摘要
目的:观察热敏灸治疗神经根型颈椎病的疗效。方法:将160例患者随机分为热敏灸组(54例)、传统悬灸组(53例)及针刺组(53例),热敏灸组在患者颈项部、前臂及小腿外侧附近的经穴部位寻找热敏点施灸;传统悬灸组、针刺组均穴取夹脊穴、风池、肩外俞等,两组分别行温和灸与针刺治疗。观察各组疗效与治疗前后疼痛分级指数(PRI)评分。结果:热敏灸组有效率为98.0%(50/51),传统悬灸组为83.0%(39/47),针刺组为89.6%(43/48),热敏灸组疗效优于针刺组(P<0.05),针刺组疗效优于传统悬灸组(P<0.05);3组患者治疗后均能降低PRI评分(均P<0.001),热敏灸组对疼痛的改善优于针刺组(P<0.05),针刺组优于传统悬灸组(P<0.05)。结论:热敏灸治疗神经根型颈椎病的疗效优于传统悬灸及针刺治疗。
Objective To observe the therapeutic effect of heat sensitive moxibustion treatment tor nerve root cervical spondylosis. Methods One hundred and sixty cases were randomly divided into a heat sensitive moxibustion group (n= 54), a traditional hanging moxibustion group (n= 53) and an acupuncture group (n= 53). In heat sensitive moxibustion group, heat sensitive points were explored among acupoints on neck and nucha, lateral part of forearm and crus,etc. In traditional hanging moxibustion group and acupuncture group, Jiaji(EX-B 2) points, Fengchi (GB 20), Jianwaishu(SI 14) etc. were used for hanging moxibustion and acupuncture, respectively. And scores of Pain Rating Index (PRI), as well as therapeutic effect were evaluated before and after treatment. Results The effective rate was 98.0% (50/51) in the heat sensitive moxibustion group, 83.0% (39/47) in traditional hanging moxibustion group, and 89.6% (43/48) in acupuncture group. The therapeutic effect of heat sensitive moxibustion group was better than that of acupuncture group(P〈0.05), and it was better in acupuncture group than that of traditional hanging moxibustion group (P〈0.05) ; PRI scores were all decreased in three groups after treatment (all P〈0. 001); pain alleviation in heat sensitive moxibustion group was better than that of acupuncture group (P〈0.05), and it was better in acupuncture group than that of traditional hanging moxibustion group (P〈0.05). Conclusion The therapeutic effect of heat sensitive moxibustion treatment for nerve root cervical spondylosis is better than that of traditional hanging moxibustion and acupuncture'.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第5期379-382,共4页
Chinese Acupuncture & Moxibustion
关键词
颈椎病
热敏穴
灸法
Cervical Spondylosis
Heat Sensitive Point
Moxibustion