Ye Yi-Jun, Xie Yu-Xiu, Yan Tian-Wei, Liu Shan-Shan, Wang Bo, Liu Xi-Ru, Wang Guan-Tao, Tang Zheng-Dong, Ma Wen, Shen Wei-Dong
Department of Acupuncture and Moxibustion, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China.
Zhongguo Zhen Jiu. 2020 Dec 12;40(12):1299-303. doi: 10.13703/j.0255-2930.20191019-k0001.
To compare the clinical efficacy between rolling needle pricking-cupping (RNP-C) and traditional pricking-cupping (TP-C) for cervical spondylosis of neck type.
A total of 96 patients with cervical spondylosis of neck type were randomly divided into an RNP-C group, a TP-C group and an electroacupuncture (EA) group, 32 cases in each group. Each group was treated with EA at Jingbailao (EX-HN 15), Fengchi (GB 20), Dazhui (GV 14), Jianjing (GB 21) and points with continuous wave and 2 Hz of frequency; each EA treatment lasted for 20 min, once every 3 to 5 days, totaling 6 treatments. On the basis of EA treatment, the patients in the TP-C group were treated with bloodletting by seven-star needle, followed by fire cupping; the patients in the RNP-C group were treated with bloodletting by rolling needle, followed by fire cupping. The treatment was given once a week for 4 weeks. The follow-up was 1 month. Before treatment, 2 and 4 weeks into treatment and follow-up, the Northwick Park neck-pain questionnaire (NPQ) and visual analogue scale (VAS) scores were evaluated. The acupuncture pain degree was recorded at the first treatment and 2 and 4 weeks into treatment. The efficacy was evaluated after 4 weeks of treatment.
Compared before treatment, the scores of NPQ and VAS in each group were all reduced at 2 and 4 weeks into treatment and follow-up (<0.05). The scores of NPQ in the TP-C group and the RNP-C group were lower than those in the EA group at 2 and 4 weeks into treatment (<0.05). The scores of VAS in the TP-C group and the RNP-C group were lower than those in the EA group at 2 and 4 weeks into treatment and follow-up (<0.05). The differences of NPQ and VAS scores between the TP-C group and the RNP-C group at each time point after treatment were not significant (>0.05). The acupuncture pain degree in the RNP-C group was lower than that in the TP-C group (<0.05). The total effective rates were 79.3% (23/29) in the TP-C group and 75.0% (24/32) in the RNP-C group, which was superior to 63.3% (19/30) in the EA group (<0.05), but there was no statistical significance between the TP-C group and the RNP-C group (>0.05).
TP-C and RNP-C could both improve the cervical pain symptoms in patients with cervical spondylosis of neck type, and improve the overall function of the cervical spine, and the curative effect is similar.
比较滚针挑刺拔罐（RNP-C）与传统挑刺拔罐（TP-C）治疗颈型颈椎病的临床疗效。
将96例颈型颈椎病患者随机分为RNP-C组、TP-C组和电针（EA）组，每组32例。各组均取颈百劳（EX-HN 15）、风池（GB 20）、大椎（GV 14）、肩井（GB 21）等穴位行电针治疗，连续波，频率2Hz；每次电针治疗持续20分钟，每3至5天1次，共治疗6次。在电针治疗基础上，TP-C组患者采用七星针点刺放血后再行火罐治疗；RNP-C组患者采用滚针点刺放血后再行火罐治疗。每周治疗1次，共治疗4周。随访1个月。于治疗前、治疗2周、4周及随访时评估Northwick Park颈部疼痛问卷（NPQ）和视觉模拟评分（VAS）。记录首次治疗及治疗2周、4周时的针刺疼痛程度。治疗4周后评估疗效。
与治疗前比较，各组治疗2周、4周及随访时NPQ和VAS评分均降低（P<0.05）。治疗2周、4周时，TP-C组和RNP-C组的NPQ评分低于EA组（P<0.05）。治疗2周、4周及随访时，TP-C组和RNP-C组的VAS评分低于EA组（P<0.05）。治疗后各时间点TP-C组与RNP-C组NPQ和VAS评分差异无统计学意义（P>0.05）。RNP-C组针刺疼痛程度低于TP-C组（P<0.05）。TP-C组总有效率为79.3%（23/29），RNP-C组为75.0%（24/32），均优于EA组的63.3%（19/30）（P<0.05），但TP-C组与RNP-C组比较差异无统计学意义（P>0.05）。
TP-C和RNP-C均可改善颈型颈椎病患者的颈部疼痛症状，提高颈椎整体功能，疗效相似。
