天应穴浮针刺与温针灸治疗棘上韧带损伤疗效对照观察  

Controlled observation of the efficacy between floating acupuncture at Tianying point and warm-needling therapy for supraspinous ligament injury

作　　者：李新伟[1,2] 邵晓梅[1] 谭克平[2] 方剑乔[1] 

机构地区：[1]浙江中医药大学第三临床医学院,杭州301153 [2]浙江省立同德医院

出　　处：《中国针灸》2013年第4期309-313,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较天应穴浮针刺和常规温针灸疗法治疗棘上韧带损伤的疗效差异。方法:将90例患者随机分为浮针组和温针灸组,每组45例。浮针组采用天应穴浮针刺治疗,温针灸组采用天应穴为主穴的常规温针灸疗法,均每周治疗3次,6次为一疗程。比较两组患者治疗前后疼痛视觉模拟量表(VAS)评分,并评定两组疗效。结果:浮针组愈显率为81.8%(36/44)、总有效率为95.5%(42/44),均优于温针灸组的44.2%(19/43)、79.1%(34/43)(P<0.01,P<0.05);两组患者VAS评分均较治疗前降低(均P<0.01),且治疗后浮针组低于温针灸组(P<0.01);治疗后浮针组痊愈+显效者36例,其中治疗3次内愈显28例,占77.8%(28/36),明显高于温针灸组的26.3%(5/19,P<0.01)。结论:天应穴浮针刺治疗棘上韧带损伤起效快、疗效确切,具有明显的镇痛效应,且疗效优于常规温针灸疗法。Objective To compare the efficacy difference in the treatment of supraspinous ligament injury between floating acupuncture at Tianying point and the conventional warm needling therapy. Methods Ninety patients were ran domized into a floating acupuncture group and a warm needling group, 45 cases in each one. In the floating acupuncture group, the floating needling technique was adopted at Tianying point. In the warm needling group, the conventional warm needling therapy was applied at Tianying point as the chief point in the prescription. The treatment was given 3 times a week and 6 treatments made one session. The visual analogue scale （VAS） was adopted for pain comparison be fore and after treatment of the patients in two groups and the efficacy in two groups were assessed. Results The curative and remarkably effective rate was 81.8% （36/44） in the floating acupuncture group and the total effective rate was 95.5% （42/44）, which were superior to 44. 2% （19/43） and 79.1% （34/43） in the warm needling group separately （P〈0.01, P〈0.05）. VAS score was lower as compared with that before treatment of the patients in two groups （both P%0.01） and the score in the floating acupuncture group was lower than that in the warm needling group after treatment （P〈0.01）. Thirtysix cases were cured and remarkably effective in the floating acupuncture group after treatment, in which 28 cases were cured and remarkably effective in 3 treatments, accounting for 77.8% （28/36）, which was apparent ly higher than 26.3% （5/19） in the warmneedling group （P%0.01）. Conclusion The floating acupuncture at Tianying point achieves the quick and definite efficacy on supraspinous ligament injury and presents the apparent analgesic effect. The efficacy is superior to the conventional warmneedling therapy.

关 键 词：棘上韧带损伤 浮针疗法 天应穴 温针灸 

分 类 号：R246.2[医药卫生—针灸推拿学]