| 引用本文: |
肖瑶瑶, 杨松, 杨佳妮, 李思棋, 邱志芳, 廖珂莹, 蒋学余.电针颈椎病穴对急性期单侧痛颈型颈椎病患者颈部肌肉僵硬改善效应的临床研究[J].湖南中医药大学学报,2025,45(6):1060-1065[点击复制] |
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| 电针颈椎病穴对急性期单侧痛颈型颈椎病患者颈部肌肉僵硬改善效应的临床研究 |
| 肖瑶瑶,杨松,杨佳妮,李思棋,邱志芳,廖珂莹,蒋学余 |
| (湖南中医药大学, 湖南 长沙 410208;岳阳市中医医院, 湖南 岳阳 414000) |
| 摘要: |
| 目的 探讨电针颈椎病穴对急性期单侧痛颈型颈椎病（NTCS）患者颈部肌肉硬度及临床疗效的影响。方法 选取2023年4月至2024年9月就诊于岳阳市中医医院的116例NTCS患者，随机分为观察组（电针颈椎病穴）与对照组（电针颈夹脊穴），各58例，均治疗10 d（每天1次，每次30 min）。比较两组患者治疗前后的颈部肌肉超声弹性成像剪切波传播速度（SWV）、疼痛视觉模拟评分（VAS）与颈椎功能障碍指数（NDI）以及治疗完成3个月后的NDI评分，分析NDI改善与SWV降低的相关性。结果 治疗后，两组患者斜方肌、颈半棘肌和头夹肌SWV值，以及VAS评分、NDI评分均较治疗前降低（P<0.05）；观察组斜方肌、颈半棘肌和头夹肌SWV值与NDI评分均较对照组显著降低（P<0.01）；两组VAS评分比较，差异无统计学意义（P>0.05）。治疗完成3个月后随访，观察组NDI评分较对照组降低（P<0.05）。治疗后，两组患者NDI评分降低值与斜方肌、颈半棘肌和头夹肌SWV降低值均存在显著正相关性（P<0.01）。结论 电针颈椎病穴可降低急性期单侧痛颈型颈椎病患者的颈部肌肉僵硬程度，改善颈椎功能，缓解颈部疼痛，远期疗效较好，且颈椎功能改善与肌肉硬度降低呈正相关。 |
| 关键词: 颈型颈椎病 电针 颈椎病穴 颈夹脊穴 剪切波传播速度 颈椎功能障碍指数 疼痛视觉模拟评分 相关性研究 |
| DOI：10.3969/j.issn.1674-070X.2025.06.010 |
| 投稿时间：2025-02-24 |
| 基金项目:国家科技部研发计划重点专项（2018YFC1707806）；湖南省中医药管理局局市（州）联合中医药科研课题（E2023039，E2023040）；湖南省卫生健康委员会科研课题（D202304079413）。 |
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| Clinical study on the improvement effects of electroacupuncture at Jingzhuibing acupoints on neck muscle stiffness in patients with acute unilateral pain of neck type of cervical spondylosis |
| XIAO Yaoyao, YANG Song, YANG Jiani, LI Siqi, QIU Zhifang, LIAO Keying, JIANG Xueyu |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Yueyang Hospital of Chinese Medicine, Yueyang, Hunan 414000, China) |
| Abstract: |
| Objective To explore the effects of electroacupuncture at Jingzhuibing acupoints on neck muscle stiffness and clinical efficacy in patients with acute unilateral pain of neck type of cervical spondylosis (NTCS).Methods A total of 116 patients with NTCS treated at Yueyang Hospital of Chinese Medicine from April 2023 to September 2024 were enrolled and randomly divided into an observation group (electroacupuncture at Jingzhuibing acupoints) and a control group (electroacupuncture at Jingjiaji acupoints), with 58 cases in each group. Both groups received 10 days of treatment (once daily, 30 minutes per session). The shear wave velocity (SWV) of neck muscle ultrasound elastography, the visual analogue scale (VAS), and the neck disability index (NDI) were compared between two groups of patients before and after treatment. The NDI was also evaluated at a 3-month follow-up. And the correlation between NDI improvement and SWV reduction was analyzed.Results After treatment, the SWV values of the trapezius, cervical hemispinae, and brachiocephalis muscles, as well as the VAS and NDI scores of both groups decreased compared to those before treatment (P<0.05); The SWV value of the trapezius, cervical hemispinae, and brachiocephalis muscles, as well as the NDI score in the observation group were significantly lower than those in the control group (P<0.01). There was no statistically significant difference in the VAS scores between the two groups (P>0.05). During the 3-month follow-up after the completion of treatment, the NDI score in the observation group was lower than that in the control group (P<0.05). After treatment, there was a significant positive correlation between the reduction values of NDI scores and the reduction values of SWV in the trapezius, semispinalis cervicis, and splenius capitis muscles in both groups (P<0.01).Conclusion Electroacupuncture at Jingzhuibing acupoints can reduce the stiffness of neck muscles, improve cervical function, alleviate neck pain in patients with acute unilateral pain of NTCS, and with favorable long-term efficacy. Moreover, the improvement of cervical spine function is positively correlated with the reduction of muscle stiffness. |
| Key words: neck type of cervical spondylosis electroacupuncture Jingzhuibing acupoints Jingjiaji acupoints shear wave velocity neck disability index visual analogue scale correlation study |
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