平刺和直刺肌筋膜触发点治疗颈型颈椎病疗效比较  

Comparison of the Efficacies of Transverse Needling Versus Perpendicular Needling at Myofascial Trigger Points in Treating Cervical Spondylosis

作　　者：王翀敏[1] 王延武[1] 楚佳梅[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》2016年第6期710-712,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较平刺和直刺肌筋膜触发点治疗颈型颈椎病的疗效差异;并筛选出改善颈型颈椎病等肌筋膜疼痛综合征的更高效的针刺方向。方法将106例颈型颈椎病患者随机分为两组,平刺组采用平刺肌筋膜触发点进行治疗,直刺组采用直刺肌筋膜触发点进行治疗,评测两组在治疗前后颈椎病症状体征评分和VAS评分。结果两组治疗前后VAS评分比较差异有统计学意义(P<0.05),两组治疗后均有降低;两组治疗后VAS评分比较,平刺组优于直刺组,但无显著差异(P>0.05)。两组治疗前后颈椎病症状体征评分比较差异有统计学意义(P<0.05),两组治疗后均有降低;两组治疗后颈椎病症状体征评分比较差异有统计学意义(P<0.05),平刺组优于直刺组。平刺组总有效率为94.0%,优于直刺组的79.6%,两组比较差异有统计学意义(P<0.05)。结论平刺和直刺均可以消除肌筋膜触发点和治疗颈型颈椎病,但平刺肌筋膜触发点优于直刺肌筋膜触发点。Objective To compare the efficacies of transverse needling versus perpendicular needling at myofascial trigger points in treating cervical spondylosis and sift out a needling direction for a better improving effect on myofascial pain syndrome such as cervical spondylosis. Method One hundred and six patients with cervical spondylosis were randomly allocated to two groups. The transverse needling group received transverse needling at myofascial trigger points and the perpendicular needling group, perpendicular needling at myofascial trigger points. The symptoms and signs of cervical spondylosis were scored and the VAS score was recorded in the two groups before and after treatment. Result In the two groups, the VAS score had a statistically significant pre-/post-treatment difference（P〈0.05） and decreased after treatment. The VAS score was significantly lower in the transverse needling group than in the perpendicular needling group after treatment, but there was no statistically significant difference between the two groups（P〈0.05）. In the two groups, the cervical spondylotic symptom and sign score had a statistically significant pre-/post-treatment difference（P〈0.05） and decreased after treatment. The cervical spondylotic symptom and sign score was significantly lower in the transverse needling group than in the perpendicular needling group after treatment; there was a statistically significant difference between the two groups（P〈0.05）. The total efficacy rate was 94.0% in the transverse needling group, which was higher than 79.6% in the perpendicular needling group; there was a statistically significant difference between the two groups（P〈0.05）. Conclusion Both transverse needling and perpendicular needling can remove myofascial trigger points and treat cervical spondylosis, but transverse needling at myofascial trigger points is superior to perpendicular needling at myofascial trigger points.

关 键 词：颈椎病 针刺 横刺 直刺 肌筋膜触发点 

分 类 号：R246.2[医药卫生—针灸推拿学]