针刀治疗颈椎病临床疗效评价  

Evaluation on clinical therapeutic effect of needle-knife therapy on cervical spondylosis

作　　者：朱汉章[1] 权伍成[1] 张秀芬[2] 乔晋琳[3] 刘忠建[4] 付平[1] 由松[1] 

机构地区：[1]北京中医药大学针灸学院,北京100029 [2]武警北京总队第二医院 [3]海军总医院 [4]北京军区252医院

出　　处：《中国针灸》2006年第5期316-318,共3页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局中医临床诊疗技术整理与研究项目:国中医药科2002ZL47

摘　　要：目的:对比针刀与针刺治疗颈椎病的临床疗效。方法:采用多中心临床随机对照试验方法,将患者分为针刀治疗组(在患椎上下棘间韧带和两侧后关节的关节囊处行针刀治疗)与针刺对照组(穴取落枕、阿是穴、颈夹脊等),在疗程结束时和治疗结束后6个月分别统计近、远期疗效。结果:针刀治疗组的近、远期有效率为91.3%、94.7%,针刺对照组分别为59.4%和56.6%,两组相比差异均有非常显著性意义(P<0.01)。结论:针刀组治疗颈椎病与针刺组相比,其治疗效果更佳。Objective To compare therapeutic effects of needle-knife therapy and acupuncture on cervical spondylosis. Methods Multi-central clinical randomized controlled trial was adopted. The patients were divided into a needie-knife treatment group treated with needle-knife therapy at the upper and lower interspinal ligaments of the affected vertebral body and bilateral posterior joint capsules; and the acupuncture control group were treated with acupuncture at Laozhen, Ashi points and cervical Jiaji points, etc. The short-term and the long-term therapeutic effects were observed at the end of the therapeutic course and 6 months after the end of the therapeutic course. Results The short-term therapeutic effect and the long-term therapeutic effect were 91.3 % and 94.7% in the needle-knife treatment group and 59.4% and 56.6% in the acupuncture control group, respectively, with a very significant difference between the two groups （P〈0.01）. Conclusion The needle-knife treatment in the therapeutic effect on cervical spondylosis is Superior to acupuncture treatment.

关 键 词：颈椎病/针灸疗法 小刀针 

分 类 号：R246.2[医药卫生—针灸推拿学]