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目的:对比火针与药物治疗棘上韧带损伤的疗效差异.方法:将160例患者按完全随机原则分为两组,火针组(80例)采用火针治疗,取阿是穴(选取疼痛部位椎体棘突为中心点) ;西药组(80例)采用药物治疗,口服萘丁美酮胶囊.两组均治疗2个疗程,治疗结束后4周判定疗效.结果:火针组总有效率为96?3%,西药组为67?5%,两组疗效比较差异有统计学意义(P“,”Objective To compare the therapeutic effect of fire needling with that of medication on supraspinal ligament impairment. Methods One hundred and sixty cases were randomly divided into 2 groups. Of which, in fire needling group (80 cases), fire needling was applied and Ashi points (choosing the spinous processes of the affected vertebras as the central points) were selected. In western medicine group (80 cases), medication was applied with Nabumetone capsules for oral administration. Two groups were treated for 2 courses and the therapeutic effects were evaluated 4 weeks after the treatment. Results The total effective rate was 96.3% in the fire needling group and 67.5% in the western medicine group, indicating a significant difference in comparison of the 2 groups (P<0.05). Conclusion The therapeutic effect of fire needling is much superior to that of medication therapy on supraspinal ligament impairment.