基于“筋结”理论火刃针治疗神经根型颈椎病的临床研究

Clinical Study of Fire-Blade Acupuncture in the Treatment of CSR Based on‘Tendon Knot’Theory

目的:比较火刃针疗法与电针疗法治疗神经根型颈椎病的临床疗效。方法:将符合纳入标准的60例神经根型颈椎病患者随机平均分为治疗组和对照组。治疗组采用火刃针治疗,对照组采用电针治疗,两组均隔日治疗1次,4次为1个疗程,连续治疗2个疗程。分别观察两组治疗前后McGill疼痛积分及症状体征量化评分的变化,并评估疗效。结果:两组临床疗效比较,治疗组优于对照组,差异有统计学意义(P<0.05)。McGill疼痛积分比较,两组患者治疗后PRI、VAS及PPI疼痛积分均较治疗前显著降低,差异有统计学意义(P<0.01),提示两种疗法均具有较好的镇痛效应,且治疗组优于对照组,差异有统计学意义(P<0.05);症状体征量化评分比较,两组患者治疗后各项症状体征量化评分均较治疗前显著升高,差异有统计学意义(P<0.01),提示两种疗法均能够显著改善患者临床症状与体征,且治疗组优于对照组,差异有统计学意义(P<0.05)。结论:火刃针疗法治疗神经根型颈椎病具有确切疗效,在临床疗效、镇痛效应及改善患者临床症状及体征方面均优于电针治疗。

Objective:To compare the clinical efficacy of fire-blade acupuncture and electro-acupuncture in the treatment of cervical spondylotic radiculopathy(CSR).Methods:60 patients with CSR,who met the inclusion criteria,were randomly divided into the treatment group and the control group.The treatment group was treated with fire-blade acupuncture and the control group was treated with electro-acupuncture.Both groups were treated once every other day for 2 consecutive courses,with 4 times being taken as a course of treatment.The changes of McGill pain score and quantitative score of symptoms and signs were observed before and after the treatment in the two groups.The curative effect was evaluated in the two groups.Results:The clinical curative effect of the treatment group was better than that of the control group(P<0.05).In terms of McGill pain scores,the pain scores of PRI,VAS and PPI were significantly lower after the treatment than those before the treatment in the two groups(P<0.01),which suggested that these two kinds of treatments have good analgesic effect,and the treatment group was better than the control group(P<0.05).In terms of quantitative scores of symptoms and signs,they were significantly higher after the treatment than those before the treatment in the two groups(P<0.01),which suggested that the two therapies could significantly improve the clinical symptoms and signs of the patients,and the treatment group was better than the control group(P<0.05).Conclusion:Fire-blade acupuncture therapy has a significant effect in the treatment of CSR,and it is superior to electro-acupuncture in terms of the clinical efficacy,the analgesic effect and the improvements of clinical symptoms and signs.