Wang Jia, Wang Wen-Li, Shen Wei-Dong
Department of Acupuncture and Moxibustion, Shanghai Ruijin Rehabilitation Hospital, Shanghai 200023, China.
Department of Acupuncture and Moxibustion, Shuguang Hospital of Shanghai University of TCM, Shanghai 200021.
Zhongguo Zhen Jiu. 2022 Dec 12;42(12):1363-7. doi: 10.13703/j.0255-2930.20220412-k0010.
To compare the clinical effect between pricking-cupping therapy and acupuncture-cupping therapy on cervical spondylotic radiculopathy (CSR) with stagnation and blood stasis, and to evaluate the trapezius muscle objectively and quantitatively with ultrasonic shear wave elastography (SWE).
A total of 70 patients with CSR of stagnation and blood stasis were randomly divided into a pricking-cupping group (35 cases) and an acupuncture-cupping group (35 cases). In both groups, Dazhui (GV 14), Jianjing (GB 21), C-C Jiaji (EX-B 2), positive sensitive points, etc. were selected. In addition, the patients in the pricking-cupping group were treated with pricking-cupping therapy, seven-star needle was used to tap the acupoints and positive sensitive points, and cupping was added after slight bleeding. The patients in the acupuncture-cupping group were treated with conventional acupuncture and cupping. Both groups were treated once every other day, three times a week, for two consecutive weeks. The difference of Young's modulus value, pain visual analogue scale (VAS) score and neck disability index (NDI) score were observed before treatment, after the first treatment, after one-week treatment and after two-week treatment, and the efficacy was evaluated in the two groups.
At each time point after treatment, the difference of Young's modulus value, VAS scores and NDI scores in the two groups were lower than those before treatment (<0.001). Except for the NDI score after two-week treatment, all the indexes in the pricking-cupping group were lower than those in the acupuncture-cupping group (<0.001). The total effective rate was 91.4% (32/35) in the pricking-cupping group, which was higher than 68.6% (24/35) in the acupuncture-cupping group (<0.05).
The pricking-cupping therapy could improve trapezius muscle elasticity, relieve pain and improve cervical function in patients of CSR with stagnation and blood stasis, which is more effective than acupuncture-cupping therapy.
比较刺络拔罐疗法与针灸拔罐疗法治疗气滞血瘀型神经根型颈椎病（CSR）的临床疗效，并采用超声剪切波弹性成像（SWE）对斜方肌进行客观定量评估。
将70例气滞血瘀型CSR患者随机分为刺络拔罐组（35例）和针灸拔罐组（35例）。两组均选取大椎（GV 14）、肩井（GB 21）、颈夹脊（EX - B 2）、阳性敏感点等穴位。此外，刺络拔罐组采用刺络拔罐疗法，用七星针叩刺穴位及阳性敏感点，轻微出血后加拔罐。针灸拔罐组采用传统针灸拔罐治疗。两组均隔日治疗1次，每周3次，连续治疗2周。观察两组治疗前、首次治疗后、治疗1周后及治疗2周后的杨氏模量值、疼痛视觉模拟评分（VAS）及颈部功能障碍指数（NDI）评分的差异，并评价两组疗效。
治疗后各时间点，两组杨氏模量值、VAS评分及NDI评分均低于治疗前（<0.001）。除治疗2周后的NDI评分外，刺络拔罐组各指标均低于针灸拔罐组（<0.001）。刺络拔罐组总有效率为91.4%（32/35），高于针灸拔罐组的68.6%（24/35）（<0.05）。
刺络拔罐疗法可改善气滞血瘀型CSR患者斜方肌弹性，缓解疼痛，改善颈部功能，疗效优于针灸拔罐疗法。
