CAJ | 학술논문

目的：观察针刺肌筋膜触发点治疗椎动脉型颈椎病的临床疗效。方法将98例椎动脉型颈椎病患者随机分为治疗组51例和对照组47例。治疗组采用针刺肌筋膜触发点治疗，对照组采用注射消炎镇痛液治疗。比较两组治疗前后旋颈试验阳性率、眩晕评分及头项部疼痛VAS评分。结果两组治疗后VAS评分、旋颈试验阳性率及眩晕评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后VAS评分、旋颈试验阳性率及眩晕评分与对照组比较，差异具有统计学意义(P＜0.05)。治疗组总有效率为96.1%，对照组为76.6%，两组比较差异具有统计学意义(P＜0.05)。结论针刺肌筋膜触发点能改善椎动脉型颈椎病患者眩晕及头项部疼痛症状。
목적：관찰침자기근막촉발점치료추동맥형경추병적림상료효。방법장98례추동맥형경추병환자수궤분위치료조51례화대조조47례。치료조채용침자기근막촉발점치료，대조조채용주사소염진통액치료。비교량조치료전후선경시험양성솔、현훈평분급두항부동통VAS평분。결과량조치료후VAS평분、선경시험양성솔급현훈평분여동조치료전비교，차이균구유통계학의의(P＜0.05)。치료조치료후VAS평분、선경시험양성솔급현훈평분여대조조비교，차이구유통계학의의(P＜0.05)。치료조총유효솔위96.1%，대조조위76.6%，량조비교차이구유통계학의의(P＜0.05)。결론침자기근막촉발점능개선추동맥형경추병환자현훈급두항부동통증상。
Objective To observe the therapeutic efficacy of acupuncture at myofascial trigger points (MTrPs) in treating cervical spondylosis of vertebral artery type. Methods Ninety-eight patients with cervical spondylosis of vertebral artery type were randomized into a treatment group of 51 cases and a control group of 47 cases. The treatment group was intervened by acupuncture at the MTrPs, while the control group was by injection of medical solution for anti-inflammation and analgesia. The positive rate of rotate-cervix test, dizziness score, and visual analogue scale (VAS) of the head and neck pain were compared before and after intervention. Results After intervention, the positive rate, dizziness score, and VAS score were significantly changed in both groups (P<0.05). There were significant differences in comparing the positive rate, dizziness score, and VAS score between the two groups after intervention (P<0.05). The total effective rate was 96.1%in the treatment group versus 76.6%in the control group, and the difference was statistically significant (P<0.05). Conclusion Acupuncture at the MTrPs can improve the dizziness and head-neck pain in patients with cervical spondylosis of vertebral artery type.