锋勾针联合整脊手法治疗颈型颈椎病的临床观察

[Clinical observation on cervical type cervical spondylosis treated with sword-like needle and chiropractic spinal manipulation].

作者信息

Ma Zhong, Diao Jing-Wen, Ma Zi-Yuan

出版信息

Zhongguo Zhen Jiu. 2014 Feb;34(2):173-5.

Abstract

OBJECTIVE

To compare the difference in the efficacy on cervical type of cervical spondylosis (CS) between the combined treatment of sword-like needle and chiropractic spinal manipulation (the combined therapy) and the simple chiropractic spinal manipulation.

METHODS

One hundred and thirty-eight cases of cervical type of CS were randomized into a combined therapy group (76 cases) and a simple chiropractic spinal manipulation group (62 cases). In the combined therapy group, the sword-like needle therapy was applied at Fengchi (GB 20), Tianzhu (BL 10) and Jiaji (EX-B 2) C3-C5. The chiropractic spinal manipulation was used in combination. In the chiropractic spinal manipulation group, the simple chiropractic spinal manipulation was adopted. The treatment was given once every other day in the two groups, 10 days made one session. One session of treatment was required. Visual analog scale (VAS) score was observed before and after treatment in the two groups and the efficacies were compared between the two groups.

RESULTS

VAS score after treatment was reduced obviously as compared with that before treatment in the patients of the two groups (both P < 0.01) and VAS score after treatment in the combined therapy group was lower than that in the simple chiropractic spinal manipulation group (1.50 +/- 0.58 vs 1.87+/-1.05, P < 0.01). In the combined therapy group, 48 cases were cured, 20 cases remarkably effective, 8 cases improved and 0 case failed. In the chiropractic spinal manipulation group, 30 cases were cured, 16 cases remarkably effective, 15 cases improved and 1 case failed. The overall efficacy in the combined therapy group was better than that in the chiropractic spinal manipulation (P < 0.05).

CONCLUSION

The sword-like needle therapy combined with chiropractic spinal manipulation relieve effectively pain in cervical type of CS and the efficacy is superior to the simple chiropractic spinal manipulation.

摘要

目的

比较锋勾针联合整脊手法与单纯整脊手法治疗颈型颈椎病（CS）疗效的差异。

方法

将138例颈型CS患者随机分为联合治疗组（76例）和单纯整脊手法组（62例）。联合治疗组在风池（GB 20）、天柱（BL 10）及C3 - C5夹脊（EX - B 2）应用锋勾针疗法，并结合整脊手法。单纯整脊手法组采用单纯整脊手法。两组均隔日治疗1次，10天为1个疗程，共治疗1个疗程。观察两组治疗前后视觉模拟评分（VAS），并比较两组疗效。

结果

两组患者治疗后VAS评分均较治疗前明显降低（均P < 0.01），且联合治疗组治疗后VAS评分低于单纯整脊手法组（1.50±0.58 vs 1.87±1.05，P < 0.01）。联合治疗组治愈48例，显效20例，有效8例，无效0例。单纯整脊手法组治愈30例，显效16例，有效1例，无效1例。联合治疗组总疗效优于单纯整脊手法组（P < 0.05）。