Treatment of neck type cervical spondylopathy with Zheng’s Jin Gou Diao Yu (gold-hook-fishing) acupuncture method: a randomized controlled trial

Abstract

Objective: To observe the clinical effect of Zheng's Jin Gou Diao Yu (gold-hook-fishing) acupuncture method versus ordinary acupuncture on superficial fascia for treating neck type cervical spondylopathy in Kyrgyz.

Methods: A total of 64 Kyrgyz patients conforming to the diagnostic criteria of neck type cervical spondylopathy were included. The patients were randomized into a Zheng's Jin Gou Diao Yu (gold-hook-fishing) acupuncture group and a conventional acupuncture group, with 32 cases in each group. Patients in the Zheng's Jin Gou Diao Yu (gold-hook-fishing) acupuncture group were treated with Zheng's Jin Gou Diao Yu (gold-hook-fishing) acupuncture method to stimulate the superficial fascia, the stimulation sites were primarily located at bilateral sides of the cervical vertebra as well as the trigger points in shoulder-neck region; patients in the conventional acupuncture group were punctured at the same acupoints, with twirling reducing method, and the depth of insertion was determined by the treated region. Patients in both groups received treatment every day for a succession of 5 d as a course, with a 2-day interval between 2 courses, and the whole treatment lasted for 3 courses. After 3 courses of treatment, the McGill pain questionnaire (MPQ) and neck disability index (NDI) were measured to compare the clinical effect between the two groups.

Results: After treatment, scores of MPQ and NDI scale dropped when compared with those before treatment, and the differences showed statistical significance (all P<0.05); scores of MPQ and NDI in the Jin Gou Diao Yu (gold-hook-fishing) acupuncture group were substantially lower than those in the conventional acupuncture group, and the differences showed statistical significance (all P<0.05). The total effective rate was 96.9% in the Jin Gou Diao Yu (gold-hook-fishing) acupuncture group and the cured rate was 78.1%, which were higher than 81.3% and 40.6% in the conventional acupuncture group, and the differences showed statistical significance (both P<0.05).

Conclusion: Zheng's Jin Gou Diao Yu (gold-hook-fishing) acupuncture method by stimulating superficial fascia to treat cervical spondylopathy in Kyrgyz can produce a better clinical effect than conventional acupuncture treatment, and is effective in improving pain and stiffness in patients, and thus is worth clinical popularization.

摘要

目的:观察郑氏“金钩钓鱼”针法刺激浅筋膜与常规针刺治疗吉尔吉斯斯坦人颈型颈椎病的临床疗效差异。方法:在吉尔吉斯斯坦人中选择符合颈型颈椎病诊断标准的患者64例, 分为金钩钓鱼组和常规针刺组, 每组各32例。金钩钓鱼组以颈椎椎体两侧及颈肩部的压痛点为主, 采用郑氏“金钩钓鱼”针法刺激浅筋膜治疗; 常规 针刺组取穴与金钩钓鱼组相同, 采用捻转泻法治疗, 根据针刺部位选择常规针刺深度。两组患者均每天治疗1次, 5天为1个疗程, 疗程间间歇2 d, 共治疗3个疗程。3个疗程后, 观察两组患者McGill疼痛量表(MPQ)及颈椎功能障碍 指数量表(NDI)评分情况, 比较两组患者的临床疗效。结果:治疗后, 两组患者MPQ各项评分及NDI评分均较治疗 前降低, 组内差异具有统计学意义(均P<0.05); 金钩钓鱼组MPQ各项评分及NDI评分明显低于常规针刺组, 组间 差异具有统计学意义(均P<0.05)。金钩钓鱼组的总有效率96.9%, 治愈率78.1%, 优于常规针刺组的81.3%和40.6%, 两组差异具有统计学意义(均P<0.05)。结论:郑氏“金钩钓鱼”针法刺激浅筋膜治疗吉尔吉斯斯坦人颈型颈椎病 的疗效优于常规针刺, 能够有效改善患者疼痛、僵硬等症状, 值得推广。