Xu Yan-Long, Zhang Hong-Tao, Xu Xiu-Mei, An Bin, Chen Hong-Mei
Department of Acupuncture and Moxibustion, Gansu Provincial Hospital of TCM, Lanzhou 730050, China.
Department of Rehabilitation Medicine, Gansu Provincial Hospital of TCM, Lanzhou 730050, China.
Zhen Ci Yan Jiu. 2022 Jun 25;47(6):544-8. doi: 10.13702/j.1000-0607.20210531.
To observe the effects of matrix acupuncture on the neck disability index (NDI) score, clinical efficacy, and the calcification size of the nuchal ligament in patients of cervical spondylotic radiculopathy with nuchal ligament calcification.
A total of 120 cases were randomly divided into a matrix acupuncture group and a routine acupuncture group, with 60 cases in each group. In the matrix acupuncture group, Ashi-point, bilateral Tianzhu (BL10), bilateral Fengchi (GB20), bilateral Dazhu (BL11), bilateral Jianzhongshu (SI15), and Jianjing (GB21), Tianzong (SI11), Quchi (LI11), Shousanli (LI10), Waiguan (TE5), and Hegu (LI4) at the affected side were selected. In the routine acupuncture group, C3-C7 Jiaji points at the neck and Jianjing (GB21), Tianzong (SI11), Quchi (LI11), Shousanli (LI10), Waiguan (TE5), Hegu (LI4), and Ashi-point at the affected side were selected. The patients in the two groups were treated 30 min once, six days a week, for a total of four weeks. The NDI scores, clinical efficacies, and calcification sizes of nuchal ligament were compared between the two groups every wee-kend.
After four weeks of treatment, the NDI scores and calcification volumes of nuchal ligament decreased in both groups (<0.05). Compared with the routine acupuncture group, the matrix acupuncture group showed decreased NDI scores and reduced calcification volumes of nuchal ligament at the 1, 2, 3, and 4 weeks of treatment (<0.05). The cure and marked effective rate in the matrix acupuncture group at the 2, 3, and 4 weeks of treatment were superior to those of the routine acupuncture group (<0.05).
The matrix acupuncture group and the routine acupuncture group are effective in reducing the NDI score and calcification size of nuchal ligament in patients of cervical spondylotic radiculopathy with nuchal ligament calcification. However, matrix acupuncture has obvious advantages over routine acupuncture.
观察矩阵针刺对神经根型颈椎病伴项韧带钙化患者的颈部功能障碍指数（NDI）评分、临床疗效及项韧带钙化大小的影响。
将120例患者随机分为矩阵针刺组和常规针刺组，每组60例。矩阵针刺组选取患侧阿是穴、双侧天柱（BL10）、双侧风池（GB20）、双侧大杼（BL11）、双侧肩中俞（SI15）、肩井（GB21）、天宗（SI11）、曲池（LI11）、手三里（LI10）、外关（TE5）、合谷（LI4）。常规针刺组选取颈部C3 - C7夹脊穴、患侧肩井（GB21）、天宗（SI11）、曲池（LI11）、手三里（LI10）、外关（TE5）、合谷（LI4）、阿是穴。两组患者均每周治疗6天，每次30分钟，共治疗4周。每周周末比较两组患者的NDI评分、临床疗效及项韧带钙化大小。
治疗4周后，两组患者的NDI评分及项韧带钙化体积均降低（P<0.05）。与常规针刺组相比，矩阵针刺组在治疗第1、2、3、4周时NDI评分降低，项韧带钙化体积减小（P<0.05）。矩阵针刺组在治疗第2、3、4周时的治愈及显效率优于常规针刺组（P<0.05）。
矩阵针刺组和常规针刺组均可有效降低神经根型颈椎病伴项韧带钙化患者的NDI评分及项韧带钙化大小。然而，矩阵针刺相对于常规针刺具有明显优势。
