温针灸配合齐刺治疗脊神经后支综合征疗效观察

目的观察温针灸配合齐刺治疗脊神经后支综合征的临床疗效。方法以2009年3月至2010年3月咸宁市中心医院康复科门诊患者为研究对象,将60例符合纳入标准的脊神经后支综合征患者随机分为治疗组和对照组,每组30例。治疗组采用温针灸配合齐刺治疗,对照组采用常规针灸治疗。比较两组治疗前后各项MPQ(McGill pain questionnair)疼痛询问量表评分(选词阳性项目数、PRI感觉分、PRI情绪分、VAS均值及PRI总分),并采用杨氏评分法评定疗效。结果治疗组治疗后选词阳性项目数、PRI感觉分、VAS均值及PRI总分与对照组比较,差异均具有统计学意义(P0.01)。治疗组治疗后PRI情绪分与对照组比较,差异无统计学意义(P0.05)。治疗组总有效率为80.0%,对照组为66.7%,两组比较差异具有统计学意义(P0.01)。结论温针灸配合齐刺是一种治疗脊神经后支综合征的有效方法。

Therapeutic Observation of Warm Needling plus Triple Acupuncture for Posterior Ramus Syndrome

Objective To observe the clinical efficacy of warm needling plus triple acupuncture m treating posterior ramus syndrome. Method Sixty eligible subjects with posterior ramus syndrome were included from the Rehabilitation Outpatient of Xianning Central Hospital from March 2009 to March 2010, and then randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by warm needling plus triple acupuncture, while the control group was by ordinary acupuncture-moxibustion treatment. The two groups were compared by using McGill Pain Questionnaire （MPQ） [including positive item count, sensory pain rating index （S-PRI）, affective pain rating scale （A-PRI）, Visual Analogue Scale （VAS）, and total pain rating index （T-PRI）, and the therapeutic effectiveness was evaluated by adopting Yang＇s quantitative evaluation scale. Result After treatment, there were significant differences in comparing the positive word count, S-PRI, VAS, and T-PRI between the two groups （P〈0.01）. There was no significant difference in comparing the A-PRI between the two groups （P〉0.05）. The total effective rate was 80.0% in the treatment group versus 66.7% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion Warm needling plus triple acupuncture is an effective method in treating posterior ramus syndrome.