针刺优化方案治疗中老年颈椎病颈痛的临床研究  

Clinical study of acupuncture optimization scheme for neck pain of cervical spondylosis in middle-aged and elderly people

作　　者：周俊合[1] 戚芷琪 潘佳慧 沈文骏 李灵杰 卢璐[1] 徐书君[1] 符文彬 

机构地区：[1]广州中医药大学第二临床医学院,广州510405 [2]广州中医药大学针灸康复临床医学院,广州510405 [3]广州中医药大学第二附属医院,广州510120

出　　处：《中华中医药杂志》2018年第3期1148-1151,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：科技部"十一五"科技支撑计划项目(No.2006BAI12B04-1);广东省科技厅科技计划项目(No.2014A020212453)~~

摘　　要：目的:探讨针刺优化方案治疗中老年颈椎病颈痛的临床疗效。方法:将140例受试者分为针刺优化方案、穴位浅刺、安慰针3组进行干预。采用Mc Gill疼痛问卷及Northwick Park疼痛量表(NPQ)作为评价指标在治疗前、第5次治疗后、治疗结束时、随访1个月时、随访3个月时进行评价。结果:3组患者治疗前后Mc Gill、NPQ量表结果对比具有统计学意义(P<0.05);在Mc Gill疼痛问卷方面,优化方案组相较穴位浅刺组、安慰针组在治疗结束时及随访1个月时差异具有统计学意义(P<0.05),可推断针刺优化方案在中老年颈椎病群体中具有较好的缓解疼痛作用;在NPQ量表方面,3组在各评价时点差异均无统计学意义,可推断针刺优化方案在改善中老年颈椎病患者综合生活质量方面欠佳。结论:针刺优化方案可加强对中老年颈椎病颈痛患者疼痛的缓解,疗效确切,具有较好的临床价值及推广前景。Objective： To investigate the clinical efficacy of acupuncture optimization scheme for neck pain of cervical spondylosis in middle-aged and elderly people. Methods： A total of 140 patients were recruited and randomly divided in optimization scheme group, superficial needling group and placebo needling group. Mc Gill scale and Northwick Park pain（NPQ） scale were used as the outcomes in the time of before 1 st treatment, after 5 th treatment, after treatment, 1-month-followup time point and 3-month-follow-up time point. Results： Analysis showed that Mc Gill scale and NPQ scale in the three groups had statistical significance（P〈0.05） before and after treatment. In the fact of Mc Gill scale, compared with the superficial needling group and placebo needling group, the optimization scheme group had a better efficacy（P〈0.05） at the end of the treatment, 1-month-follow-up and 3-month-follow-up. It could be inferred that the optimization scheme had better effect in relieving the pain in elderly cervical spondylosis group; In the fact of the NPQ scale, there was no statistical significance in the three groups. It could be inferred that optimization scheme had poor effect in improving the quality of life. Conclusion： The optimization scheme has the true efficacy to improve the relief of pain in patients with cervical spondylosis in the middle-aged and elderly patients with cervical spondylosis. This method has better clinical value and promotion prospect.

关 键 词：针灸 针刺优化方案 颈椎病 颈痛 中老年 

分 类 号：R246.9[医药卫生—针灸推拿学]