【作者】 梁兆晖； 朱晓平； 伍洲梁； 张继福； 欧爱华； 符文彬；

【Author】 LIANG Zhao-hui~1,ZHU Xiao-ping~1,WU Zhou-liang~2,ZHANG Ji-fu~1,OU Ai-hua~1,FU Wen-bin~1 (1 Guangdong Provincial Hospital of Chinese Medicine,Guangzhou,510120;2 College of Acupuncture & Moxibustion,Guangzhou University of Chinese Medicine,Guangzhou,510405)

【机构】 广东省中医院； 广州中医药大学针灸推拿学院；

【摘要】 目的:通过评价针刺对颈椎病颈痛患者生存质量的影响,验证针刺对慢性颈椎病颈痛的临床疗效及安全性。方法:进行随机单盲对照试验,共纳入有效病例106例,使用简单随机法分配到治疗组和对照组各53例进行观察。使用SF-36量表评价患者治疗前后的生存质量。数据分析采用描述性统计、组内及组间比较采用t检验,基线不等采用协方差分析等。结果:经1个疗程治疗后,两组患者的生存质量评分均得到改善。其中治疗组所有8个维度的前后评分差异有统计学意义(P<0.01),对照组在躯体疼痛、精力、情感职能、精神健康4个维度的前后评分差异有统计学意义(P<0.05)。两组治疗后各评分比较提示,治疗组患者在生理职能、躯体疼痛、精力、社会功能、情感职能、精神健康6个维度评分均高于对照组,差异有统计学意义(P<0.05)。结论:针刺能改善患者的生存质量,对治疗慢性颈椎病颈痛有较好的疗效和安全性。更多还原

【Abstract】 Objective To assess the influence of acupuncture to the QOL of patients with neck pain caused by cervical spondylosis,so as to evaluation the clinical efficacy and safety of acupuncture.Method The study used a randomized,single-blind,two-arm controlled design.Totally 106 cases were observed.The patients were allocated to the acupuncture group and controlled group by simple randomization.The QOL of the patients was assessed by SF-36 questionnaire before and after the intervention.The analytic methods include descriptive analysis,paired-sample t test,independent t test and covariance analysis.Result After treatment,the QOL scores of both groups were enhanced.In treatment group,the QOL scores of all the eight domains were significantly increased compared with those before the treatment(P<0.01).In the controlled group,the QOL scores in BP,VT,RE and MH domains were increased(P<0.05).The inter-group comparison indicated that the QOL scores of the treatment group were higher than those of the controlled group in RP,BP,VT,SF,RE and MH domains with statistical significance(P<0.05).Conclusion The acupuncture therapy can improve the QOL of patients,and has good clinical effectiveness on chronic neck pain caused by cervical spondylosis.更多还原