针刀刺激松解肌筋膜触发点治疗颈型颈椎病（气滞血瘀型）的临床疗效

　　摘 要 目的：探討针刀刺激松解肌筋膜触发点治疗颈型颈椎病（气滞血瘀型）的应用及疗效。方法：选择2016年7月至2017年7月门诊收治的颈型颈椎病患者70例，分为治疗组和对照组各35例。治疗组按肌筋膜触发点及相关穴位采用针刀治疗，1次/7 d，3次为1个疗程，共2个疗程。对照组采用电针联合特定电磁波谱治疗，1次/2 d，10次为1个疗程，共2个疗程。对两组疗效进行比较。结果：治疗组治疗前、治疗后及治疗4个月后的视觉模拟评分（VAS）分别为（6.00±0.00）分、（0.49±0.78）分和（0.80±1.11）分，治疗后V A S评分均较治疗前下降（P<0.001）。对照组治疗前、治疗后及治疗4个月后的VAS评分分别为（6.09±0.28）分、（3.66±0.91）分和（3.54±0.95）分，治疗后VAS评分均较治疗前下降（P<0.001）。治疗组治疗后VAS下降程度优于对照组，差异有统计学意义（P<0.001）。结论：针刀刺激松解肌筋膜触发点治疗颈型颈椎病有较好的疗效，明显优于电针联合特定电磁波谱治疗。
　　关键词 颈型颈椎病；针刀疗法；电针疗法；特定电磁波谱治疗
　　中图分类号：R246.2 文献标志码：A 文章编号：1006-1533（2018）04-0027-03
　　Clinical effect of acupotomy therapy for stimulation and release of myofascial trigger points in the treatment of neck type cervical spondylosis （Qi stagnation and blood stasis type）
　　ZHU Jing， CHEN Hua， WANG Guohua
　　（Department of Traditional Chinese Medicine of Jinze Community Health Service Center of Qingpu District， Shanghai 201718， China）
　　ABSTRACT Objective： To explore the application and efficacy of acupotomy therapy stimulation and release of myofascial trigger point in the treatment of neck type cervical spondylosis （Qi stagnation and blood stasis type）. Methods： Seventy patients with neck type cervical spondylosis treated in the outpatient department from July 2016 to July 2017 were selected and divided into a treatment group and a control group with 35 cases in each group. The treatment group was treated with acupotomy according to the trigger point of myofascial membrane and the related acupoints， 1 time /7 D and 1 course for 3 times， with a total of 2 courses. The control group was treated with electroacupuncture combined with specific electromagnetic spectrum， 1 time /2 D and 1 course for 10 times， with a total of 2 courses. The effects of the two groups were compared. Results： The visual analogue scales（VAS） in the treatment group before treatment， after treatment and 4 months after treatment were （6±0），（0.49±0.78） and （0.80±1.11） points， respectively. After treatment， the score of VAS was lower than that before treatment（P<0.001）. The VAS scores in the control group before， after treatment and 4 months after treatment were （6.09±0.28）， （3.66±0.91） and（3.54±0.95） points， respectively. After treatment， the score of VAS was lower than that before treatment（P<0.001）. After treatment， the decrease of VAS in the treatment group was better than that in the control group， and the difference was statistically significant（P<0.001）. Conclusion： Acupotomy therapy for stimulation and release of myofascial trigger point has a better curative effect in the treatment of neck type cervical spondylosis and is obviously better than electroacupuncture combined with specific electromagnetic spectrum therapy.

相关热词搜索：气滞 触发 疗效 颈椎病 临床