针刀治疗颈椎病临床疗效评价

目的:对比针刀与针刺治疗颈椎病的临床疗效.方法:采用多中心临床随机对照试验方法,将患者分为针刀治疗组(在患椎上下棘间韧带和两侧后关节的关节囊处行针刀治疗)与针刺对照组(穴取落枕、阿是穴、颈夹脊等),在疗程结束时和治疗结束后6个月分别统计近、远期疗效.结果:针刀治疗组的近、远期有效率为91.3%、94.7%,针刺对照组分别为59.4%和56.6%,两组相比差异均有非常显著性意义(P＜0.01).结论:针刀组治疗颈椎病与针刺组相比,其治疗效果更佳.

Evaluation on clinical therapeutic effect of needle-knife therapy on cervical spondylosis

OBJECTIVE: To compare therapeutic effects of needle-knife therapy and acupuncture on cervical spondylosis. METHODS: Multi-central clinical randomized controlled trial was adopted. The patients were divided into a needle-knife treatment group treated with needle-knife therapy at the upper and lower interspinal ligaments of the affected vertebral body and bilateral posterior joint capsules; and the acupuncture control group were treated with acupuncture at Laozhen, Ashi points and cervical Jiaji points, etc. The short-term and the long-term therapeutic effects were observed at the end of the therapeutic course and 6 months after the end of the therapeutic course. RESULTS: The short-term therapeutic effect and the long-term therapeutic effect were 91.3% and 94.7% in the needle-knife treatment group and 59.4% and 56.6% in the acupuncture control group, respectively, with a very significant difference between the two groups (P < 0.01). CONCLUSION: The needle-knife treatment in the therapeutic effect on cervical spondylosis is superior to acupuncture treatment.