[1]应明军,吕志灵.超微针刀治疗颈肩综合征的疗效观察[J].中医正骨,2016,28(04):22-24.
　YING Mingjun,LYU Zhiling.Observation on the curative effect of ultramicro knife needle for treatment of neck-shoulder syndromes[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):22-24.
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超微针刀治疗颈肩综合征的疗效观察()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年04期
页码:
22-24
栏目:
临床研究
出版日期:
2016-04-20

文章信息/Info

Title:
Observation on the curative effect of ultramicro knife needle for treatment of neck-shoulder syndromes
作者:
应明军; 吕志灵
浙江省建德市第一人民医院,浙江 建德 311600
Author(s):
YING Mingjun; LYU Zhiling
The First People's Hospital of Jiande,Jiande 311600,Zhejiang,China
关键词:
小刀针;  针灸疗法;  颈痛;  肩痛;  背痛
Keywords:
small knife needle;  acupuncture-moxibustion;  neck pain;  shoulder pain;  back pain
摘要:
目的:观察超微针刀治疗颈肩综合征的临床疗效。方法:将符合要求的60例颈肩综合征患者随机分为2组,每组30例,分别采用超微针刀和常规针灸治疗。分别于治疗前及治疗1个月后采用视觉模拟评分法(visual analogue score,VAS)评价颈肩背部疼痛情况。治疗1个月后参照《中医病证诊断疗效标准》和《中华针灸临床诊疗规范》中颈椎病疗效标准评定疗效。结果:治疗前2组患者VAS评分比较,组间差异无统计学意义[(5.33±1.16)分,(5.10±1.03)分; t=0.826,P=0.412]; 治疗1个月后,2组患者的VAS评分均较治疗前下降[t=10.117,P=0.000; t=10.670,P=0.000]; 超微针刀组VAS评分小于常规针灸组[(1.33±1.27)分,(2.03±1.25)分,t=-2.157,P=0.035]。治疗1个月后,超微针刀组痊愈13例、好转15例、无效2例,常规针灸组痊愈6例、好转18例、无效6例,超微针刀组的疗效优于常规针灸组(Z=-2.182,P=0.029)。结论:超微针刀治疗颈肩综合征,可以有效缓解颈肩背部疼痛、改善其活动功能,且疗效优于传统针灸。
Abstract:
Objective:To observe the clinical curative effect of ultramicro knife needle in the treatment of neck-shoulder syndromes.Methods:Sixty patients with neck-shoulder syndromes enrolled in the study were randomly divided into 2 groups,30 cases in each group.The patients were treated with ultramicro knife needle(ultramicro knife needle group)and conventional acupuncture(conventional acupuncture group)respectively.The neck-shoulder-back pain were evaluated by using visual analogue score(VAS)before treatment and after one-month treatment.The curative effects were evaluated after one-month treatment according to the therapeutic effect evaluation standard of cervical spondylosis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes and Clinical standard of Chinese acupuncture.Results:There was no statistical difference in the VAS scores between the 2 groups before treatment(5.33+/-1.16 vs 5.10v+/-1.03 points,t=0.826,P=0.412).The VAS scores decreased in the 2 groups after one-month treatment(t=10.117,P=0.000; t=10.670,P=0.000).The VAS scores were lower in ultramicro knife needle group compared to conventional acupuncture group(1.33+/-1.27 vs 2.03+/-1.25 points,t=-2.157,P=0.035).After one-month treatment,13 patients obtained an excellent result,15 good and 2 poor in the ultramicro knife needle group; while 6 patients obtained an excellent result,18 good and 6 poor in the conventional acupuncture group.The ultramicro knife needle group surpassed the conventional acupuncture group in the total curative effect(Z=-2.182,P=0.029).Conclusion:The therapy of ultramicro knife needle can effectively relieve the neck-shoulder-back pain and improve neck-shoulder-back activity functions in the treatment of neck-shoulder syndromes,moreover,its curative effect is better than that of conventional acupuncture.

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更新日期/Last Update: 2016-08-30