王延武　叶新苗　王翀敏

[摘要] 目的 探討针刀“二点三线”法治疗颈型颈椎病的临床效果。 方法 选择2015年8月～2016年6月浙江中医药大学附属广兴医院针灸科门诊60例颈型颈椎病患者为研究对象，将其随机分为两组。针刀组30例采用“二点三线法”进行针刀治疗，每周治疗1次，共治疗4次；针灸组30例采用针灸治疗，每周治疗5次，共治疗4周。分别于治疗前和治疗4周后评定数字疼痛评分法（NPRS）评分和疗效，并记录不良反应。 结果 治疗后，针刀组NPRS评分为（2.22±0.45）分，明显低于针灸组[（5.20±0.60）分]，差异有统计学意义（P < 0.05）；针刀组总有效率为86.7%，针灸组总有效率为60.0%，差异有统计学意义（P < 0.05）。两组均无严重不良反应出现。 结论 针刀“二点三线”法治疗颈型颈椎病的临床效果优于传统针刺法，适于进一步推广应用。

[关键词] 针刀；颈型颈椎病；针刺；二点三线

[中图分类号] R274.9 [文献标识码] A [文章编号] 1673-7210（2016）11（c）-0169-04

Clinical effect of acupotomology according to the theory of two points and three lines for patients with cervical type of cervical spondylosis

WANG Yanwu1 YE Xinmiao2 WANG Chongmin1

1.Department of Acupuncture and Moxibustion， Guangxing Hospital Affiliated to Zhejiang Chinese Medical University， Zhejiang Province， Hangzhou 310007， China； 2.College of Basic Medicine， Zhejiang Chinese Medical University， Zhejiang Province， Hangzhou 310053， China

[Abstract] Objective To investigate the clinical effect of acupotomology according to the theory of two points and three lines for patients with cervical type of cervical spondylosis. Methods Sixty cases of patients with cervical type of cervical spondylosis， who were treated in Department of Acupuncture and Moxibustion， Guangxing Hospital Affiliated to Zhejiang Chinese Medical University from August 2015 to June 2016， were randomly divided into two groups. Thirty cases in the acupotomology group were given the treatment of acupotomology according to the theory of two points and three lines， once a week， for 4 times. Thirty patients in the acupuncture group were given the treatment of acupuncture， five times a week， 4 weeks of treatment were required. The numerical pain rating scale （NPRS） scores and the effect were evaluated before treatment and four weeks after treatment， and the adverse reactions were recorded. Results After treatment， the NPRS score in acupotomology group was （2.22±0.45） points， which was obviously lower than that in acupuncture group [（5.20±0.60） points]， the difference was statistically significant （P < 0.05）. The total effective rate in acupotomology group was 86.7%， which of the acupuncture group was 60.0%， the difference was statistically significant （P < 0.05）. There were no serious adverse effects in the two groups. Conclusion The clinical effect of acupotomology for patients with cervical type of cervical spondylosis is better than acupuncture， and it is suitable for further popularization and application.

[Key words] Acupotomology； Cervical type of cervical spondylosis； Acupuncture； Two points and three lines

颈椎病是一种以退行性病理改变为基础的疾患，主要由于颈椎劳损、骨质增生，或椎间盘脱出、韧带增厚，致使颈椎脊髓、神经根或椎动脉受压，出现一系列功能障碍的临床综合征。颈型颈椎病是颈椎病中常见的类型，表现为颈项强直、疼痛，可有整个肩背疼痛发僵，严重时可表现为颈部屈曲和旋转功能受限[1]。随着电脑和智能手机的普及应用，颈型颈椎病的发病率呈上升趋势[2]，且与年龄的增大呈正相关[3]。目前针对颈型颈椎病的治疗方法有药物治疗、物理因子治疗、针灸、推拿、牵引、运动疗法等[4-6]。目前存在的问题是按传统治疗方法治疗颈型颈椎病，有效率高，治愈率低，疗效难以持久，易复发。针刀医学作为一门新兴学科，以调整人体解剖结构和生物力学为基础，疗效确切，复发率低，在颈椎病的治疗中正逐渐被认可。……