应用透刺后溪穴配合运动疗法治疗落枕的临床观察  

Clinical Efficacy of Penetrating Acupuncture at Houxi Combined with Exercise Therapy in the Treatment of Stiff Neck

作　　者：张晴 刘美灵 邵萍[2] 潘陈彬[2] ZHANG Qing;LIU Mei-ling;SHAO Ping;PAN Chen-bin(Shibei Hospital,Shanghai 200435;Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai 200071)

机构地区：[1]上海市静安区市北医院,上海200435 [2]上海市中医医院,上海200071

出　　处：《世界中西医结合杂志》2023年第7期1453-1456,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：上海市卫健委科研课题(20194Y0422)。

摘　　要：目的探讨透刺后溪穴配合运动疗法治疗落枕的临床疗效。方法选取2020年6月—2022年12月期间上海市静安区市北医院门诊收治的72例落枕患者,按随机数字表法分为对照组和治疗组,每组各36例。治疗组患者采用后溪穴配合运动疗法治疗,对照组患者采用局部取穴治疗。治疗2个疗程后,观察比较两组患者临床疗效、不良反应发生率,治疗前后视觉模拟疼痛量表(Visual analogues cale,VAS)、颈椎功能障碍指数量表(Neck disability index,NDI)评分。结果治疗后治疗组临床总有效率84.38%(27/32)明显高于对照组67.74%(21/31),差异有统计学意义(P<0.05)。治疗后两组患者VAS、NDI评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组VAS、NDI评分明显低于对照组,差异有统计学意义(P<0.05)。治疗期间,治疗组不良反应发生率3.13%(1/32)明显低于对照组12.90%(4/32),差异有统计学意义(P<0.05)。结论透刺“后溪穴配合运动疗法”和“局部取穴”疗法均能对落枕有不同程度的改善。透刺“后溪穴配合运动疗法”对落枕患者的疼痛、症状的改善均优于针刺“局部取穴”疗法,且取穴少,安全性、依从性较好。Objective To explore the clinical efficacy of penetrating acupuncture at Houxi(SI 3)combined with exercise therapy in the treatment of stiff neck.Methods Seventy-two patients with stiff neck who were treated at the Outpatient Department of Shibei Hospital,Jing'an District,Shanghai,from June 2020 to December 2022 were selected and randomly divided into a control group and a treatment group,with 36 patients in each group.The treatment group received acupuncture at the Houxi(SI 3)combined with exercise therapy,while the control group received local acupuncture treatment.After two treatment courses,the clinical efficacy and incidence of adverse reactions were observed and compared between the two groups.The visual analog scale(VAS)and Neck Disability Index(NDI)scores were evaluated before and after treatment.Results After treatment,the total effective rate in the treatment group was 84.38%(27/32),which was significantly higher than 67.74%(21/31)in the control group(P<0.05).After treatment,both groups showed a significant reduction in VAS and NDI scores(P<0.05).Moreover,the VAS and NDI scores in the treatment group were significantly lower than those in the control group(P<0.05).During the treatment period,the incidence of adverse reactions in the treatment group was 3.13%(1/32),which was significantly lower than 12.90%(4/32)in the control group(P<0.05).Conclusion Penetrating acupuncture at Houxi(SI 3)combined with exercise therapy and local acupuncture treatment can both improve stiff neck to a certain extent.Penetrating acupuncture at Houxi(SI 3)combined with exercise therapy shows superior improvement in pain and symptoms compared with local acupuncture treatment.It requires fewer acupoints,and has better safety and compliance.

关 键 词：针刺 后溪穴 运动疗法 落枕 

分 类 号：R681[医药卫生—骨科学] R245.31[医药卫生—外科学]