毫针配合火针治疗风寒阻络型神经根型颈椎病临床观察

Clinical efficacy observation of filiform needle combined with fire needle for cervical radiculopathy due to wind-cold obstructing the meridians

目的:观察毫针配合火针治疗风寒阻络型神经根型颈椎病(CR)的临床疗效。方法:将60例风寒阻络型CR患者随机分为观察组和对照组,每组30例。对照组采用常规毫针针刺治疗,观察组在对照组治疗方法基础上加用火针点刺治疗。治疗前及治疗1、2、3、4周共5个时间点进行疼痛视觉模拟量表(VAS)和田中靖久颈椎病症状20分量表(YT-20)评分,测量压痛阈,采用红外热像仪测量局部皮肤温度;治疗后进行安全性评价。结果:治疗后各时间点观察组VAS评分均低于同时间点对照组(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于对照组(P<0.05)。观察组治疗后各时间点VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。治疗3周和4周后,对照组VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。两组VAS和YT-20评分、压痛阈值及局部皮肤温度值的组别因素效应均具有统计学意义(P<0.05)。时间及时间与组别交互效应均无统计学意义(P>0.05)。结论:毫针配合火针或毫针单独使用均可缓解风寒阻络型CR患者的颈部疼痛症状,改善颈部温度;毫针配合火针治疗起效更迅速,疗效更好。

Objective:To observe the clinical efficacy of filiform needle combined with fire needles for cervical radiculopathy(CR)due to wind-cold obstructing the meridians.Methods:A total of 60 patients with CR due to wind-cold obstructing the meridians were randomized into an observation group and a control group,with 30 cases in each group.The control group was treated with filiform needle treatment,and the observation group was treated with additional fire needle point-pricking treatment.The visual analog scale(VAS)and 20-point scale of CR developed by Yasuhisa TANAKA(YT-20)were scored before treatment and after 1,2,3,and 4 weeks of treatments.The tenderness threshold was measured.The local skin temperature was measured by an infrared thermal imager.A safety evaluation was performed after treatment.Results:After treatment,the VAS score in the observation group at each time point was lower than that in the control group(P<0.05).The YT-20 score,tenderness threshold,and local skin temperature in the observation group were all higher than those in the control group(P<0.05).The VAS score in the observation group at each time point after treatment was lower than that before treatment(P<0.05),and the YT-20 score,tenderness threshold,and local skin temperature at each time point were higher than those before treatment(P<0.05).After 3 and 4 weeks of treatments,the VAS score in the control group was lower than that before treatment(P<0.05),and the YT-20 score,tenderness threshold,and local skin temperature were higher than those before treatment(P<0.05).The group factor effects of VAS and YT-20 scores,tenderness threshold,and local skin temperature between the two groups were statistically significant(P<0.05).There was no significant difference in the time effect and the interaction effect between time and group(P>0.05).Conclusion:Filiform needle combined with fire needle or applied alone both can relieve neck pain in patients with CR due to wind-cold obstructing the meridians,and improve the temperature of the neck.The combination of filiform needle and fire needle works more quickly and has better efficacy.