针刺联合隔物温和灸治疗颈椎病颈痛疗效观察  

Observations on the Efficacy of Acupuncture plus Indirect Gentle Moxibustion for Cervical Spondylosis Neck Pain

作　　者：王文炎[1,2] 马志毅 熊源胤[1] 王进军[1] WANG Wen-yan;MA Zhi-yi;XIONG Yuan-yin;WANG Jin-jun(Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430014,China;Hubei University of Traditional Chinese Medicine School of Acupuncture and Orthopaedics-traumatology/Hubei Collaborative Innovation Center of Acupuncture and Moxibustion for Preventive Treatment of Disease,Wuhan 430061,China)

机构地区：[1]武汉市中医医院,武汉430014 [2]湖北中医药大学针灸骨伤学院/针灸治未病湖北省协同创新中心,武汉430061

出　　处：《上海针灸杂志》2020年第6期748-752,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局名老中医药专家传承工作室建设项目[国中医药人教发(2016)42号]。

摘　　要：目的观察针刺联合隔物温和灸治疗颈椎病颈痛的临床疗效。方法将符合纳入标准的90例颈椎病颈痛患者按随机数字表法分为观察组(45例)、对照组(45例)。两组针刺取穴均为百劳、大椎、肩中俞、中渚,观察组在对照组基础上加隔物温和灸肾俞穴。采用Northwick Park颈痛量表(NPQ)、McGill疼痛问卷评分(MPQ)作为疗效指标,观察两组患者疗程结束时及3个月后临床疗效。结果 1个疗程结束时,观察组总有效率为93.2%(41/44),对照组为90.7%(39/43),两组近期疗效相当(P>0.05);3个月后随访,观察组总有效率为88.6%(39/44),对照组为81.4%(35/43),观察组远期疗效优于对照组,差异有统计学意义(P<0.05)。治疗1个疗程结束时和3个月后随访时,两组NPQ评分、MPQ评分均较治疗前下降(P<0.05),两组在1个疗程结束时NPQ评分、MPQ评分比较差异无统计学意义(P>0.05),但观察组在3个月后随访时NPQ评分、MPQ评分均低于对照组,差异有统计学意义(P<0.05)。两组治疗后3个月随访时NPQ、MPQ评分较疗程结束时均有所升高,观察组差异无统计学意义(P>0.05),但对照组差异有统计学意义(P<0.05)。结论针刺联合隔物温和灸治疗颈椎病颈痛的近期疗效与针刺相当,但具有更好的远期疗效,且复发的可能性更小。Objective To investigate the clinical efficacy of acupuncture plus indirect gentle moxibustion for cervical spondylosis neck pain.Method Ninety patients with cervical spondylosis neck pain meeting the inclusion criteria were randomized to an observation group(45 cases)and a control group(45 cases).Points Bailao(Ex-HN14),Dazhui(GV14),Jianzhongshu(SI15)and Zhongzhu(TE3)were selected for acupuncture in both groups.The observation group received indirect gentle moxibustion on point Shenshu(BL23)in addition.The Northwick Park Neck Pain Questionnaire(NPQ)and the McGill Pain Questionnaire(MPQ)were used as the indicators of therapeutic effect.The clinical therapeutic effect was evaluated in the two groups of patients at the completion of treatment course and three months after.Result At the completion of one course of treatment,the total efficacy rate was 93.2%(41/44)in the observation group and 90.7%(39/43)in the control group and the short-term therapeutic effect was similar between the two groups(P>0.05).At the three-month follow-up,the total efficacy rate was 88.6%(39/44)in the observation group and 81.4%(35/43)in the control group and the long-term therapeutic effect was better in the observation group than in the control group with a statistically significant difference(P<0.05).The NPQ score and the MPQ score decreased in the two groups at the completion of one course of treatment and the three-month follow-up compared with before(P<0.05).The NPQ score and the MPQ score had no statistically significant differences between the two groups at the completion of one course of treatment but were lower in the observation group than in the control group at the three-month follow-up with statistically significant differences(P<0.05).The NPQ score and the MPQ score increased somewhat in the two groups at the three-month follow-up after treatment compared with at the completion of treatment course without statistically significant differences in the observation group(P>0.05)and with statistically significant differences in th

关 键 词：颈椎病 颈痛 针刺疗法 药饼灸疗法 艾条灸 隔物灸 Northwick Park颈痛量表 McGill疼痛问卷评分 

分 类 号：R246.2[医药卫生—针灸推拿学]