针刺肌筋膜触发点治疗椎动脉型颈椎病疗效观察  

Therapeutic Observation of Acupuncture at Myofascial Trigger Points for Cervical Spondylosis of Vertebral Artery Type

作　　者：王翀敏[1] 陈红薇[1] 王延武[1] 岳红[1] 朱敏[1] 

机构地区：[1]杭州市中医院,杭州310007

出　　处：《上海针灸杂志》2015年第1期48-50,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：杭州市科技发展计划项目(2011KJJ17)

摘　　要：目的观察针刺肌筋膜触发点治疗椎动脉型颈椎病的临床疗效。方法将98例椎动脉型颈椎病患者随机分为治疗组51例和对照组47例。治疗组采用针刺肌筋膜触发点治疗,对照组采用注射消炎镇痛液治疗。比较两组治疗前后旋颈试验阳性率、眩晕评分及头项部疼痛VAS评分。结果两组治疗后VAS评分、旋颈试验阳性率及眩晕评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后VAS评分、旋颈试验阳性率及眩晕评分与对照组比较,差异具有统计学意义(P<0.05)。治疗组总有效率为96.1%,对照组为76.6%,两组比较差异具有统计学意义(P<0.05)。结论针刺肌筋膜触发点能改善椎动脉型颈椎病患者眩晕及头项部疼痛症状。Objective To observe the therapeutic efficacy of acupuncture at myofascial trigger points （MTrPs） in treating cervical spondylosis of vertebral artery type. Methods Ninety-eight patients with cervical spondylosis of vertebral artery type were randomized into a treatment group of 51 cases and a control group of 47 cases. The treatment group was intervened by acupuncture at the MTrPs, while the control group was by injection of medical solution for anti-inflammation and analgesia. The positive rate of rotate-cervix test, dizziness score, and visual analogue scale （VAS） of the head and neck pain were compared before and after intervention. Results After intervention, the positive rate, dizziness score, and VAS score were significantly changed in both groups （P〈70.05）. There were significant differences in comparing the positive rate, dizziness score, and VAS score between the two groups after intervention （P〈0.05）. The total effective rate was 96.1% in the treatment group versus 76.6% in the control group, and the difference was statistically significant （P〈0.05）, Conclusion Acupuncture at the MTrPs can improve the dizziness and head-neck pain in patients with cervical spondylosis of vertebral artery type.

关 键 词：针刺疗法 颈椎病 椎动脉型 肌筋膜触发点 

分 类 号：R246.2[医药卫生—针灸推拿学]