目的:观察矩阵针法对神经根型颈椎病伴项韧带钙化患者的颈椎功能障碍、临床疗效及项韧带钙化灶大小的影响。方法:将120例神经根型颈椎病伴项韧带钙化的患者随机分为矩阵针法组和常规针刺组,每组60例。矩阵针法组取穴为阿是穴、天柱(双侧)、风池(双侧)、大杼(双侧)、肩中俞(双侧)及患侧肩井、天宗、曲池、手三里、外关、合谷;常规针刺组取穴为颈(C)3—C7夹脊穴及患侧肩井、天宗、曲池、手三里、外关、合谷、阿是穴。两组均每次治疗30 min
Objective To observe the effects of matrix acupuncture on the neck disability index(NDI) score
clinical efficacy
and the calcification size of the nuchal ligament in patients of cervical spondylotic radiculopathy with nuchal ligament calcification. Methods A total of 120 cases were randomly divided into a matrix acupuncture group and a routine acupuncture group
with 60 cases in each group. In the matrix acupuncture group
Ashi-point
bilateral Tianzhu(BL10)
bilateral Fengchi(GB20)
bilateral Dazhu(BL11)
bilateral Jianzhongshu(SI15)
and Jianjing(GB21)
Tianzong(SI11)
Quchi(LI11)
Shousanli(LI10)
Waiguan(TE5)
and Hegu(LI4) at the affected side were selected. In the routine acupuncture group
C3—C7 Jiaji points at the neck and Jianjing(GB21)
Tianzong(SI11)
Quchi(LI11)
Shousanli(LI10)
Waiguan(TE5)
Hegu(LI4)
and Ashi-point at the affected side were selected. The patients in the two groups were treated 30 min once
six days a week
for a total of four weeks. The NDI scores
clinical efficacies
and calcification sizes of nuchal ligament were compared between the two groups every wee-kend. Results After four weeks of treatment
the NDI scores and calcification volumes of nuchal ligament decreased in both groups(P
<
0.05). Compared with the routine acupuncture group
the matrix acupuncture group showed decreased NDI scores and reduced calcification volumes of nuchal ligament at the 1
(st)
2(st)
2
(nd)
3(nd)
3
(rd)
and 4(rd)
and 4
(th)
weeks of treatment(P
<
0.05). The cure and marked effective rate in the matrix acupuncture group at the 2(th) weeks of treatment(P
<
0.05). The cure and marked effective rate in the matrix acupuncture group at the 2
(nd)
3(nd)
3
(rd)
and 4(rd)
and 4
(th)
weeks of treatment were superior to those of the routine acupuncture group(P
<
0.05). Conclusion The matrix acupuncture group and the routine acupuncture group are effective in reducing the NDI score and calcification size of nuchal ligament in patients of cervical spondylotic radiculopathy with nuchal ligament calcification. However
matrix acupuncture has obvious advantages over routine acupuncture.
Clinical observation of ultrasound-guided acupotomy assisting percutaneous cervical disc nucleoplasty in the treatment of cervical spondylotic radiculopathy
Clinical observation of acupotomy combined with warm needling for cervical spondylotic radiculopathy of qi and blood stagnation syndrome
Effect of mild moxibustion on pain and expression of LC3 and Bax in spinal cord in cervical spondylotic radiculopathy rats
Randomized controlled trial on cervical spondylotic radiculopathy of wind-cold-damp type treated with acupuncture and thunder-fire moxibustion
Related Author
FAN Shu-yao
YAO Zhi-yuan
YU Fang
LI Ai-lin
WANG Xue-wen
WANG Jin-rong
LI Quan
FENG Hao-nan
Related Institution
Department of Orthopedics, (, The First Affiliated Hospital of Zhejiang Chinese Medical University, , )
Department of Breast Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, China), (, The First Affiliated Hospital of Zhejiang Chinese Medical University
Department of Chinese Medicine, the Affiliated Hospital of Weifang Medical University
Department of Spinal Surgery, the Affiliated Hospital of Weifang Medical University