浮针疗法结合颈椎操治疗颈椎病的临床研究

Clinical study on the treatment of cervical spondylosis by floating needle therapy combined with cervical exercises

目的:观察浮针疗法结合颈椎操治疗颈椎病的近期和远期效果,为颈椎病患者的临床疗效量化分析提供指导。方法:选择2018年6月~2020年12月在我院接受治疗的120例颈椎病患者,按照随机数字法分为三组:浮针组(A组)、浮针结合颈椎操组(B组)、普通针刺组(C组),每组各40例。采用颈椎病整体症状综合量化评分:中医辨证因子等级评分和视觉模拟疼痛评分(VAS),分别比较三组患者治疗前、首次治疗1个疗程后、随访第1个月的疗效量化评分;并比较三组患者的近期疗效及随访第1个月的远期疗效。结果:经相应的治疗后,三组患者中医辨证因子等级评分和视觉模拟疼痛评分(VAS)比较,A、B、C组前后对比均有不同程度的疗效差异,量化评分差异比较具有统计学意义(P<0.05);A、C组组间比较和B、C组组间比较,近期和远期治疗效果指标量化评分比较,差异具有统计学意义(P<0.05),A组、B组对比C组,治疗效果量化评分有显著差异;A、B组间比较,浮针是否配合颈椎操疗法近期治疗效果指标量化评分比较,差异无统计学意义(P>0.05),远期治疗效果指标量化评分比较,差异有统计学意义(P<0.05)。结论:浮针结合颈椎操治疗颈椎病,相比常规针刺组、单纯浮针组,有近期效果和远期效果好的临床优势;能较好解决颈椎病患者容易复发、治疗效果差的普遍性问题;浮针结合颈椎操治疗颈椎病将具有疗效确切、远期疗效好、疾病复发率低、安全性较高等临床应用优势。

Objective:To observe and analyze the short-term and long-term effects of floating needle therapy combined with cervical exercise therapy in the treatment of cervical spondylosis,so as to provide guidance for quantitative analysis of clinical efficacy of patients with cervical spondylosis.Methods:120 patients with cervical spondylosis treated in our hospital from June 2018 to December 2020 were selected and randomly divided into three groups:floating needle group(group A),floating needle combined with cervical exercise group(group B)and ordinary acupuncture group(Group C),with 40 cases in each group.The comprehensive quantitative score of cervical spondylosis:TCM syndrome differentiation factor grade score and visual analogue pain score(VAS)were used to compare the curative effect quantitative score of three groups before treatment,after the first treatment course and the first month of follow-up,and the short-term curative effect and the long-term curative effect of the three groups in the first month of follow-up were compared.Results:After the corresponding treatment,three groups of patients with TCM syndrome differentiation factor grade score and visual analogue pain score(VAS)comparison,A,B,C group before and after comparison have different degrees of curative effect difference,quantitative score difference comparison has statistical significance(P<0.05);A,C group comparison and B,C group comparison,shortterm and long-term treatment effect index quantitative score comparison,the difference has statistical significance There was significant difference between group A and group B and group C in the quantitative score of treatment effect(P<0.05);there was no significant difference between group A and group B in the quantitative score of short-term treatment effect index of floating needle combined with cervical exercise therapy(P>0.05),but there was significant difference in the quantitative score of long-term treatment effect index(P<0.05).Conclusion:Compared with the conventional acupuncture group and the simple floating acupuncture group,the floating acupuncture combined with cervical exercise group has better clinical advantages in short-term and long-term effects in the treatment of cervical spondylosis;it can better solve the common problems of easy recurrence and poor treatment effect in patients with cervical spondylosis;the floating acupuncture combined with cervical exercise group will have definite curative effect,good long-term effect,low recurrence rate and high safety in the treatment of cervical spondylosis Potential.