《中国康复理论与实践》

中国康复理论与实践 >

2019 , Vol. 25 >Issue 4: 465 - 471

DOI: https://doi.org/10.3969/j.issn.1006-9771.2019.04.018

临床研究

皮内针(撳针)对非特异性颈痛患者疼痛和运动功能的影响：随机对照研究

  • 黄娟 ,
  • 张驰 ,
  • 王剑雄 ,
  • 陈汝艳 ,
  • 胡超 ,
  • 罗丽 ,
  • 杨仕彬
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  • 西南医科大学附属医院康复医学科，四川泸州市 646000
黄娟(1986-)，女，汉族，北京市人，硕士，主治医师，主要研究方向：针刺治疗疼痛及神经系统疾病临床研究。

收稿日期: 2018-10-09

  修回日期: 2018-11-19

  网络出版日期: 2019-04-24

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Effect of Needle-embedding Therapy (Press Needle) on Pain and Motor Function in Patients with Nonspecific Neck Pain: A Randomized Control Trial Study

  • HUANG Juan ,
  • ZHANG Chi ,
  • WANG Jian-xiong ,
  • CHEN Ru-yan ,
  • HU Chao ,
  • LUO Li ,
  • YANG Shi-bin
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  • Department of Rehabilitation, the Affiliated Hospital of Southwest University, Luzhou, Sichuan 646000, China

Received date: 2018-10-09

  Revised date: 2018-11-19

  Online published: 2019-04-24

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摘要

目的 观察新型皮内针(撳针)配合经皮神经电刺激对非特异性颈痛患者疼痛和运动功能的疗效。 方法 2016年7月至2017年9月，收集住院部非特异性颈痛患者80例随机分成对照组(n = 40)和试验组(n = 40)。试验组采用新型皮内针(撳针)配合经皮神经电刺激治疗，对照组仅采用经皮神经电刺激治疗，每周7次，治疗2周。分别于治疗前，治疗2周后，1个月、6个月随访时进行视觉模拟评分(VAS)、颈部残疾指数(NDI)、颈椎活动度和颈部肌肉平均肌电值评定。 结果 所有患者完成治疗和随访。治疗后，两组VAS、NDI评分均下降(t >1.731, P < 0.05)，试验组均低于对照组(t > 0.236, P < 0.05)；两组颈椎活动度均大于治疗前(P < 0.05)，两组间比较无显著性差异(P > 0.05)；两组颈部肌肉平均肌电值均小于治疗前(P < 0.05)，试验组小于对照组(P < 0.05)。 结论 新型皮内针(撳针)配合经皮神经电刺激治疗非特异性颈痛疗效优于单独使用经皮神经电刺激，且患者治疗过程中无不良反应。

关键词： 非特异性颈痛; 皮内针; 针刺; 经皮神经电刺激; 疼痛; 运动功能

本文引用格式

黄娟 , 张驰 , 王剑雄 , 陈汝艳 , 胡超 , 罗丽 , 杨仕彬 . 皮内针(撳针)对非特异性颈痛患者疼痛和运动功能的影响：随机对照研究[J]. 中国康复理论与实践, 2019 , 25(4) : 465 -471 . DOI: 10.3969/j.issn.1006-9771.2019.04.018

Abstract

Objective To observe the effect of needle-embedding therapy (press needle) combined with transcutaneous electrical nerve stimulation on pain and motor function in patients with nonspecific neck pain. Methods From July, 2016 to September, 2017, 80 patients with nonspecific neck pain were randomly divided into control group and treatment group, with 40 cases in each group. The treatment group was treated with press needle combined with transcutaneous electrical nerve stimulation, while the control group was treated with transcutaneous electrical nerve stimulation only, seven times per week for two weeks. They were assessed with Visual Analogue Scale (VAS), Neck Disability Index (NDI), neck range of motion and neck muscle average electromyography (EMG) before treatment, at the end of treatment, and one-month and six-month followup. Results All 80 patients completed the treatment and follow-up. After treatment, the scores of VAS and NDI decreased in both groups (t >1.731, P < 0.05), and were lower in the treatment group than in the control group (t > 0.236, P < 0.05); the neck range of motion increased in both groups (P < 0.05), and no difference was found between two groups (P > 0.05); the average EMG value of the neck muscles decreased in both groups (P < 0.05), and were less in the treatment group than in the control group (P < 0.05). Conclusion The press needle combined with transcutaneous electrical nerve stimulation was more effective on nonspecific neck pain than transcutaneous electrical nerve stimulation only, and no adverse reaction was observed during the treatment.

Key words： nonspecific neck pain; intradermal needle; acupuncture; transcutaneous electricalal nerve stimulation; pain; motor function

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