Xu Yan-Long, Jin Yu-Jun, Zhang Hong-Tao, Xu Xiu-Mei
Department of Acupuncture and Moxibustion, Gansu Provincial Hospital of TCM, Lanzhou 730050, China.
Zhongguo Zhen Jiu. 2013 Jun;33(6):513-6.
To compare the difference in the efficacy on spasmodic torticollis between matrix needling technique combined with puncturing "Wuxin points" and the local injection of botox type A.
Forty-two cases were randomized into an acupuncture group and a botox group, 21 cases in each one. In the acupuncture group, the matrix needling technique was used and acupuncture was adopted at Fengchi (GB 20), "Wuxin points" [Shuigou (GV 26), bilateral Laogong (PC 8) and bilateral Yongquan (KI 1)] and local Ashi points. In the botox group, botox type A was injected at several spots of local region. The treatment course was 1 month in the two groups. The efficacy in each weekend and the results of follow-up visit in half a year after treatment were compared between the two groups.
In the 1st weekend, the markedly effective rate was 42.8% (9/21) and the total effective rate was 90.5% (19/21) in the botox group, which were better than those of 4.8% (1/21) and 28.6% (6/21) respectively in the acupuncture group (both P < 0.01). In the 2nd weekend, the markedly effective rate was 71.4% (15/21) and the total effective rate was 95.2% (20/21) in the botox group, which were better than those of 19.1% (4/21) and 61.9% (13/21) respectively in the acupuncture group (both P < 0.01). In the 3rd weekend, the markedly effective rate was 66.7% (14/21) and the total effective rate was 95.2% (20/21) in the botox group, which were better than those of 38.1% (8/21) and 71.4% (15/21) respectively in the acupuncture group (both P < 0.05). The markedly effective rate and the total effective rate were not different significantly between the two groups in the treatment of 1 month and the follow-up visit in half a year (all P > 0.05). There was no adverse reaction in the acupuncture group. There were 14 cases of adverse reactions in the botox group, in which 9 cases of neck muscular weakness and 5 cases of neck muscular pain.
The treatment of matrix needling technique and combined with acupuncture at "Wuxin points" achieves the significant efficacy on spasmodic torticollis. Although the effect is not obtained as quickly as the local injection of botox, the efficacy of matrix needling technique is similar to that of botox in the treatment of 1 month and the follow-up visit in half a year. Moreover, this therapy has no adverse reaction.
比较矩阵针刺技术结合针刺“五心穴”与局部注射A型肉毒毒素治疗痉挛性斜颈的疗效差异。
将42例患者随机分为针刺组和肉毒毒素组，每组21例。针刺组采用矩阵针刺技术，针刺风池（GB 20）、“五心穴”[水沟（GV 26）、双侧劳宫（PC 8）和双侧涌泉（KI 1）]及局部阿是穴。肉毒毒素组在局部多点注射A型肉毒毒素。两组疗程均为1个月。比较两组各周末的疗效及治疗后半年的随访结果。
第1周末，肉毒毒素组显效率为42.8%（9/21），总有效率为90.5%（19/21），分别优于针刺组的4.8%（1/21）和28.6%（6/21）（均P<0.01）。第2周末，肉毒毒素组显效率为71.4%（15/21），总有效率为95.2%（20/21），分别优于针刺组的19.1%（4/21）和61.9%（13/21）（均P<0.01）。第3周末，肉毒毒素组显效率为66.7%（14/21），总有效率为95.2%（20/21），分别优于针刺组的38.1%（8/21）和71.4%（15/21）（均P<0.05）。两组在治疗1个月及半年随访时显效率和总有效率差异均无统计学意义（均P>0.05）。针刺组无不良反应。肉毒毒素组出现14例不良反应，其中颈部肌肉无力9例，颈部肌肉疼痛5例。
矩阵针刺技术结合针刺“五心穴”治疗痉挛性斜颈疗效显著。虽然起效不如局部注射A型肉毒毒素快，但矩阵针刺技术在治疗1个月及半年随访时疗效与A型肉毒毒素相似。而且，该疗法无不良反应。
