作者：孙梦晓 来源：本站原创 点击：368次 更新：2018-04-16
SONG Zhong-yang (宋忠阳)1, QIN Xiao-guang (秦晓光)1 , FANG Xiao-li (方晓丽)1, YAO Xiao-qiang (姚小强)2, CHEN Yu-chan (陈玉婵)3
1. School of Acupuncture-moxibustion and Tuina, Gansu University of Chinese Medicine, Lanzhou 730000,Gansu Province, China; 2. Acupuncture-moxibustion Department of Affiliated Hospital of Gansu University of Chinese Medicine; 3. Cooperation of Chinese and Western Medicine Department, Gansu University of Chinese Medicine（1. 甘肃中医药大学针灸推拿学院，甘肃兰州 730000，中国；2. 甘肃中医药大学附属医院针灸科；3. 甘肃中医药大学中西医结合学院）
Objective To observe the clinical efficacy of acupuncture at the superficial fascia for cervical type of cervical spondylosis. Methods Acupuncture at the superficial fascia was carried out for 48 patients with cervical type of cervical spondylosis by selecting the tender points on both sides of the cervical vertebral body and on the neck and shoulders. The treatment was conducted for once a day and treatment for 5 times was considered as 1 course of treatment. Two days were free from treatment between courses, and 3 courses were needed in total. The scores of McGill pain questionnaire [MPQ,including three indexes: Pain rating index (PRI), Visual analogue scale (VAS) and Present pain intensity (PPI) ] of patients before and after treatment were compared, therapeutic effct of cervical type of cervical spondylosis was evaluated. Results According to the comparison before and after treatment, the scores of PRI (29.44±9.26 vs13.15±7.04), VAS (5.63±2.73 vs 1.23±1.15), and PPI (3.00±1.24 vs 0.38±0.49) of patients with cervical type of cervical spondylosis reduced significantly (all P<0.05), indicating that the differences were statistically significant. Among 48 cases, cured 40 cases (83.33%), markedly effective 4 cases (8.34%), effective 3 cases (6.25%)， ineffective 1 case (2.08%). The total effective rate was 97.92% (47/48). Conclusion The curative effect of acupuncture at the superficial fascia for cervical type of cervical spondylosis was satisfactory.
KEY WORDS: cervical type of cervical spondylosis; acupuncture-moxibustion therapy; superficial fascia; “fishing with golden fishhook” acupuncture manipulation
ABSTRACT IN CHINESE
[摘 要] 目的：观察针刺浅筋膜法治疗颈型颈椎病的临床疗效。方法：48例符合颈型颈椎病诊断标准的患者，以颈椎椎体两侧及颈肩部的压痛点为主，采用针刺浅筋膜的方法治疗。1次/天，治疗5次为1个疗程，间歇2天，共治疗3个疗程。3个疗程后，比较患者治疗前后McGill疼痛量表（MPQ）各项评分，并采用尼莫地平法计算疗效。结果：治疗前后比较，颈型颈椎病患者PRI（29.44±9.26 vs13.15±7.04）、VAS（5.63±2.73 vs 1.23±1.15）、PPI（3.00±1.24 vs 0.38±0.49）评分均明显降低（P<0.05），差异有统计学意义。治愈40例，显效4例，有效3例，无效1例，总有效率97.92%（47/48）。结论：针刺浅筋膜治疗颈型颈椎病疗效满意，能够有效改善患者疼痛症状，值得进一步推广和应用。
[关键词] 颈型颈椎病 针灸疗法 “金钩钓鱼” 针法 浅筋膜