1. 上海复旦大学附属金山医院中医科,上海,201508
2. 上海中医药大学康复医学院,上海,201203
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WANG Feng, CHEN Bi-qin, CHU Li-xi. Immediate curative effect observation of short strong stimulation on neck shoulder point in the treatment of neck-shoulder syndrome. [J]. Shanghai Journal of Traditional Chinese Medicine 50(10):64-67(2016)
目的:观察短时强刺激颈肩穴治疗颈肩综合征的即时临床疗效。 方法:将96例颈肩综合征患者随机分为治疗组、对照组及安慰组,每组32例。安慰组予安慰按摩,对照组予常规推拿,治疗组予短时强刺激颈肩穴。各组均治疗单次后观察即时疗效,比较疼痛视觉模拟评分(VAS)、美国加州大学肩关节评分(UCLA)及颈椎临床评价量表评分的变化情况。 结果:①试验期间,脱落病例4人,均为安慰组病例;最终完成试验者92例,其中治疗组32例、对照组32例及安慰组28例。②治疗前后组内比较,各组VAS评分差异均有统计学意义(P<0.05);组间治疗前后差值比较,VAS评分差异有统计学意义,治疗组评分降低比对照组及安慰组更加显著(P<0.05),而对照组与安慰组差异无统计学意义(P>0.05)。③治疗前后组内比较,各组UCLA评分差异均有统计学意义(P<0.05);组间治疗前后差值比较,UCLA评分差异有统计学意义,治疗组评分增高比对照组及安慰组更加显著(P<0.05),而对照组与安慰组差异无统计学意义(P>0.05)。④治疗前后组内比较,各组颈椎病临床评价量表评分差异均有统计学意义(P<0.05);组间治疗前后差值比较,颈椎病临床评价量表评分差异有统计学意义,治疗组评分增高比对照组及安慰组更加显著(P<0.05),而对照组与安慰组差异无统计学意义(P>0.05)。 结论:短时强刺激颈肩穴的即时疗效满意,可明显改善颈肩不适症状。
Objective:To observe the immediate curative effect of short and strong stimulation on neck shoulder point in the treatment of neck-shoulder syndrome. Methods96 cases of neck-shoulder syndrome were randomly divided into the treatment group,control group and placebo group,32 in each group. The placebo group was treated with comfort massage,the control group was treated with conventional massage and the treatment group was treated with short and strong stimulation on neck shoulder point. All groups were treated only once and then the effect was observed immediately. The changes of pain visual analogue scale (VAS),University of California at Los Angeles(UCLA)scoring system and clinical evaluation scale of cervical vertebra were compared. Results:①4 cases in the placebo group fell off during the trial,and finally 92 cases completed the trial,32 in the treatment group,32 in the control group and 28 in the placebo group. ②Comparison of before and after treatment,the difference of VAS score in all groups was statistically significant(P<0.05);comparison among the three groups,the difference of VAS score was statistically significant,and the score decrease in the treatment group was more significant than that in the control and placebo group(P<0.05),the difference between the control and placebo group was not statistically significant(P>0.05). ③Comparison of before and after treatment,the difference of UCLA score in all groups was statistically significant(P<0.05);comparison among the three groups,the difference of UCLA score was statistically significant,and the score increase in the treatment group was more significant than that in the control and placebo group(P<0.05),the difference between the control and placebo group was not statistically significant(P>0.05). ④Comparison of before and after treatment,the difference on score of clinical evaluation scale of cervical vertebra in all groups was statistically significant(P<0.05);comparison among the three groups,the difference on score of clinical evaluation scale of cervical vertebra was statistically significant,and the score increase in the treatment group was more significant than that in the control and placebo group(P<0.05),the difference between the control and placebo group was not statistically significant(P>0.05). Conclusion:The therapy of short and strong stimulation on neck shoulder point shows good immediate curative effect,which significantly improve the discomfort of neck and shoulder.
颈肩综合征颈肩穴即时效应专病专穴神经体液机制
neck-shoulder syndromeneck shoulder pointimmediate effectspecial point for special diseasemechanism of neurohumor
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