【摘要】 目的观察浅刺对颈椎病的即时疗效。方法将70例颈椎病患者随机分为2组,观察组行透皮浅刺治疗,对照组行常规针刺治疗,每组35例。两组均选取天柱、肩井、至阳、后溪、束骨五穴。通过对疼痛视觉模拟评分(visual analogue scales,VAS)及颈椎病临床评价量表积分(clinical assessment scale for cervical spondylosis,CASCS)在治疗前、治疗后30 min、治疗后24 h三个时点的评估,对比两组的针刺即时疗效。结果 1在治疗后30 min,观察组疗效优于对照组(P<0.01);在治疗后24 h,对照组疗效优于观察组(P<0.01)。2治疗后,观察组与对照组的VAS值和CASCS积分与治疗前相比均有非常显著差异(P<0.01),组间比较均无显著差异(P>0.05)。结论1浅刺治疗颈椎病的即时疗效确切。在治疗后30 min,浅刺的临床疗效优于常规针刺;在治疗后24 h,常规针刺的即时疗效优于浅刺。2治疗后,两组VAS值和CASCS积分均有显著改善,且改善程度相当。更多还原

【Abstract】 Objective To observe the immediate effect of superficial needling in treating cervical spondylosis. Methods Seventy patients with cervical spondylosis were randomized into two groups. The observation group received superficial needling,and the control group received conventional acupuncture,35 cases in each group. Tianzhu(BL 10),Jianjing(GB 21),Zhiyang(GV 9),Houxi(SI 3),Shugu(BL 65) were used in the two groups.By evaluating the visual analogue scale(VAS) and the clinical assessment scale for cervical spondylosis(CASCS) before the treatment,30 min and 24 hours after the treatment,the curative effects between the two groups were compared. Results 1)At 30 minutes after treatment,the immediate effect of observation group was better than that of control group(P<0.01). At 24 hours after treatment,the immediate effect of control group was better than that of control observation group(P<0.01). 2)There was significant difference in VAS and CASCS score between before and after treatment(P<0.01). There was no difference between two groups(P>0.05).Conclusion 1)Superficial needling is effective in the treatment of cervical spondylosis. The clinical effect of superficial needling is better than conventional acupuncture at 30 minutes after treatment,and the immediately effect of conventional acupuncture is better than superficial needling at 24 hours after treatment. 2)After treatment,VAS and CASCS of the patients in both groups are significantly reduced,and there is no significant difference between two groups.更多还原