Zhang Yin-Juan, Yang Jia-Qi, Wu Jie, Guo Jian-En, Yang Zhi-Xin, Liu Jin-Ying, Wang Yu-Man
Department of Chinese Medicine, Chengde Medical College, Chengde 067000, Hebei Province, China.
School of Basic Medicine, Chengde Medical College, Chengde 067000, Hebei Province, China.
Zhongguo Zhen Jiu. 2023 Aug 12;43(8):907-10. doi: 10.13703/j.0255-2930.20220621-k0002.
To observe the clinical effect and safety of acupuncture in treatment of neck pain due to cervical spondylosis.
According to the patients' preference and acceptance for the interventions of neck pain induced by cervical spondylosis, an acupuncture group (221 cases) and a non-acupuncture group (251 cases) were divided. After the control of confounding factors with propensity score matching, 218 cases were included in either acupuncture group or non-acupuncture group. In the acupuncture group, acupuncture was applied to Dazhui (GV 14), Baihui (GV 20), points, bilateral neck-Jiaji (EX-B 2), Fengchi (GB 20), Houxi (SI 3), Shenmai (BL 62), etc. The treatment was given once daily, one course of intervention was composed of 5 treatments and 3 courses were included. In the non-acupuncture group, the oral administration of imrecoxib tablets and cobalt tablets was prescribed for 2 weeks. Before and after treatment, the scores of Northwick Park questionnaire (NPQ) and the simplified McGill pain questionnaire (SF-MPQ) were observed, and the safety was assessed in patients of the two groups.
After treatment completion, the scores of NPQ and SF-MPQ were all reduced when compared with those before treatment in each group (<0.001), and the scores of NPQ and SF-MPQ in the acupuncture group were lower than those of the non-acupuncture group (<0.001). The incidence of adverse reactions was 6.0% (13/218) in the acupuncture group and was 10.1% (22/218) in the non-acupuncture group, without statistical significance in comparison (>0.05).
Acupuncture is effective and safe in the relief of neck pain and the improvement of comprehensive quality of life in the patients with cervical spondylosis.
观察针刺治疗颈椎病所致颈部疼痛的临床疗效及安全性。
根据患者对颈椎病所致颈部疼痛干预措施的偏好和接受程度，分为针刺组（221例）和非针刺组（251例）。经倾向得分匹配控制混杂因素后，针刺组和非针刺组各纳入218例。针刺组针刺大椎（GV 14）、百会（GV 20）、双侧颈夹脊（EX - B 2）、风池（GB 20）、后溪（SI 3）、申脉（BL 62）等穴位。每日治疗1次，1个疗程由5次治疗组成，共进行3个疗程。非针刺组口服艾瑞昔布片和甲钴胺片，疗程为2周。观察两组患者治疗前后诺丁汉健康量表（NPQ）评分和简化麦吉尔疼痛问卷（SF - MPQ）评分，并评估两组患者的安全性。
治疗结束后，各组NPQ和SF - MPQ评分均较治疗前降低（<0.001），且针刺组NPQ和SF - MPQ评分低于非针刺组（<0.001）。针刺组不良反应发生率为6.0%（13/218），非针刺组为10.1%（22/218），差异无统计学意义（>0.05）。
针刺治疗颈椎病患者颈部疼痛、改善综合生活质量有效且安全。
