摘要
目的比较透灸法结合电针与单纯针刺法治疗神经根型颈椎病（CSR）的临床疗效，为优化临床治疗方案提供一定的依据。方法采用前瞻性研究方法，收集新疆医科大学第一附属医院针灸推拿科住院及门诊就诊的CSR患者60例，按照随机数字表法将患者分为透灸法结合电针治疗组（观察组）和常规针刺治疗组（对照组）两组，每组30例。观察组选主穴为风池、大椎、天柱、后溪、颈椎夹脊穴、肾俞、命门，配穴为颈肩部疼痛明显者加肩井、天宗穴，上肢及手指麻痛甚者加曲池、合谷、外关穴，头晕、头疼明显者加百会、太阳穴；选用0．30mm×40mm毫针，取颈部双侧夹脊穴直刺，大椎穴直刺1～1．5寸（同身寸），命门直刺，用补法，肾俞选用0．30mm×50mm毫针，直刺，用补法，其余穴位均按照常规针刺，行平补平泻法；针刺得气后加用电针仪，电流强度以患者能耐受为度，留针20min，期间用艾条灸大椎穴及一组颈部夹脊穴。对照组取穴同观察组，除不艾灸外，其余处理方法同观察组。两组均每日1次，每周连续治疗5次为1个疗程，两个疗程后观察两组临床症状积分的变化和疗效。结果两组治疗后临床症状积分均较治疗前提高，对照组（15．68±2．01）分比（7．10±1．87）分，观察组（18．13±1．69）分比（7．92±2．14）分，且以观察组的升高程度更显著（P〈0．01）。观察组治疗后总有效率明显高于对照组[96．67％（29／30）比83．33％（25／30），P〈0．05]。结论临床使用透灸法结合电针治疗CSR较单纯针刺治疗疗效要好，有一定的可行性。
Objective To compare the clinical efficacy of through moxibustion combined with electric acupuncture versus electric acupuncture alone for treatment of patients with cervical spondylosis radiculopathy （CSR）, so as to provide a basis for optimizing clinical treatment. Methods A prospective study was conducted. Sixty patients with CSR treated in the clinic of Acupuncture Department as outpatients or admitted into the department of the First Affiliated Hospital of Xinjiang Medical University as inpatients were enrolled, and according to the random number table, they were divided into through moxibustion combined with electric acupuncture treatment group （observation group） and conventional electric acupuncture treatment group （control group）, 30 cases in each group. The main aeupoints of the observation group were as follows： Fengchi, Dazhui, Tianzhu, Houxi, Cervical Jiaji points, Shenshu, Mingmen, in cases with significant neck and shoulder pain, supporting points were added such as Jianjing, Tianzong, in cases with severe arm and finger numbness and pain, Quchi, Hegu, Waiguan, and in cases with marked dizziness and headache, Baihui, Temple acupoints were added. The needle 0.30 mm × 40 mm in size was chosen to be applied, at bilateral neck Jiaji points, direct subcutaneous needling （piercing） was made, at Dazhui, the piercing of needle for 1 to 1.5 inches was performed （body inch）, at Mingmen, reinforcing method was used for piercing, at Shenshu, 0.30 mm × 50 mm needle was chosen for piercing with reinforcing method, and at the rest acupoints, conventional neutral supplementation and drainage method of acupuncture was applied. After obtaining qi from needling, electric needle device was added, the current strength used for individual patient depended on his or her degree of tolerance, the needle retention being 20 minutes, and during the above process, at Dazhui and a set of neck Jiaji points, moxibustion with moxa was applied. The acupoints used in the control group were the same as those i
出处
《中国中西医结合急救杂志》
CAS
北大核心
2015年第4期367-369,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
新疆乌鲁木齐市科技计划项目（Y121310018）
关键词
针灸
神经根型颈椎病
透灸
临床研究
Acupuncture
Cervical spondylosis radiculopathy
Through moxibustion
Clinical research
