夹脊穴深刺治疗颈椎病颈肩背痛随机对照研究

Randomized Controlled Study on Jiaji(EX-B2)Deep Needling in the Treatment of Cervical Spondylotic Pain for 80 Cases

目的观察长针针刺夹脊穴治疗颈椎病颈肩背痛的近期及远期临床疗效。方法将80例颈椎病颈肩背痛患者随机分为治疗组和对照组各40例。治疗组采用长针治疗,每周治疗3次,每次20 min,隔日1次,共治疗6周;对照组采用普通针刺治疗,每周治疗3次,每次20 min,隔日1次,共治疗6周。3个月后2组随访。比较2组治疗前后以及随访时颈肩背疼痛评分、压力感受器阈值,并比较2组治疗前后及随访时的临床疗效。结果治疗组治疗后及随访时治愈率、总有效率明显优于对照组(P<0.05);治疗组治疗后及随访时视觉模拟评分(VAS)低于对照组(P<0.05);治疗组治疗后及随访时穴位压力感受器评分较对照组明显提高(P<0.05)。结论夹脊穴深刺治疗颈椎病颈肩背痛可显著改善患者临床症状体征及生活质量,压力感受器可以客观评价临床疗效。

Objective To observe the short-term and long-term clinical efficacy of Jiaji(EX-B2)deep needling in the treatment of cervical spondylotic pain.Methods 80 patients with cervical spondylotic pain were randomly divided into treatment group and control group.The treatment group was treated with a long needle,treated three times a week for 20 minutes,and once a day for 6 weeks.The control group was treated with ordinary acupuncture treatment,and treated three times a week for 20 minutes,and once every other day for 6 weeks.After 3 months,two groups were followed up.Two groups of patients were compared before and after treatment and during follow-up,threshold of pressure receptor.The clinical efficacy of the two groups before and after treatment was compared.Results The clinical effect was compared between the two groups after treatment and follow-up.The cure rate and total efficiency of the treatment group were significantly better than the control group(P<0.05).Visual analogue score(VAS)of the treatment group was lower than the control group(P<0.05).The score of acupoint pressure receptors in the treatment group was significantly higher than that in the control group(P<0.05).Conclusion It can significantly improve the clinical symptoms and quality of life of patients with cervical spondylosis.The pressure receptors can objectively evaluate the clinical effect.