不同疗程电针治疗对颈型颈椎病患者疗效及依从性的影响——一项小样本随机对照研究

Influence of different courses of electroacupuncture treatment on compliance and therapeutic outcome of patients with cervical type cervical spondylosis:a small-sample randomized controlled trial

目的:观察不同电针次数对颈型颈椎病患者疗效及依从性的影响。方法:60例颈型颈椎病患者随机分为5次治疗组与10次治疗组,每组各30例。在电针处方相同的情况下,5次治疗组每日治疗1次,共治疗5次;10次治疗组每日治疗1次,治疗5次后休息2 d,共治疗10次。观察两组患者治疗前后颈部疼痛视觉模拟量尺(VAS)评分,颈椎病治疗成绩评分变化;记录两组5次治疗结束后持续治疗意愿及原因,随访两组治疗后12个月的颈椎病复发情况。结果:两组治疗后颈椎VAS评分、颈椎病治疗成绩评分均较本组治疗前明显改善(P<0. 05);两组治疗后VAS评分、颈椎病治疗成绩评分差异无统计学意义(P>0. 05);两组治疗后12个月复发情况比较差异无统计学意义(P>0. 05)。10次治疗组中21例(70%)的受试者在治疗5次后因疗效满意而表达出不希望继续治疗的意愿。结论:电针能有效改善颈型颈椎病患者疼痛症状;相较于5次组,10次电针治疗可能影响患者参与临床治疗研究的依从性。

Objective To investigate the influence of different courses of electroacupuncture treatment on the compliance and therapeutic outcome of patients with cervical type cervical spondylosis.MethodsA total of 60 patients with cervical type cervical spondylosis were randomly divided into 5-time treatment group and 10-time treatment group,with 30 patients in each group. With the same electroacupuncture prescription,the patients in the 5-time treatment group were given electroacupuncture once a day for 5 times in total,and those in the 10-time treatment group were given electroacupuncture once a day for 10 times in total,with an interval of 2 days between every 5 times of treatment. The two groups were compared in terms of cervical Visual Analogue Scale(VAS)score and treatment score of cervical spondylosis before and after treatment,as well as whether and why the patients were willing to continue treatment after 5 times of treatment. The two groups were followed up to observe the recurrence of cervical spondylosis within 12 months.ResultsBoth groups had significant improvements in cervical VAS score and treatment score of cervical spondylosis after treatment(P<0. 05),and there were no significant differences in these scores between the two groups after treatment(P>0. 05). There was also no significant difference in long-term recurrence between the two groups(P>0. 05).Of the 30 patients in the 10-time treatment group,21(70%)showed no willingness to continue treatment after 5 times of treatment since they were satisfied with their treatment outcomes.ConclusionElectroacupuncture can effectively improve the pain symptom of patients with cervical type cervical spondylosis,and compared with 5 times of electroacupuncture treatment,10 times of electroacupuncture treatment may affect patients’ compliance with clinical treatment.