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[1]應明軍,呂志靈.超微針刀治療頸肩綜合征的療效觀察[J].中醫(yī)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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超微針刀治療頸肩綜合征的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年04期
頁碼:
22-24
欄目:
臨床研究
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:
應明軍; 呂志靈
浙江省建德市第一人民醫(yī)院,浙江 建德 311600
Author(s):
YING Mingjun; LYU Zhiling
The First People's Hospital of Jiande,Jiande 311600,Zhejiang,China
關鍵詞:
小刀針;  針灸療法;  頸痛;  肩痛;  背痛
Keywords:
small knife needle;  acupuncture-moxibustion;  neck pain;  shoulder pain;  back pain
摘要:
目的:觀察超微針刀治療頸肩綜合征的臨床療效。方法:將符合要求的60例頸肩綜合征患者隨機分為2組,每組30例,分別采用超微針刀和常規(guī)針灸治療。分別于治療前及治療1個月后采用視覺模擬評分法(visual analogue score,VAS)評價頸肩背部疼痛情況。治療1個月后參照《中醫(yī)病證診斷療效標準》和《中華針灸臨床診療規(guī)范》中頸椎病療效標準評定療效。結果:治療前2組患者VAS評分比較,組間差異無統(tǒng)計學意義[(5.33±1.16)分,(5.10±1.03)分; t=0.826,P=0.412]; 治療1個月后,2組患者的VAS評分均較治療前下降[t=10.117,P=0.000; t=10.670,P=0.000]; 超微針刀組VAS評分小于常規(guī)針灸組[(1.33±1.27)分,(2.03±1.25)分,t=-2.157,P=0.035]。治療1個月后,超微針刀組痊愈13例、好轉15例、無效2例,常規(guī)針灸組痊愈6例、好轉18例、無效6例,超微針刀組的療效優(yōu)于常規(guī)針灸組(Z=-2.182,P=0.029)。結論:超微針刀治療頸肩綜合征,可以有效緩解頸肩背部疼痛、改善其活動功能,且療效優(yōu)于傳統(tǒng)針灸。
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