"项八针"结合超声引导下激痛点针刺治疗颈型颈椎病疗效观察
Observation on the therapeutic effect of"neck-Eight-Acupunctures"combined with ultrasound-guided trigger point acupuncture on cervical spondylosis
李婕 1李银 1夏秋雅 1张海滨 1沈卫东2
作者信息
- 1. 上海市松江区方塔中医医院,上海 201699
- 2. 上海中医药大学附属曙光医院,上海 201203
- 折叠
摘要
目的:观察"项八针"结合超声引导下激痛点针刺治疗颈型颈椎病的临床疗效.方法:将60例颈型颈椎病患者随机分为两组,"项八针"结合超声引导下激痛点针刺组(治疗组)及牵引组(对照组),每组30例.两组均每周治疗3次,共治疗3周,观察和比较两组治疗前后颈椎功能障碍指数、颈椎曲度、颈椎活动度的变化,并比较两组临床疗效.结果:两组治疗过程中各脱落1例,两组患者治疗后颈椎功能障碍指数降低,颈椎曲度、颈椎活动度增大,差异有统计学意义(P＜0.05);两组治疗前后的颈椎功能障碍指数、颈椎曲度改善情况治疗组优由于对照组,差异有统计学意义(P＜0.05);两组治疗前后颈椎活动度改善情况对比,除右屈治疗组优于对照组,差异有统计学意义(P＜0.05),余差异无统计学意义(P＞0.05);治疗组的有效率为96.55％,高于对照组的79.31％(P＜0.05).结论:"项八针"结合超声引导下针刺能显著减轻颈型颈椎病的疼痛症状、增加颈椎活动度、恢复颈椎生理曲度、提高患者的生活质量,是治疗颈型颈椎病的有效方法.
Abstract
Objective:To observe the clinical efficacy of the combination of the"neck-Eight-Acupunctures"combined with ultrasound-guided trigger point acupuncture in the treatment of cervical spondylosis.Method:Sixty patients with cervical spondy-losis were randomly divided into two groups:"neck-Eight-Acupunctures"combined with ultrasound-guided trigger point acu-puncture(treatment group)and the traction group(control group),with 30patients in each group,both groups were treated three times a week for a total of three weeks.The changes in Neck Disability Index,cervical curvature,and Cervical range of motion before and after treatment were observed and compared,and the clinical efficacy of the two groups was compared.Result:During the treatment process,one case fell off each of the two groups.After treatment,the cervical dysfunction index decreased and the curvature and range of motion of the cervical spine increased in both groups of patients,with a statistically significant difference(P＜0.05);After treatment,the improvement of Neck Disability Index,cervical curvature in the treatment group before and after treatment was better than that in the control group,with a statistically significant difference(P＜0.05);The improvement of cer-vical spine mobility before and after treatment was compared between the two groups,except for the right flexion,the treatment group was better than the control group,the difference was statistically significant(P＜0.05),and the remaining differences were not statistically significant(P＞0.05);The effective rate of the treatment group was 96.55％,which was higher than 79.31％of the control group(P＜0.05).Conclusion:"neck-Eight-Acupunctures"combined with ultrasound-guided trigger point acupunc-ture can significantly reduce the pain symptoms of cervical spondylosis,increase cervical mobility,restore cervical physiological curvature,and improve the quality of life of patients.It is the effective methods for treating cervical spondylosis.
关键词
项八针/超声引导/激痛点/颈型颈椎病Key words
"neck-Eight-Acupunctures"/ultrasound-guided/trigger point/Cervical spondylosis引用本文复制引用
基金项目
上海市卫生健康委中医药科研项目(2020LQ017)
松江区科技攻关计划(2017sjkjgg42)
出版年
2024
国家科技期刊平台
NSTL
万方数据