针刺阿是穴配合颈肩部推拿治疗中青年颈型颈椎病  

Acupuncture Ashi point combined with neck and shoulder massage in the treatment of cervical type cervical vertebra disease

作　　者：姚磊 赵满[2] 白鹏[3] YAO Lei;ZHAO Man;BAI Peng(Xi Chang＇an Street Community Health Service Center,Beijing 100031,China;Beijing Dongcheng District Community Health Service Management Center,Beijing 100009,China;Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100007,China)

机构地区：[1]北京市西城区西长安街社区卫生服务中心,北京100031 [2]北京市东城区社区卫生服务管理中心,北京100009 [3]北京中医药大学东直门医院,北京100007

出　　处：《吉林中医药》2018年第9期1101-1103,1116,共4页Jilin Journal of Chinese Medicine

基　　金：北京市科技新星项目(z141107001814050)

摘　　要：目的观察分析针刺阿是穴配合颈肩部推拿治疗中青年颈型颈椎病临床疗效。方法回顾性分析我院在2015年4月-2016年9月期间收治的72例中青年颈型颈椎病患者的临床资料,分为对照组与观察组,每组36例。对照组患者通过常规穴位,进行普通针刺治疗,观察组患者选取若干个敏感的阿是穴进行傍针刺法,2组患者接入频率均为100 Hz连续波,治疗5次,隔日1次。评定分析2组患者治疗前、后的颈椎功能及疼痛评分情况。结果2组患者治疗前颈椎病疗效标准评分值对比差异无统计学意义(P>0.05);2组治疗后第1次、第3次及5次评分均显著低于治疗前,且观察组评分降低幅度优于对照组,差异有统计学意义(P<0.05);治疗前2组患者的PRI及VAS评分组间比较差异无统计学意义(P>0.05);2组患者治疗后的PRI及VAS评分相比治疗前均降低(P<0.05),且治疗后观察组的PRI及VAS评分降低幅度均显著优于对照组,差异有统计学意义(P<0.05);观察组患者治疗后总有效率显著高于对照组患者,差异具有统计学意义(P<0.05)。结论相比常规选穴治疗中青年颈型颈椎病,采取针刺阿是穴配合颈肩部推拿治疗可降低患者PRI及VAS评分,减轻肩颈部局部疼痛和不适感。Objective To observe and analyze the clinical effect of acupuncture at Ashi point combined with cervical and shoulder massage in young and middle-aged patients with cervical spondylosis. Methods The clinical data of 72 young and middle-aged patients with cervical spondylosis treated in our hospital from April 2015 to September 2016 were retrospectively analyzed. The patients were divided into the control group and the observation group according to diff erent treatment methods, with 36 cases in each group. Patients in the control group were treated by conventional acupuncture and ordinary acupuncture treatment, the patients in the observation group were treated by selected for needling Ashi sensitive method. The access frequencies of two groups of patients were 100 Hz continuous wave for 5 times and once every two days. The cervical function and pain score of the two groups before and after treatment were evaluated and analyzed. Results The effect standard score showed no significant diff erence between two groups before treatment（P〉0.05）. After treatment, the scores at the first times, third times and fifth times in the two groups were significantly lower than that before treatment, and the scores in the observation group were lower than that in the control group（P〈0.05）. Before treatment, the PRI and VAS scores were no statistical significance between two groups（P〈0.05）. After treatment, the PRI and VAS scores in the two groups were significantly lower than that before treatment（P〈0.05）, and the decreased degree of PRI and VAS score in the observation group were significantly higher than that in the control group（P〈0.05）. Conclusion Compared with the treatment of cervical spondylosis of young and middle-aged patients with cervical spondylosis, acupuncture at Ashi combined with massage of neck and shoulder can reduce the scores of PRI and VAS, and relieve the local pain and discomfort of shoulder and neck.

关 键 词：针刺 阿是穴 颈肩部推拿 颈型颈椎病 临床疗效 

分 类 号：R245.31[医药卫生—针灸推拿学]