Xiao Li-Mei, Meng Xian-Pu, Han Ming-Lin, Yang Ji-Jun, Du Shao-Bo, Zhang Wei, Wang Li-Na
Zhongguo Zhen Jiu. 2014 Aug;34(8):751-4.
To observe the clinical efficacy difference between segmentation scraping and conventional acupuncture for cervical spondylosis (CS) so as to provide effective treatment method.
Eighty-five cases of cervical type of CS were randomly divided into a scraping group (44 cases) and an acupuncture group (41 cases). The segmentation scraping therapy was used in the scraping group. The scraping group was treated with focusing on scraping the head and joint part of neck and occiput in the upper cervical spine injury, and focusing on scraping the lower section of cervical and shoulder in the lower cervical spine injury, once every seven days, totally for 3 times. In the acupuncture group, Fengchi (GB 20),Wangu (TE 5), Tianzhu (BL 10),Neck-Jiaji (EX-B 2), etc. were selected,once daily,for 15 days. The visual analogue scale (VAS) was used to evaluate the immediate analgesic effect after the first treatment and the clinical efficacy was observed after the end of treatment.
After the first treatment, the score of VAS was decreased significantly in the scaping group (P < 0.01), but there was no significant difference in the acupuncture group compared with those before treatment (P > 0.05); the score of VAS in the scaping group after the first treatment was lower than that in the acupuncture group (3.66 +/- 0.74 vs 5.43 +/- 0.35, P < 0.01). Compared with before treatment, the scores of VAS were decreased significantly after treatment in two groups (both P < 0.01), but without significant difference between two groups (P > 0.05); the effective rate was 95.5% (42/44) in the scaping group and 87.8% (36/41) in the acupuncture group, the curative effects were similar (P > 0.05).
Both of scraping and acupuncture therapies have good analgesic effect for cervical spondylosis, and overall effects are similar, but the immediate analgesic effect of scraping thrapy is better than that of conventional acupuncture.
观察分段刮擦与传统针刺治疗颈椎病（CS）的临床疗效差异，以提供有效的治疗方法。
将85例颈型CS患者随机分为刮擦组（44例）和针刺组（41例）。刮擦组采用分段刮擦疗法。上颈椎损伤时，刮擦组重点刮擦头部及颈枕部关节部位；下颈椎损伤时，重点刮擦颈肩部下段，每7天治疗1次，共治疗3次。针刺组选取风池（GB 20）、完骨（TE 5）、天柱（BL 10）、颈夹脊（EX - B 2）等穴位，每日1次，共治疗15天。采用视觉模拟评分法（VAS）评估首次治疗后的即时镇痛效果，并在治疗结束后观察临床疗效。
首次治疗后，刮擦组VAS评分显著降低（P < 0.01），而针刺组与治疗前相比差异无统计学意义（P > 0.05）；刮擦组首次治疗后的VAS评分低于针刺组（3.66±0.74 vs 5.43±0.35，P < 0.01）。与治疗前相比，两组治疗后VAS评分均显著降低（均P < 0.01），但两组间差异无统计学意义（P > 0.05）；刮擦组有效率为95.5%（42/44），针刺组为87.8%（36/41），疗效相似（P > 0.05）。
刮擦和针刺疗法对颈椎病均有良好的镇痛效果，总体疗效相似，但刮擦疗法的即时镇痛效果优于传统针刺疗法。
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