Dong Wen-Ke, Lin Xiao-Hui
Rehabilitation and Physiotherapy Department of Zhongping Energy and Chemical General Hospital, Pingdingshan 467000, Henan Province, China.
Zhongguo Zhen Jiu. 2012 Mar;32(3):211-4.
To compare the differences of therapeutic effect of cervical spondylosis of neck type treated with acupuncture at starting and ending points of trapezius and the Jiaji (EX-B 2) points.
Sixty cases of cervical spondylosis of neck type were randomly divided into an observation group and a control group, 30 cases in each group. In observation group, the acupoints related with starting and ending points of trapezius, such as Tianzhu (BL 10), Fengchi (GB 20), Quyuan (SI 13), Jugu (LI 16) and Ashi were punctured; in control group, Jiaji (EX-B 2) points of neck were punctured. The treatments were applied 5 times a week and 2 weeks made one course. The international simplified McGill scale was adoped to assess the scores of Pain Rating Index (PRI), Visual Analogue Scale (VAS) and Present Pain Intensity (PPI) before treatment and after one course treatment, and the therapeutic effects were measured.
After treatment, all the scores were obviously reduced in both groups: (all P < 0.01), and the PRI-sensory subscore, PRI-affective subscore and total score in observation group reduced more obviously than those in control group, and there were statistically significant differences between groups (all P < 0.01). There were no statistically significant differences between groups in VAS and PPI score (both P > 0.05). The total effective rate of 96.7% (29/30) in observation group was superior to that of 70.0% (21/30) in control group (P < 0.01).
The therapeutic effect of cervical spondylosis of neck type treated with acupuncture at the starting and ending points of trapezius is positive, which is better than that of acupuncture at the Jiaji (EX-B 2) points.
比较针刺斜方肌起止点与夹脊穴（EX - B 2）治疗颈型颈椎病的疗效差异。
将60例颈型颈椎病患者随机分为观察组和对照组，每组30例。观察组针刺与斜方肌起止点相关的穴位，如天柱（BL 10）、风池（GB 20）、曲垣（SI 13）、肩中俞（LI 16）及阿是穴；对照组针刺颈部夹脊穴（EX - B 2）。每周治疗5次，2周为1个疗程。采用国际简化麦吉尔量表评估治疗前及1个疗程治疗后疼痛评定指数（PRI）、视觉模拟评分法（VAS）和现时疼痛强度（PPI）的评分，并评价疗效。
治疗后，两组各项评分均明显降低（均P < 0.01），且观察组PRI感觉项评分、PRI情感项评分及总分降低更明显，组间比较差异有统计学意义（均P < 0.01）。两组VAS及PPI评分比较差异无统计学意义（均P > 0.05）。观察组总有效率为96.7%（29/30），优于对照组的70.0%（21/30）（P < 0.01）。
针刺斜方肌起止点治疗颈型颈椎病疗效肯定，优于针刺夹脊穴（EX - B 2）。
