针刺配合麦粒灸对颈椎病颈痛患者颈部压痛阈的影响  

Effect of Acupuncture plus Wheat-grain Size Cone Moxibustion on Cervical Pressure Pain Threshold in Patients with Cervical Spondylosis Neck Pain

作　　者：狄忠[1] 姜硕[2] 林咸明[1] 符文彬 

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属第一医院,杭州310006 [3]广州中医药大学第二附属医院,广州510120

出　　处：《上海针灸杂志》2014年第4期349-352,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省科技计划项目(2009B030801287);广东省卫生厅课题(C2009025)

摘　　要：目的客观评价针刺配合麦粒灸对颈椎病颈痛患者颈部压痛阈的影响。方法按照纳入和排除标准获得合格受试者共150例,按就诊顺序随机分配至针灸组、针刺组、灸法组。针灸组于针刺结束后予以麦粒灸治疗,针刺组只予针刺治疗,灸法组只予麦粒灸治疗。3组受试者均隔日治疗1次,10次为1个疗程。运用M-tone压痛测试仪,于每次治疗前、后对受试者的颈部压痛阈进行测量。结果 3组接受治疗后压痛阈均增加,自第6次治疗开始,针灸组患者压痛阈明显优于其余两组(P<0.05);整个治疗过程中,针灸组压痛阈升高幅度最大,其后依次为针刺组和灸法组;每次干预前后压痛阈的差值比较,3组出现峰值的时间不等,针灸组出现最早,其次是针刺组和灸法组。结论针刺配合麦粒灸可明显升高颈椎病颈痛患者颈部压痛阈,具有较好的临床疗效。Objective To objectively evaluate the effect of acupuncture plus wheat-grain size cone moxibustion on cervical pressure pain threshold in patients with cervical spondylosis neck pain. Method A total of one hundred and fifty eligible subjects satisfying the inclusion and exclusion criteria were allocated, in order of visits, to acupuncture-moxibustion, acupuncture and moxibustion groups. The acupuncture-moxibustion group received acupuncture and subsequent moxibustion; the acupuncture group, acupuncture treatment alone; the moxibustion group, moxibustion treatment alone. All the three groups of subjects were treated once every other day, 10 times as one course. Cervical pressure pain threshold was measured using an M-tone pressure algometer in the subjects before and after every treatment. Result Pressure pain threshold increased in all the three groups after treatment. From the third treatment, pressure pain threshold increased more in the acupuncture-moxibustion group of patients than in the acupuncture and moxibustion groups（P0.05）. Throughout the course of treatment, pressure pain threshold increased the most in the acupuncture-moxibustion group and did next to it in the acupuncture group and the moxibustion group in order of range. A comparison of pre- /post-intervention difference values of pressure pain threshold showed that the time to reach the peak value varied among the three groups. It occurred earliest in the acupuncture-moxibustion group and next in the acupuncture and moxibustion groups. Conclusion Acupuncture plus wheat-grain size cone moxibustion can markedly raise cervical pressure pain threshold and has clinically a better therapeutic effect in patients with cervical spondylosis neck pain.

关 键 词：针刺 麦粒灸疗法 颈椎病 痛阈 

分 类 号：R246.2[医药卫生—针灸推拿学]