摘要
目的观察电针郄穴为主治疗急性期血瘀型颈椎病临床疗效。方法采用电针手少阳三焦经之郄穴会宗穴、手太阳小肠经之郄穴养老为主,配合电针病变颈椎旁夹脊穴治疗急性期血瘀型颈椎病32例,并随机选择31例以常规针刺颈段夹脊穴治疗作对照组,进行随机对照研究。同时观察两组治疗前后血液流变学的变化。疼痛评估采用视觉模拟评分法(VAS法)评价疗效。结果与结论治疗组总有效率93.75%,平均疗程20.2±3.1d,疼痛积分3.47±1.45;对照组总有效率83.87%,平均疗程26.5±1.8d,疼痛积分5.67±1.52。经t检验,P<0.001。疗效经Ridit分析,P<0.05,两组治疗前后血液流变学有改善。表明两组疗效、平均疗程均有显著性差异,治疗组既能提高疗效,又能缩短疗程。
Objective To investigate the efficacy of Xi-Cleft point acupuncture as a main treatment for acute cervical spondylopathy of blood stasis type. Method Huizong, the Xi-Cleft point of the Sanjio meridian of Hand-Shaoyang and Yanglao, the Xi-Cleft point of the Small Intestinal meridian of Hand-Taiyang as main points in cooperation with Jiaji points beside the affected cervical vertebra were electroacupunctured in 32 patients with acute cervical spondylopathy of blood stasis type. Thirty-one patients were randomly selected as a control grounp and treated by conventional acupuncture of cervical Jiaji points for a random control study. The treatment was given once daily, 15 times as a course. Meanwhile, a hemorheologic examination were made in both groups before and after treatment. The curative effect on pain was evaluated by the Visual Analog Scale. Results and Conclusion The total efficacy rate, the average course of treatment and the score were 93.75%, 20.2 ± 3.1 d and 3.47 ± 1.45, respectively, in the treatment group and 83.87%, 26.5 ±1.8 d and 5.67 ± 1.82, respectively, in the treatment group. A t test showed P 〈 0. 001. A radit test of curative showed P 〈 0.05. Hemorheology improved in both groups after treatment. It is indicated that there were significant differences in the curative effect and the average course of treatment between the two groups. Not only the the curative effect improved but also the course of treatment shortended in the treatment group.
出处
《上海针灸杂志》
2005年第11期3-5,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
颈椎病
针刺疗法
电针
郄穴
Cervical spondylopathy
Acupuncture
Electroacupuncture
Xi-Cleft point