电针针刺颈椎病穴治疗脊髓变性型颈椎病的临床疗效观察

Observation on treating cervical spondylotic myel-opathy byelectroacupuncture at Jingzhuibing points

目的:观察电针颈椎病穴治疗脊髓变性型颈椎病(Cervical Spondylotic Myelopathy,CSM)的临床疗效。方法:将60例诊断为脊髓变性型颈椎病的患者随机分为治疗组与对照组,两组患者在常规西医治疗的基础上均配合电针疗法,治疗组以颈椎病穴为主穴,对照组以颈夹脊穴为主穴,每日1次,6 d为一个疗程,疗程间间隔一天,共治疗4个疗程。分别于治疗前、治疗2周后、治疗4周后采用颈椎病脊髓功能状态评定24分法、改良疼痛视觉模拟评分量表(Visual Analogue Scale/Score,VAS)评分法、生活质量量表等综合评定两组患者的临床疗效,并记录两组患者的不良反应数。结果:治疗2周后,治疗组患者疼痛减轻优于对照组,治疗4周后,治疗组患者神经功能症状改善优于对照组,经统计学分析,差异均具有统计学意义(P<0.05);两组患者治疗后临床疗效、生活质量分布状况均存在差异(P<0.05),差异具有统计学意义。结论:电针颈夹脊穴疗法治疗脊髓变性型颈椎病能有效改善神经症状,更快降低患者疼痛,提升患者生活质量,全面提升整体临床疗效,值得推广。

Objective:To study the clinical efficacy of cervical spondylotic myelopathy by electroacupuncture at Jingzhuibing points(颈椎病穴).Methods:On the same basic of conventional Western medicine and electroacupuncture treatment,a total of 60 cases with cervical spondylotic myelopathy were randomly assigned to two groups.30 cases in the treatment group pick Jingzhuibing points as staple acupoint,while 30 cases in the observation group pick Jingjiaji points as staple acupoint.One course of treatment with six days,all patients accepted treatment once a day,block one day before next course.Results:After continually two courses,pain relief in the treatment group is better than the observation group;after continually four courses,the medical e ffect above cervical spinal function in the treatment group is better than the observation group and all the discrepancies of clinical e fficacy was signi ficantly di fferent(P<0.05).Conclusion:Electronic-acupuncture at Jingzhuiibng points can e ffectively improve the patient’s neurological function,reduce patient pain faster,and accept more satisfactory e ffect and is worthy of promotion.