Huang Waijun, Jiang Aiping
Department of Integrated Chinese and Western Medicine, Hospital of Beijing Capital International Airport, Beijing 100621, China.
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700.
Zhongguo Zhen Jiu. 2018 Nov 12;38(11):1157-60. doi: 10.13703/j.0255-2930.2018.11.006.
To observe the clinical effects on cervical spondylosis of neck type treated with the combined therapy of needling and needling techniques at the positive reaction points as compared with the conventional acupuncture.
A total of 90 patients of cervical spondylosis of neck type were randomized into an observation group and a control group, 45 cases in each one. In the observation group, the combined therapy of needling and needling techniques at the positive reaction points was adopted. The positive reaction points were selected in the neck, shoulder and back regions. In the control group, the conventional acupuncture therapy was provided. The main acupoints were Tianzhu (BL 10), Fengchi (GB 20), Quchi (LI 11), Waiguan (TE 5), Neck-Jiaji (EX-B 2) of C to C and points. The supplementary acupoints were Yinxi (HT 6) and Geshu (BL 17). The treatment was given once every two days, 10 treatments as one course in the two groups. Separately, before treatment, after the 1st treatment and at the end of one course of treatment, the scores of symptoms and physical signs and the scores of visual analogous scale (VAS) were observed in the two groups. The comprehensive clinical effects were compared between the two groups at the end of treatment.
After the 1st treatment and at the end of treatment, the scores of symptoms and physical signs and VAS scores were reduced obviously as compared with those before treatment in the two groups (all <0.05). After the 1st treatment, the scores of symptoms and physical signs and VAS scores were not different significantly between the two groups (both >0.05). At the end of treatment, the scores of symptoms and physical signs and VAS scores in the observation group were reduced more obviously as compared with the control group (both <0.05). The curative and remarkably effective rate was 84.1% (37/44) in the observation group, better than 65.1% (28/43) in the control group (<0.05).
Either the combined therapy of needling and needling techniques at the positive reaction points or the conventional acupuncture is effective in the treatment of cervical spondylosis of neck type. The combined therapy of needling and needling techniques at the positive reaction points achieves the superior effects as compared with the conventional acupuncture.
观察针刺与阳性反应点针刺技术联合治疗颈型颈椎病的临床疗效，并与传统针刺疗法进行比较。
将90例颈型颈椎病患者随机分为观察组和对照组，每组45例。观察组采用针刺与阳性反应点针刺技术联合治疗，阳性反应点选取颈部、肩部及背部区域。对照组采用传统针刺疗法，主穴为天柱（BL10）、风池（GB20）、曲池（LI11）、外关（TE5）、颈夹脊（EX-B2）C3～C7及相关穴位，配穴为阴郄（HT6）、膈俞（BL17）。两组均每两天治疗1次，10次为1个疗程。分别观察两组治疗前、第1次治疗后及1个疗程结束时的症状体征评分及视觉模拟量表（VAS）评分，治疗结束时比较两组的综合临床疗效。
两组第1次治疗后及治疗结束时，症状体征评分及VAS评分均较治疗前明显降低（均P<0.05）。第1次治疗后，两组症状体征评分及VAS评分比较差异无统计学意义（均P>0.05）。治疗结束时，观察组症状体征评分及VAS评分较对照组降低更明显（均P<0.05）。观察组总有效率为84.1%（37/44），优于对照组的65.1%（28/43）（P<0.05）。
针刺与阳性反应点针刺技术联合治疗及传统针刺疗法治疗颈型颈椎病均有效，针刺与阳性反应点针刺技术联合治疗效果优于传统针刺疗法。
