Ceccherelli Francesco, Tortora Paola, Nassimbeni Cecilia, Casale Roberto, Gagliardi Giuseppe, Giron Giampiero
Department of Pharmacology and Anesthesiology, University of Padova, Italy.
Complement Ther Med. 2006 Mar;14(1):47-52. doi: 10.1016/j.ctim.2005.05.005. Epub 2005 Aug 16.
Auriculotherapy (ear acupuncture) is a therapeutic technique in which points on the auricle are stimulated with needles. Usually it is combined with somatic acupuncture because of possible synergy, although the efficacy of this pairing has neither been confirmed nor disproved. The aim of this study was to verify: (1) if somatic acupuncture can reduce myofascial cervical pain; (2) if concomitant auriculotherapy improves the efficacy of somatic acupuncture. A group of 62 patients affected by cervical myofascial pain was randomly divided into two groups of 31. Group A (6 males and 25 females) underwent eight sessions of somatic acupuncture. Group B (7 males and 24 females) underwent eight sessions of somatic acupuncture in the same way as group A, paired with auriculotherapy. Pain was scored using the McGill Pain Questionnaire before and at the end of treatment, and 1 and 3 months later. The results showed that both somatic acupuncture and somatic plus ear acupuncture have a positive effect in reducing pain. The pain intensity score was 40.70 +/- 17.78 in group A before therapy and 13.32 +/- 9.62 after therapy; in group B it was 38.90 +/- 15.31 and 13.43 +/- 10.96. Somatic plus auriculotherapy was therefore not statistically significantly superior to somatic therapy alone in the treatment of cervical myofascial pain.
耳针疗法是一种通过针刺刺激耳廓穴位的治疗技术。通常由于可能存在协同作用，它会与体针疗法相结合，不过这种组合的疗效尚未得到证实或否定。本研究的目的是验证：（1）体针疗法能否减轻颈部肌筋膜疼痛；（2）同时进行耳针疗法是否能提高体针疗法的疗效。一组62例颈部肌筋膜疼痛患者被随机分为两组，每组31例。A组（6名男性和25名女性）接受8次体针治疗。B组（7名男性和24名女性）以与A组相同的方式接受8次体针治疗，并同时进行耳针疗法。在治疗前、治疗结束时以及治疗后1个月和3个月，使用麦吉尔疼痛问卷对疼痛进行评分。结果表明，体针疗法和体针加耳针疗法在减轻疼痛方面均有积极效果。治疗前A组的疼痛强度评分为4 [0.70 ± 17.78，治疗后为13.32 ± 9.6 [0. B组治疗前为38.90 ± 15.31，治疗后为13.43 ± 10.96。因此，在治疗颈部肌筋膜疼痛方面，体针加耳针疗法在统计学上并不显著优于单纯的体针疗法。
