岐黄针疗法治疗颈椎病颈痛的疗效观察  

Therapeutic Observation on Qihuang Acupuncture Therapy for Neck Pain Caused by Cervical Spondylosis

作　　者：闫兵[1] 许能贵[2] 唐纯志[2] 陈振虎[3] 于海波[1] 缑燕华[1] 杨卓欣[1] YAN Bing;XU Neng-Gui;TANG Chun-Zhi;CHEN Zhen-Hu;YU Hai-Bo;HOU Yan-Hua;YANG Zhuo-Xin(The Forth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518033 Guangdong,China;School of Acupuncture,Massage and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518033 [2]广州中医药大学针推康复学院,广东广州510006 [3]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第4期729-734,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：第六批全国老中医药专家学术经验继承工作项目[国中医药人教发(2017)29号];深圳市医疗卫生三名工程(编号:SZSM201612001);2019广东省中医药管理局临床专项(编号:20203014);2019年广州中医药大学第一附属医院高水平医院建设创新强院二期培育项目(编号:2019IIT30)。

摘　　要：【目的】观察岐黄针疗法治疗颈椎病颈痛的临床疗效。【方法】将64例颈椎病颈痛患者随机分为常规针刺组和岐黄针组,每组各32例。岐黄针组给予岐黄针疗法治疗,常规针刺组给予常规针刺疗法治疗。每周3次,治疗3次为1个疗程。观察2组患者治疗前、治疗1周后及治疗3个月后随访时,Northwick Park颈痛量表(NPQ)以及Mc Gill疼痛量表(MPQ)评分的变化情况。并评价2组患者的临床疗效。【结果】(1)研究过程中,岐黄针组失访1例,常规针刺组失访2例,均因受疫情影响而脱落。最终岐黄针组31例、常规针刺组30例纳入疗效统计。(2)治疗1周后,岐黄针组有效率为90.3%(28/31),常规针刺组为56.7%(17/30),岐黄针组的近期疗效显著优于常规针刺组(P<0.05);治疗3个月后随访,岐黄针组有效率为87.1%(27/31),常规针刺组为36.7%(11/30),岐黄针组远期疗效显著优于常规针刺组(P<0.05)。(3)治疗1周后及治疗3个月后随访,2组患者的NPQ评分、MPQ评分均明显改善,与同组治疗前比较,差异有统计学意义(P<0.05),且岐黄针组在改善NPQ评分、MPQ评分方面明显优于常规针刺组,差异有统计学意义(P<0.05)。(4)治疗过程中,常规针刺组出现2例晕针,岐黄针组未出现明显不良反应。2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】岐黄针疗法治疗颈椎病颈痛,能明显改善患者的疼痛症状,从而提高患者的生活质量,疗效显著。Objective To observe the clinical efficacy of Qihuang acupuncture for neck pain caused by cervical spondylosis.Methods A total of 64 patients with neck pain caused by cervical spondylosis were randomly divided into conventional acupuncture group and Qihuang acupuncture group,32 cases in each group.The Qihuang acupuncture group received Qihuang acupuncture,and the conventional acupuncture group received conventional acupuncture,3 times every week,3 times constituted one treatment course.The changes in Northwick Park Neck Pain Questionnaire(NPQ)and Mc Gill Pain Questionnaire(MPQ)in the two groups were observed before treatment,during follow-up after one week of treatment and 3 months of treatment,and the clinical efficacy in the 2 groups was evaluated.Results(1)During the trial,one case from the Qihuang acupuncture group was lost to follow-up,2 cases from the conventional acupuncture group were lost to follow-up,due to epidemic situation.Ultimately,31 cases in the Qihuang acupuncture group and 30 cases in the conventional acupuncture group were included into statistical analysis.(2)After one-week treatment,the total effective rate was 90.3%(28/31)in the Qihuang acupuncture group,and was 56.7%(17/30)in the conventional acupuncture group,the short-time curative efficacy of the Qihuang acupuncture group being superior to that of the conventional acupuncture group(P<0.05).During the follow-up after three-month treatment,the total effective rate was 87.1%(27/31)in the Qihuang acupuncture group,and was 36.7%(11/30)in the conventional acupuncture group,the long-time curative efficacy of the Qihuang acupuncture group being superior to that of the conventional acupuncture group(P<0.05).(3)During the follow-up after one week 3 months of treatment,the NPQ and MPQ scores in the two groups were improved,the difference being significant in comparison to the same group before treatment(P<0.05),and the improvement in NPQ and MPQ scores of the Qihuang acupuncture group was superior to that of the conventional acupuncture group(P<0.

关 键 词：颈椎病 颈痛 岐黄针 Northwick Park颈痛量表 Mc Gill疼痛量表 

分 类 号：R246.9[医药卫生—针灸推拿学]