摘要
目的观察热敏灸联合针刺治疗寒瘀型神经根型颈椎病的临床疗效。方法将60例寒瘀型神经根型颈椎病患者随机分为治疗组和对照组,每组各30例。对照组予针刺、电针治疗,治疗组予热敏灸、针刺治疗,两组均隔日1次,共10次。观察临床疗效及热敏穴部位及出现频率,比较中医证候积分、VAS疼痛评分法、颈椎功能评分的变化情况,同时进行安全性评价。结果①治疗组有效率为96.7%,对照组有效率为93.3%;两组临床疗效比较,差异有统计学意义(P<0.05)。②治疗前后组内比较,两组中医证候积分、VAS疼痛评分、颈椎功能评分差异有统计学意义(P<0.05);组间治疗后比较,中医证候积分、VAS疼痛评分、颈椎功能评分差值有统计学意义(P<0.05)。③热敏穴部位有压痛点、风池、颈百劳、大椎、肩井,其中出现频率最高的为颈百劳,其后依次为风池、压痛点、大椎、肩井。④两组未见明显不良反应。结论热敏灸联合针刺治疗寒瘀型神经根型颈椎病疗效满意,与单纯采用针刺治疗相比,能更好地改善患者的临床症状,值得临床推广使用。
Objective To observe the clinical efficacy of heat sensitive moxibustion combined with acupuncture in the treatment of cervical spondylotic radiculopathy with syndrome of cold and blood stasis.Methods Sixty cases of cervical spondylotic radiculopathy with syndrome of cold and blood stasis were randomly divided into the treatment group and control group,30 cases in each group.The control group was treated with acupuncture and electroacupuncture,while the treatment group was treated with heat sensitive moxibustion and acupuncture,once every other day,for 10 times.The clinical efficacy and the location and frequency of heat sensitive acupoints were observed,the changes of Chinese medical score,VAS pain score and cervical function score were compared,and the safety was evaluated.Results①The total effective rate was 96.7%in the treatment group and 93.3%in the control group.There was statistically significant difference in clinical efficacy between the two groups(P<0.05).②In both groups,there were statistically significant differences in Chinese medical syndrome score,VAS pain score and cervical function score between treatment before and after(P<0.05).After treatment,there were statistically significant differences in the D-value of Chinese medical syndrome score,VAS pain score and cervical function score between the two groups(P<0.05).③The heat sensitive acupoints included tenderness point,Fengchi,Jingbailao,Dazhui and Jianjing.Among them,Jingbailao showed the highest frequency,followed by Fengchi,tenderness point,Dazhui and Jianjing.④No obvious adverse reactions were found in the two groups.Conclusion Heat sensitive moxibustion combined with acupuncture shows good efficacy in the treatment of cervical spondylotic radiculopathy with syndrome of cold and blood stasis.Compared with acupuncture alone,it can better improve the clinical symptoms of patients,which is worth clinical application.
作者
吴欢
王丽莉
窦丹波
顾思臻
陈侃俊
陈唯依
肖冉鑫
余安胜
WU Huan;WANG Lili;DOU Danbo;GU Sizhen;CHEN Kanjun;CHEN Weiyi;XIAO Ranxin;YU Ansheng(Department of Traditional Chinese Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海中医药杂志》
2020年第S01期95-97,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81704150)
上海市自然科学基金项目(08ZR1419500)
上海市卫健委资助项目(HDC12016242).
关键词
神经根型颈椎病
热敏灸
针刺
电针
cervical spondylotic radiculopathy
heat sensitive moxibustion
acupuncture
electroacupuncture
