CAJ | 학술논문

目的：观察浅刺对颈椎病的即时疗效。方法将70例颈椎病患者随机分为2组，观察组行透皮浅刺治疗，对照组行常规针刺治疗，每组35例。两组均选取天柱、肩井、至阳、后溪、束骨五穴。通过对疼痛视觉模拟评分（visual analogue scales，VAS）及颈椎病临床评价量表积分（clinical assessment scale for cervical spondylosis， CASCS）在治疗前、治疗后30 min、治疗后24 h三个时点的评估，对比两组的针刺即时疗效。结果①在治疗后30 min，观察组疗效优于对照组（P＜0．01）；在治疗后24 h，对照组疗效优于观察组（P＜0．01）。②治疗后，观察组与对照组的VAS值和CASCS积分与治疗前相比均有非常显著差异（P＜0．01），组间比较均无显著差异（P＞0．05）。结论①浅刺治疗颈椎病的即时疗效确切。在治疗后30 min，浅刺的临床疗效优于常规针刺；在治疗后24 h，常规针刺的即时疗效优于浅刺。②治疗后，两组VAS值和CASCS积分均有显著改善，且改善程度相当。
목적：관찰천자대경추병적즉시료효。방법장70례경추병환자수궤분위2조，관찰조행투피천자치료，대조조행상규침자치료，매조35례。량조균선취천주、견정、지양、후계、속골오혈。통과대동통시각모의평분（visual analogue scales，VAS）급경추병림상평개량표적분（clinical assessment scale for cervical spondylosis， CASCS）재치료전、치료후30 min、치료후24 h삼개시점적평고，대비량조적침자즉시료효。결과①재치료후30 min，관찰조료효우우대조조（P＜0．01）；재치료후24 h，대조조료효우우관찰조（P＜0．01）。②치료후，관찰조여대조조적VAS치화CASCS적분여치료전상비균유비상현저차이（P＜0．01），조간비교균무현저차이（P＞0．05）。결론①천자치료경추병적즉시료효학절。재치료후30 min，천자적림상료효우우상규침자；재치료후24 h，상규침자적즉시료효우우천자。②치료후，량조VAS치화CASCS적분균유현저개선，차개선정도상당。
Objective To observe the immediate effect of superficial needling in treating cervical spondylosis. Methods Seventy patients with cervical spondylosis were randomized into two groups. The observation group received superficial needling,and the control group received conventional acupuncture,35 cases in each group. Tianzhu (BL 10),Jianjing (GB 21),Zhiyang (GV 9),Houxi (SI 3),Shugu (BL 65) were used in the two groups.By evaluating the visual analogue scale (VAS) and the clinical assessment scale for cervical spondylosis (CASCS) before the treatment,30 min and 24 hours after the treatment,the curative effects between the two groups were compared. Results 1)At 30 minutes after treatment,the immediate effect of observation group was better than that of control group (P<0.01). At 24 hours after treatment,the immediate effect of control group was better than that of control observation group (P<0.01). 2)There was significant difference in VAS and CASCS score between before and after treatment (P<0.01). There was no difference between two groups (P>0.05). Conclusion 1)Superficial needling is effective in the treatment of cervical spondylosis. The clinical effect of superficial needling is better than conventional acupuncture at 30 minutes after treatment ,and the immediately effect of conventional acupuncture is better than superficial needling at 24 hours after treatment. 2 )After treatment,VAS and CASCS of the patients in both groups are significantly reduced,and there is no significant difference between two groups.