗法,治疗组以指针按压远端阿是穴,对照组以强刺激针法针刺阿是穴,比较2组治疗前及治疗10 min颈部视觉模拟评分(VAS);2组患者治疗1 h由治疗所致阿是穴处疼痛VAS评分与治疗前颈痛VAS评分比较;比较2组患者治疗10 min的显效率和痊愈率。结果2组患者治疗前视觉模拟评分(VAS)比较差异无统计学意义(P>0.05),治疗10 min VAS评分比较(均P<0.05)差异有统计学意义;2组患者治疗10 min VAS评分均较治疗前降低,差异有统计学意义(均P<0.05);2组患者治疗1 h由治疗所致阿是穴处疼痛VAS评分均较治疗前颈痛VAS评分下降,差异有统计学意义(均P<0.05)。2组患者比较治疗10 min治疗组显效率为100.0%(39/39),与对照组的97.4%(38/39)比较,差异无统计学意义(P>0.05);10 min治疗组痊愈率为97.4%(38/39),优于对照组的46.2%(18/39)(P<0.05),差异有统计学意义。结论指针按压远端阿是穴联合运动疗法与强刺激针法针刺远端阿是穴联合运动疗法是治疗落枕的有效疗法,指针按压远端阿是穴联合运动疗法在治疗10 min痊愈率方面优于强刺激针法针刺远端阿是穴联合运动疗法。

Objective To observe the clinical efficacy of acupuncture distal ashi acupoint combined with exercise therapy in the treatment of stiff neck.Methods 80 cases of stiffening patients were randomly divided into control group and treatment group,each group had 40 cases.Two groups in the same way to find the distal ashi acupoint,in the course of treatment are combined exercise therapy,the treatment group with a pointer to push the distal ashi acupoint,the control group to stimulate the acupuncture needle acupuncture living acupoint.Comparison of the two groups before treatment and 10 minutes of neck visual analogue scale(VAS),the two groups of patients treated for 1 hour by the treatment of living acupoint pain VAS score and before treatment of neck pain VAS score comparison;comparison of the two groups of patients during treatment 10 minutes of the effective rate.Results There was no significant difference in visual analogue scale(VAS)between the two groups before treatment(P>0.05).Treatment 10 minutes VAS score comparison(P<0.05),and the difference was statistically significant.The two groups of patients treated for 10 minutes by treatmentdue to acupuncture at living acupoint VAS score than neck pain VAS score decreased,and the difference was statistically significant(P<0.05).Two groups of patients treated for 1 hour of treatment living acupoint pain VAS score was significantly lower,and the difference was statistically significant(P<0.05).The effective rate after 10 minutes in the treatment group was 100.0%(39/39),in the control group was 97.4%(38/39).According to the Chi-square,the difference was not statistical significant(P>0.05).The recovery rate of the treatment group after 10 minutes was 97.4%(38/39),and that was 46.2%(18/39)in the control group.The effects in the treatment group are significantly better than the control group,and the difference was statistical significant(P<0.05).Conclusion Acupuncture distal ashi acupoint combined with exercise therapy and strong stimulation of acupuncture distal ashi acupoint combined with exercise therapy is the effective treatment of stiff neck,acupuncture distal ashi acupoint combined with exercise therapy in the treatment of 10 minutes of cure rate is better than the strong stimulation of acupuncture distal living acupoint combined with exercise therapy.