针刺斜方肌起止点相关穴位治疗颈型颈椎病临床观察

目的:比较针刺斜方肌起止点相关穴位与针刺夹脊穴治疗颈型颈椎病的疗效差异。方法:将60例颈型颈椎病患者随机分为观察组和对照组,每组30例。观察组针刺斜方肌起止点穴位,如天柱、风池、曲垣、巨骨、阿是穴,对照组针刺颈部夹脊穴,均每周治疗5次,2周为一疗程。两组均于治疗前、治疗1个疗程后运用国际简化McGill量表,对疼痛分级指数(PRI)、视觉模拟量表(VAS)和现有疼痛强度(PPI)进行评分,并统计疗效。结果:两组治疗后各项评分均较治疗前明显降低(均P<0.01),且治疗后观察组PRI感觉项评分、PRI情感项评分和总分较对照组降低更加明显,组间差异有统计学意义(均P<0.01),而VAS、PPI评分组间差异无统计学意义(均P>0.05)。观察组总有效率为96.7%(29/30),对照组为70.0%(21/30),观察组临床疗效优于对照组(P<0.01)。结论:针刺斜方肌起止点相关穴位对颈型颈椎病患者能起到肯定的治疗作用,且疗效优于针刺颈部夹脊穴。

Clinical observation on cervical spondylosis of neck type treated with acupuncture at original and terminal points of trapezius

Objective To compare the differences of therapeutic effect of cervical spondylosis of neck type treated with acupuncture at starting and ending points of trapezius and the Jiaji(EX-B 2) points.Methods Sixty cases of cervical spondylosis of neck type were randomly divided into an observation group and a control group,30 cases in each group.In observation group,the acupoints related with starting and ending points of trapezius,such as Tianzhu(BL 10),Fengchi(GB 20),Quyuan(SI 13),Jugu(LI 16) and Ashi were punctured;in control group,Jiaji(EX-B 2) points of neck were punctured.The treatments were applied 5 times a week and 2 weeks made one course.The international simplified McGill scale was adoped to assess the scores of Pain Rating Index(PRI),Visual Analogue Scale(VAS) and Present Pain Intensity(PPI) before treatment and after one course treatment,and the therapeutic effects were measured.Results After treatment,all the scores were obviously reduced in both groups(all P<0.01),and the PRI-sensory subscore,PRI-affective subscore and total score in observation group reduced more obviously than those in control group,and there were statistically significant differences between groups(all P<0.01).There were no statistically significant differences between groups in VAS and PPI score(both P>0.05).The total effective rate of 96.7%(29/30) in observation group was superior to that of 70.0%(21/30) in control group(P<0.01).Conclusion The therapeutic effect of cervical spondylosis of neck type treated with acupuncture at the starting and ending points of trapezius is positive,which is better than that of acupuncture at the Jiaji(EX-B 2) points.