【作者】 符文彬； 梁兆晖； 杨宇华； 于鹏； 朱晓平； 伍洲梁； 张继福；

【Author】 Liang Zhaohui~1,Yang Yuhua~1,Yu Peng~1,Zhu Xiaoping~1,Wu Zhouliang~2,Zhang Jifu~1,Fu Wenbin~(1*) 1 Guangdong Provincial Hospital of Chinese Medicine,Guangzhou,510120;2 School of Acupuncture & Moxibustion,2 Guangzhou University of Chinese Medicine,Guangzhou,510405

【机构】 广东省中医院； 惠州第三人民医院；

【摘要】 目的:探讨影响针刺治疗颈椎病颈痛疗效的主要因素,以便为进一步提高针灸对治疗颈椎病的临床疗效提供参考依据。方法:在广东省中医院针灸门诊招募颈椎病患者106人,采用简单随机法将其中53例分配到针刺治疗组,其余53例分配到对照组进行观察。使用NPQ颈痛量表评价患者治疗前后的生存质量。对两组间疗效差异进行卡方检验,对各种有可能影响疗效的因素进行使用Logistic回归分析。结果:经过1个疗程后,治疗组的有效率为75.5%,对照组为52.8%,两组差异有统计学意义(P=0.015)。Logistic回归分析提示,针刺的疗效优于对照组(OR=2.670),患者既往的颈痛发作频率和发展持续时间均对疗效有影响。结论:针刺对于治疗颈椎病颈痛具有较好的疗效,患者既往的颈痛发作频率和持续时间均是影响临床疗效的因素。更多还原

【Abstract】 Objective to explore the main factors that influence the effcacy of acupuncture to neck pain caused by cervical spondylosis which can provide reference to the efficacy improvement of of acupuncture to the disease.Methods 106 patients were recruited from the acupuncture clinic of Guangdong Provincial Hospital of Chinese Medicine.The 53 patients were allocated to the acupuncture group and the other 53 to the controlled group by simple randomization.The NPQ neck pain questionnaire was used to assess the patient’s QOL before and after the treatment.The inter-group discrepancy of efficacy was tested byχ~2 test. The potential influential factors were analyzed by Logistic regression model.Results after to treatment,the effective rate in the treatment group was 75.5%,and 52.8%in controlled group,the inter-group discrepancy is statistically significant(P=0.015).The analysis of Logistic regression showed the effectiveness of the acupuncture intervention is better than that in the controlled group(OR=2.670).Both the attack frequency of the neck pain symptom and the symptom’s duration will influence the efficacy of the treatment.Conclusion Acupuncture has clinical efficacy on neck pain caused by cervical spondylosis.Patients’clinical history about the pain attack frequency and symptom duration affect the clinical efficacy of acupuncture.更多还原