颈肩穴定位及对颈肩综合征的即时临床疗效观察  

Location of neck-shoulder points and its immediate clinical effect observation on neck-shoulder syndrome

作　　者：王锋 韩清 高鹏飞 WANG Feng;HAN Qing;GAO Peng-fei(Department of Traditional Chinese Medicine,Jinshan Hospital of Fudan University,Shanghai 201508,China)

机构地区：[1]复旦大学附属金山医院中医科,上海201508

出　　处：《中华中医药杂志》2018年第9期4217-4220,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海市金山区卫生与计划生育委员会资助项目(No.JSKJ-KTZY-2014-02)~~

摘　　要：目的:定位颈肩穴,并观察短时强刺激颈肩穴治疗颈肩综合征的即时临床疗效。方法:将300例颈肩综合征患者随机分为治疗组、对照组及安慰组,每组100例。安慰组予安慰按摩,对照组予常规推拿,治疗组予短时强刺激颈肩穴。各组均治疗单次后即观察即时疗效,比较疼痛视觉模拟评分(VAS)、美国加州大学肩关节评分(UCLA)及颈椎临床评价量表评分的变化情况。结果:最终完成试验者295例,治疗组99例、对照组99例及安慰组97例。组内比较,各组治疗后VAS评分、UCLA评分、颈椎病临床评价量表评分与治疗前比较,差异均有统计学意义(P<0.05)。组间治疗前后差值比较,治疗组VAS评分降低比安慰组更加显著(P<0.05),颈椎病临床评价量表评分增高比安慰组更加显著(P<0.05)。结论:短时强刺激颈肩穴的即时疗效满意,可明显改善颈肩不适症状,且其镇痛效果明显好于安慰按摩。Objective： To locate the neck-shoulder points and observe the immediate clinical effect of short-term strong stimulation on the neck-shoulder points in the treatment of neck-shoulder syndrome. Patients with neck-shoulder syndrome were selected to compare the difference before and after treatment. Methods： Three hundred cases of neck-shoulder syndrome were randomly divided into treatment group, control group and placebo group, with 100 cases in each group. The placebo group was given comfort massage, the control group was treated with conventional massage, and treatment group was treated with short-term strong stimulation on neck-shoulder points. The immediate therapeutic effect of each group was observed after a single treatment, and the changes of pain visual analogue scale（VAS）, the University of California at Los Angeles shoulder score（UCLA） and clinical evaluation scale of cervical spine were compared. Results： A total of 295 patients completed the experiment, which was 99 cases in the treatment group, 99 cases in the control group and 97 cases in the placebo group. Compared before and after treatment, the VAS score, UCLA score and cervical spondylosis clinical evaluation scale score of each group were statistically different（P〈0.05）. Compared with the difference before and after treatment, the VAS score of the treatment group was significantly lower than that of the placebo group（P〈0.05）, and the score of the clinical evaluation scale for cervical spondylosis of the treatment group was significantly higher than that of the placebo group（P〈0.05）. Conclusion： The immediate effect of short-term strong stimulation on neck-shoulder points can improve the symptoms of neck and shoulder discomfort obviously, and its analgesic effect is obviously better than ordinary massage.

关 键 词：颈肩臂痛 颈肩穴 点穴疗法 定位 颈肩综合征 即时疗效 

分 类 号：R244.1[医药卫生—针灸推拿学]