摘要
目的:比较针刀疗法与针刺拔罐疗法对颈型颈椎病的疗效差异。方法:将颈型颈椎病患者60例随机分为针刀组(30例)和针罐组(30例)。针刀治疗在枕骨上项线、颈项两侧肌肉、项中线、两侧斜方肌、肩胛骨的内缘选点操作,只治疗1次;针罐治疗取风池、风府、天柱、大椎、肩井、颈4~颈6夹脊穴、后溪、阿是穴,常规针刺后于局部拔罐,隔日1次,共治疗6次。观察两组治疗前、治疗后、治疗后1、3、6个月随访颈项僵硬拘紧评分、视觉模拟疼痛评分(VAS)变化,并比较两组疗效。结果:针刀组痊愈9例,显效12例,有效8例,无效1例,愈显率为70.0%(21/30),总有效率为96.7%(29/30);针罐组痊愈8例,显效9例,有效11例,无效2例,愈显率为56.7%(17/30),总有效率为93.3%(28/30)。两组总有效率差异无统计学意义(P>0.05),但两组愈显率差异有统计学意义(P<0.05),针刀组疗效明显优于针罐组。颈项僵硬拘紧改善情况在治疗后1、3、6个月随访时针刀疗法均明显优于针罐疗法,差异有统计学意义(P<0.05,P<0.001);颈项疼痛的缓解方面两种方法均有效,但针刀组在治疗后3、6个月随访时缓解程度要明显优于针罐疗法(均P<0.01)。结论:针刀疗法在改善局部僵硬拘紧症状及缓解疼痛方面优于针罐疗法,且治疗时间短。
Objective To compare the efficacy differences between needle-knife therapy and acupuncture-cup- ping for treatment of cervical spondylosis （CS） of cervical type. Methods Sixty cases of CS were randomly divided into a needle-knife group （30 cases） and an acupuncture-cupping group （30 cases）. The needle-knife therapy was applied at points among superior nuchal line of occipital bone, bilateral neck muscle, neck centerline, trapezius and medial border scapula for only once. In the acupuncture-cupping group, acupuncture was applied at Fengchi （GB 20）, Fengfu （GV 16）, Tianzhu （BL 10）, Dazhui （GV 14）, Jianjing （GB 21）, Jiaji （Ex-Bz, from C4 to C6）, Houxi （SI 3） and Ashi point, followed by cupping on local skin, once every other day for totally six times. The score of neck stiffness and visual analogue scale （VAS） were observed before and after treatment, in follow-up of 1, 3 and 6 months after treatment in the two groups, and the efficacy was compared. Results In the needle-knife group, 9 cases were cured, 12 cases were markedly effective, 8 cases were effective and 1 case was failed; the total effective rate was 96.7% （29/30） and the cured and markedly effective rate was 70.0% （21/30）. In the acupunc- ture-cupping group, 8 cases were cured, 9 cases were markedly effective, 11 cases were effective and 2 cases were failedl the total effective rate was 93.3% （28/30） and the cured and markedly effective rate was 56.7% （17/30）. The difference of total effective rate in the two groups was not statistically significant （P〉0.05）, but the cured and markedly effective rate of needle-knife group was significantly superior to that of acupuncture-cupping group （P〈0.05）. The needle-knife therapy was significantly superior to acupuncture-cupping on improvement of neck stiffness in the follow-up of 1, 3, 6 months after treatment （P〈0.05, P〈0. 001） ; both treatments were effective on relief of neck pain, but the needle-knife group had better effects in the follow-up of 3 and 6 months after treat- ment compared with acupuncture-cupping group （both P^0.01）. Conclusion The needle-knife therapy has better effects on neck stiffness and pain relief than acupuncture-cupping, and it is more treatment time saving.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第5期499-502,共4页
Chinese Acupuncture & Moxibustion
关键词
颈椎病
颈型
针刀疗法
针刺疗法
拔罐
cervical spondylosis, cervical type
needle-knife therapy
acupuncture therapy
cupping
