Zhou Jian-wei, Hu Ling-xiang, Li Ning, Zhang Fan, Li Chun-yu, Zhao Jing-jing, Li Ji, Hu Yun-guang, Zhang Yan, Wang Cheng-wei
Institute of Acupuncture and Meridians, Sichuan Provincial Academy of TCM, Chengdu, China.
Zhongguo Zhen Jiu. 2005 Apr;25(4):227-31.
To probe into clinical value of the acupuncture-massage comprehensive program for treatment of cervical spondylosis of arterial type (CSA).
By using three-center, single-blind, randomized, controlled method, the eligible subjects were randomly divided into an acupuncture-massage group, an acupuncture group, a massage group, 60 cases in each group. They were treated with acupuncture-massage comprehensive program, simple acupuncture and simple massage, respectively. And multiple-dimensional indexes were established to evaluate the therapeutic effect and safety.
The baselines of the general data were no different among the 3 groups. The cured-markedly effective and the effective rate were 68.3% and 88.3% in the acupuncture-massage group, 51.7% and 75.0% in the acupuncture group, and 50.0% and 76.7% in the massage group, respectively, the acupuncture-massage group being better than the other 2 groups (P<0.05); after treatment, the total cumulative scores for symptoms in the 3 groups decreased significantly (all P<0.01), the acupuncture-massage group being superior to the other 2 groups (P<0.05); and the physical signs in the 3 groups improved significantly (P<0.01), with no significant differences among the 3 groups (P>0.05); the time inducing the effect in the acupuncture-massage group was shorter than that in the other 2 groups (P<0.05 or P<0.01); and no adverse effects were found in the 3 groups.
This acupuncture-massage comprehensive therapy has a definite therapeutic effect on CSA with safety, and it is of superiority as compared with the simple acupuncture or the simple massage.
探讨针刺推拿综合方案治疗椎动脉型颈椎病(CSA)的临床价值。
采用三中心、单盲、随机对照方法,将符合条件的受试者随机分为针刺推拿组、针刺组、推拿组,每组60例。分别给予针刺推拿综合方案、单纯针刺、单纯推拿治疗。建立多维度指标评估疗效和安全性。
3组一般资料基线无差异。针刺推拿组的痊愈显效率和有效率分别为68.3%和88.3%,针刺组为51.7%和75.0%,推拿组为50.0%和76.7%,针刺推拿组优于其他两组(P<0.05);治疗后,3组症状总积分均显著降低(均P<0.01),针刺推拿组优于其他两组(P<0.05);3组体征均显著改善(P<0.01),3组间无显著差异(P>0.05);针刺推拿组起效时间短于其他两组(P<0.05或P<0.01);3组均未发现不良反应。
该针刺推拿综合疗法治疗CSA疗效确切,安全性好,与单纯针刺或单纯推拿相比具有优越性。