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

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[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[中图分类号]R245.9 [文献标志码]B [文章编号]doi：10.3969/j.issn.1674-070X.2025.06.010

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'， YA NG Song²， YANG Jiani’， LI Siqi’， QIU Zhifang'， LIAO Keying'， JIANG Xueyu2* 1. Hunan University of Chinese Medicine， Changsha， Hunan 41O2O8， China; 2. Yueyang Hospital of Chinese Medicine， Yueyang， Hunan 4140oo， China

[Abstract]Objective To explore the efects of electroacupunctureat Jingzhuibing acupoints onneck muscle stiffessand clinical effcacyinpatientswithacuteunilateralpinofnecktypeofcervicalspondylosis（NTCS）MetodsAtotalof16patients withNTCStreatedatYueyangHospitalofChinese MedicinefromApril2O23to September2O24wereenroledandrandomly dividedintoanobservationgroup （electroacupunctureatJingzuibingacupoints）andacontrolgroup （electroacupunctureatJigjiaji acupoints），with58casesinachgroup.Bothgroupsreceived10daysoftreatment （oncedaily3Ominuesperssion）ear wavevelocity（SWV）ofneckmuscleultrasoundelastographythevisualanaloguescale（VAS），andtheneckdisabilityindex（NDI） werecomparedbetweentwogroupsof patientsbeforeandaftertreatmentTheNDIwasalsoevaluatedata3-monthfolow-up.And thecorrelationbetwenNDIimprovementandSWVreductionwasanalyzed.ResultsAftertreatment，theSWVvaluesof the trapezius，cervical hemispinae，andbrachiocephalis muscles，aswellastheVandNsoresofbothgoupsdecreasdpared to those before treatment （ P- 005）.Duringthe3-monthfollw-upafterthecompletionof treatment， the NDI score in the observation group was lower than that in the control group （ P <0.05）.After treatment， there was a significantpositivecorelationbetweenthereductionvaluesofNDIscoresandthereductionvaluesofSWVinthetrapezius， semispinalis cervicis，and splenius capitis muscles in both groups （ P-

[Keywords]neck typeof cervical spondylosis； electroacupuncture;Jingzhuibing acupoints; Jingjiajiacupoints;shearwave velocity；neck disability index;visual analogue scale;correlation study

颈型颈椎病（neck type of cervical spondylo-sis，NTCS）是发病率最高的颈椎病类型之一，约占所有颈椎病类型的 40%[1] 。（剩余10798字）