摘 要 目的：探討針刀刺激松解肌筋膜觸發(fā)點(diǎn)治療頸型頸椎病（氣滯血瘀型）的應(yīng)用及療效。方法：選擇2016年7月至2017年7月門診收治的頸型頸椎病患者70例，分為治療組和對(duì)照組各35例。治療組按肌筋膜觸發(fā)點(diǎn)及相關(guān)穴位采用針刀治療，1次/7 d，3次為1個(gè)療程，共2個(gè)療程。對(duì)照組采用電針聯(lián)合特定電磁波譜治療，1次/2 d，10次為1個(gè)療程，共2個(gè)療程。對(duì)兩組療效進(jìn)行比較。結(jié)果：治療組治療前、治療后及治療4個(gè)月后的視覺模擬評(píng)分（VAS）分別為（6.00±0.00）分、（0.49±0.78）分和（0.80±1.11）分，治療后V A S評(píng)分均較治療前下降（P<0.001）。對(duì)照組治療前、治療后及治療4個(gè)月后的VAS評(píng)分分別為（6.09±0.28）分、（3.66±0.91）分和（3.54±0.95）分，治療后VAS評(píng)分均較治療前下降（P<0.001）。治療組治療后VAS下降程度優(yōu)于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.001）。結(jié)論：針刀刺激松解肌筋膜觸發(fā)點(diǎn)治療頸型頸椎病有較好的療效，明顯優(yōu)于電針聯(lián)合特定電磁波譜治療。
　　關(guān)鍵詞 頸型頸椎病；針刀療法；電針療法；特定電磁波譜治療
　　中圖分類號(hào)：R246.2 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0027-03
　　Clinical effect of acupotomy therapy for stimulation and release of myofascial trigger points in the treatment of neck type cervical spondylosis （Qi stagnation and blood stasis type）
　　ZHU Jing， CHEN Hua， WANG Guohua
　　（Department of Traditional Chinese Medicine of Jinze Community Health Service Center of Qingpu District， Shanghai 201718， China）
　　ABSTRACT Objective： To explore the application and efficacy of acupotomy therapy stimulation and release of myofascial trigger point in the treatment of neck type cervical spondylosis （Qi stagnation and blood stasis type）. Methods： Seventy patients with neck type cervical spondylosis treated in the outpatient department from July 2016 to July 2017 were selected and divided into a treatment group and a control group with 35 cases in each group. The treatment group was treated with acupotomy according to the trigger point of myofascial membrane and the related acupoints， 1 time /7 D and 1 course for 3 times， with a total of 2 courses. The control group was treated with electroacupuncture combined with specific electromagnetic spectrum， 1 time /2 D and 1 course for 10 times， with a total of 2 courses. The effects of the two groups were compared. Results： The visual analogue scales（VAS） in the treatment group before treatment， after treatment and 4 months after treatment were （6±0），（0.49±0.78） and （0.80±1.11） points， respectively. After treatment， the score of VAS was lower than that before treatment（P<0.001）. The VAS scores in the control group before， after treatment and 4 months after treatment were （6.09±0.28）， （3.66±0.91） and（3.54±0.95） points， respectively. After treatment， the score of VAS was lower than that before treatment（P<0.001）. After treatment， the decrease of VAS in the treatment group was better than that in the control group， and the difference was statistically significant（P<0.001）. Conclusion： Acupotomy therapy for stimulation and release of myofascial trigger point has a better curative effect in the treatment of neck type cervical spondylosis and is obviously better than electroacupuncture combined with specific electromagnetic spectrum therapy.

相關(guān)熱詞搜索：氣滯 觸發(fā) 療效 頸椎病 臨床