八脉交会穴配穴疗法对颈型颈椎病患者生存质量影响的随机对照研究

Effect of Matching Eight Confluent Acupoints Therapy on Survival Quality of Patients with Cervical Spondylosis of Neck Type:A Randomized Controlled Trial

目的:探讨八脉交会穴配穴疗法对颈型颈椎病患者生存质量的影响。方法:将70例颈型颈椎病患者随机分为八脉交会穴配穴组(35例)和常规针刺组(35例)。常规针刺组取病变段颈椎夹脊穴、大椎、风池、肩井、肩外俞进行针刺治疗;八脉交会穴配穴组在常规针刺组的基础上增加双侧后溪穴、双侧申脉穴进行针刺治疗。两组均隔日治疗1次,5次为1个疗程,共治疗2个疗程,随访3个月。应用SF-36量表在治疗前、治疗结束时、治疗结束后4周及12周由第三方分别对两组患者进行问卷调查,以评价患者的生存质量。结果:八脉交会穴配穴组在治疗结束时、4周及12周随访中的各维度生存质量评分均较治疗前提高(均P<0.01),其中治疗结束时全部维度均具有高度差异(均P<0.01),治疗结束后4周随访时躯体疼痛(BP)、精力(VT)、社会功能(SF)、精神健康(MH)等4个维度具有高度差异(均P<0.01)。常规针刺组治疗结束时各维度生存质量均较治疗前提高(均P<0.05),治疗结束后4周随访时除一般健康状况(GH)和精神健康(MH)外其余6个维度均较治疗前提高(均P<0.05),治疗结束后12周随访时生理职能(PH)、躯体角色(RP)和社会功能(SF)等3个维度的评分均较治疗前提高(均P<0.05)。组间比较,八脉交会穴配穴组在治疗结束时、治疗结束后4周及12周随访时的各个维度生存质量评分均高于常规针刺组(均P<0.05)。结论:八脉交会穴配穴疗法能较好的提高颈型颈椎病患者的生存质量,尤其是在提高患者的远期生存质量上有显著优势。

Objective:To investigate the effect of matching eight confluent acupoints therapy on the survival quality of patients with cervical spondylosis of neck type.Methods:Seventy patients of cervical spondylosis of neck type were randomly divided into conventional acupuncture group(35 cases) and matching eight confluent acupoints group(35 cases).In conventional acupuncture group,the conventional acupuncture therapy was applied to these acupoints:Jiaji points at lesion region,Dazhui(DU14),Fengchi(GB20),Jianjing(GB21),Jianwaishu(SI14).On the basis of treatment in conventional acupuncture group,needling Houxi(SI3) and Shenmai(BL62) were added in matching eight confluent acupoints group.The treatment was given once every other day,10 times for a course of treatment in the two groups.One course was required and the follow-up lasted for 3 months.The SF-36(The short-form-36 Health Survey,SF-36) was adopted for the questionnaire investigation on survival quality by the third party before treatment,at the end of treatment,at the end of 4-week follow-up and at the end of 12-week follow-up separately in the two groups.Results:Compared with those before treatment,all the dimension scores of SF-36 at all the observation time points were significantly improved in the matching eight confluent acupoints group after treatment(all P<0.05),in which all the dimension scores increased obviously with highly significant differences at the end of treatment and the same as the scores of bodily pain,vitality,social function,mental health at the end of 4-week follow-up(all P<0.01).All the dimension scores of SF-36 at the end of treatment were significantly improved compared with those before treatment in conventional acupuncture group(all P<0.05).Except for general health and mental health,all the other six dimension scores at the end of 4-week follow-up were significantly improved compared with those before treatment in conventional acupuncture group,so did the scores of physical function,role-physical and social function at the end of 12-week follow-up(all P<0.05).All the dimension scores of SF-36 at all the observation time points were higher in the matching eight confluent acupoints group than those in conventional acupuncture group(all P<0.05).Conclusion:The treatment for matching eight confluent acupoints therapy can improve the survival quality of patients with cervical spondylosis,especially in improving the long-term survival quality of patients with significant advantages.