腹针结合中频脉冲电治疗颈型颈椎病患者临床观察∗

摘要

Objective:To observe the therapeutic effect of Bo′s Abdominal Acupuncture combined with medi⁃um frequency pulsation electrotherapy on neck type of cervical spondylosis(CS)and its effect on the Trapezius′s surface electromyography(sEMG). Methods:Sixty-five cases of neck type CS were randomly divided into a treatment group(n=33)treated by abdominal acupuncture combined with medium frequency pulsation electrother⁃apy and a control group(n=32)treated by medium frequency pulsation electrotherapy. The Neck Disability Index (NDI)and sEMG were served as the evaluation. Their therapeutic effects were compared after the first time and the last time treatment. Results:The treatment group was better than the control group in reducing pain,and im⁃proving the ability of Trapezius to anti-fatigue(P<0.05),so as the immediate therapeutic effect after the first treatment(P<0.05). Conclusion:Bo′s Abdominal acupuncture combined with medium frequency pulsation elec⁃trotherapy can better reduce the pain of the CS patients,and improve the ability of Trapezius to anti-fatigue.%目的：观察腹针结合中频脉冲电治疗颈型颈椎病的疗效及对斜方肌表面肌电图的影响。方法采用视觉模拟测试表（VAS）、颈椎功能障碍指数量表（NDI）及表面电极肌电图（sEMG）为临床评价指标，将65例颈型颈椎病患者按随机数字表法随机分为腹针加中频组（治疗组）33例和单纯中频组（对照组）32例，观察第1次即刻针刺后及针刺1个疗程后，各指标的变化。结果治疗组在即刻针刺及治疗1个疗程结束后缓解疼痛及提高斜方肌抗疲劳能力方面均优于对照组（P<0.05），且即刻治疗效应优于对照组（P<0.05）。结论腹针疗法结合中频脉冲电治疗能更好地缓解颈型颈椎病患者颈肩部疼痛症状，并可提高斜方肌抗疲劳能力，且即刻效应明显。