不同针灸疗法对神经根型颈椎病临床疗效研究  

Effect of Different Acupuncture Treatments on Cervical Spondylosis

作　　者：尹力为 张田[3] 梁兆晖[4] 曾令烽[2] 蒙昌荣[4] 李滋平[4] 

机构地区：[1]广东省第二中医院,广东广州510000 [2]广州中医药大学,广东广州510000 [3]中国人民解放军第四五八医院,广东广州510000 [4]广东省中医院,广东广州510000

出　　处：《辽宁中医杂志》2016年第9期1971-1974,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81373883)

摘　　要：目的：旨在客观评价常用的3种针灸疗法：常规针刺、穴位注射和刺络放血治疗神经根型颈椎病的短期和中期疗效。方法：将招募的150例神经根型颈椎病患者随机分组纳入常规针刺组、穴位注射组、刺络放血组，每组50例，3组选穴均选取颈夹脊、肩中俞、肩井、外关，常规针刺组予常规针刺，留针30min后出针；穴位注射组注射药物选用丹参注射液，每穴0．5-1mL；刺络放血组予点刺穴位并留罐10min后出罐。每周完成2-3次治疗，每两次治疗至少间隔24h，在4周内共完成10次治疗。分别于治疗前、治疗结束时、治疗结束后1个月、治疗结束后3个月填写NPQ颈痛量表。结果：3组治疗结束时、治疗结束后1个月、治疗结束后3个月NPQ量表评分组内比较差异有统计学意义（P〈0．05），进一步两两比较表明，常规针刺组和穴位注射组与刺络放血组的差异有统计学意义（P〈0．05），而穴位注射组与常规针刺组差异无统计学意义（P〉0．05）。结论：不同针灸疗法在缓解颈痛方面均有确切疗效，其中穴位注射组与常规针刺组疗效接近，刺络放血组的疗效则不及前两组。Objective ： In order to compare the effectiveness of three different acupuncture treatments （ acupuncture, acupoint injection and bloodletting） on the cervical spondylosis under real - world conditions. Methods ： Subjects were recruited from acu- puncture department in Guangdong Provincial Hospital of TCM. A total of 150 subjects were divided randomly into 3 groups：acu- puncture group, acupoint injection group and bloodletting group. Three groups selected acupoints as follows ： Jingjiaji （ EX - B2 ）, Jianzhongshu （SI15）, Jianjin（ GB21 ）, Waiguan（ S J5 ）. The acupuncture group were treated with acupuncture and lasted 30 min. The acupoint injection group were treated with injecting Salvia miltiorrhiza into acupoints 0.5 - 1 mL and the bloodletting group were treated with bloodletting and cupping for 10rain. Eacb subject should complete 2 -3 times every week. In the three groups, every two treatments spaced at least 24 hours andin 4 weeks completed 10 treatments. Case Report Forms（CRF） were filled in four time points （before treatment, after treatment, 1 and 3 months after treatment）. NPQ scale was the main outcome indicator. Re- su/ts：Statistics showed that there were significant differences（ P 〈 0.05） in NPQ within- subjects contrasts, which meant that all 3 groups had definite effect in relieving neck pain. NPQ Between - Subjects Contrasts showed that there were no significant differ- ences （ P 〉 0.05 ） between acupuncture group and acupoint injection groupbut there were significant differences （ P 〈 0.05 ） among bloodletting group and the 2 groups above. Conclusion：Effects of acupuncture group and acupoint injection group are similar but bloodletting group is inferior to the 2 groups above.

关 键 词：神经根型颈椎病 针刺 穴位注射 刺络放血 

分 类 号：R681.55[医药卫生—骨科学]