八脉交会穴治疗颈型颈椎病即刻疗效观察:随机对照研究  

Observations on the Immediate Effect of Eight Confluent Acupoints on Cervical Spondylosis: a Randomized Controlled Trial

作　　者：张婉瑜 丁影 靳勇 蔡少忍 ZHANG Wan-yu;DING Ying;JIN Yong;CAI Shao-ren(Guangzhou University of Traditional Chinese Medicine Shenzhen Pingle Hospital of Orthopaedics and Traumatology,Shenzhen 518010,China)

机构地区：[1]广州中医药大学附属深圳平乐骨伤科医院,深圳518010

出　　处：《上海针灸杂志》2018年第10期1197-1201,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：深圳市卫生计生系统科研项目(201507094E)

摘　　要：目的评价八脉交会穴配穴疗法对改善颈型颈椎病患者临床症状的即刻疗效。方法按照随机数字表法将70例颈型颈椎病患者随机分为八脉交会穴组(35例)和常规针刺组(35例)。常规针刺组取病变节段颈椎夹脊穴、大椎、风池、肩井、肩外俞进行针刺治疗,八脉交会穴组在常规针刺组治疗基础上,增加八脉交会穴配穴(双侧后溪穴配申脉穴)进行针刺治疗。观察两组患者在治疗前、治疗后即刻的颈痛量表评分(NPQ)和视觉模拟评分(VAS),并评定治疗后即刻的总体疗效。结果治疗后即刻,两组NPQ评分和VAS评分均较治疗前下降,差异均具有统计学意义(P<0.01);八脉交会穴组治疗后即刻NPQ评分和VAS评分较常规针刺组明显降低(P<0.01)。治疗后即刻,八脉交会穴组总有效率为94.3%(33/35),优于常规针刺组的71.4%(25/35,P<0.05)。结论八脉交会穴配穴疗法与常规针刺疗法均可快速改善颈型颈椎病患者的临床症状及主观疼痛程度,但八脉交会穴配穴疗法的即刻疗效更显著。Objective To investigate the immediate efficacy of eight confluent acupoints combination therapy in improving the clinical symptoms in patients with cervical spondylosis. Method Seventy patients with cervical spondylosis were randomized, using a random number table, to an eight confluent acupoints group （35 cases） and a conventional acupuncture group （35 cases）. Huatuo jiaji points （Ex-B2） at affected cervical vertebral segments, Dazhui （GV14）, Fengchi （GB20）, Jianjing （GB21） and Jianwaishu （SI14） were selected for acupuncture treatment in the conventional acupuncture group. Eight confluent acupoints combined with other acupoints [bilateral points Houxi （SI3） and Shenmai （BL62） combination] were additionally selected for acupuncture treatment in the eight confluent acupoints group. The Neck Pain Questionnaire （NPQ） score and the Visual Analogue Scale （VAS） score were recorded in the two groups of patients before and immediately after treatment. The overall immediate effects were evaluated. Result The NPQ score and the VAS score decreased in the two groups immediately after treatment compared with before; there were statistically significant differences （P〈0.01）. Immediately after treatment, the NPQ score and the VAS scoredecreased significantly in the eight confluent acupoints group compared with the conventional acupuncture group （P〈0.01）. Immediately after treatment, the total efficacy rate was 94.3% （33/35） in the eight confluent acupoints group, which was higher than 71.4% （25/35） in the conventional acupuncture group （P〈0.05）. Conclusion Both eight confluent acupoints combination therapy and conventional acupuncture can quickly relieve the clinical symptoms and reduce the subjective pain severity in patients with cervical spondylosis, but the former has an even better immediateeffect.

关 键 词：针刺疗法 颈椎病 穴 八脉交会 随机对照试验 颈痛量表评分 视觉模拟评分 

分 类 号：R246.2[医药卫生—针灸推拿学]