针灸治疗神经根型颈椎病疗效观察

目的:观察颈椎牵引、推拿治疗加用针刺和艾灸治疗神经根型颈椎病的临床疗效。方法:将176例患者随机分为治疗组(82例)和对照组(94例)。两组均予颈椎牵引和推拿治疗,治疗组同时加用针刺和艾灸治疗。观察患者临床积分变化情况,并对治疗结束后4个时间点(3、6、9、12个月)进行随访,观察复发情况。结果:治疗组、对照组临床治愈率分别为62.19%、40.43%,总有效率分别为89.02%、85.11%;组间临床疗效比较,差异均有统计学意义(P<0.05)。两组治疗前后组内比较,临床积分差异均有统计学意义(P<0.05);治疗后组间比较,差异有统计学意义(P<0.05)。治疗后治疗组患者VAS评分低于对照组,差异有统计学意义(P<0.05)。对照组患者复发率明显高于治疗组,差异有统计学意义(P<0.05)。结论:联合针刺和艾灸治疗神经根型颈椎病,在改善临床症状和体征积分、减轻疼痛、降低复发率等方面均优于单纯使用常规牵引和推拿治疗。

Clinical Observation on Effect of Acupuncture and Moxibustion in Treatment of Nerve Root Type Cervical Spondylosis

Objective ： To observe the clinical curative effect of traction and Tuina combined with acupuncture and moxibustion in treatment of nerve root type cervical spondylosis. Methods：176 patients were randomly divided into trealment group （82 cases） and control group （94 cases）. Two groups were both given traction and massage therapy,treatment group at the same time combined with acupuncture and moxibustion therapy and changes of clinical integral were observed,and the treatment after the four time points （3,6,9,12 months） were followed up ,and the relapse was observed. Results ：The clinical cure rates of treatment group and control group were 62. 19% ,40.43% , and the total effective rates were 89.02% , 85. 11% respectively. The difference of clinical rates between two groups had statistical significance （ P 〈 0. 05 ）. Compared with clinical points within the two groups before and after treatment, the difference had statistica] significance （ P 〈 0. 05 ）. Compared between groups after treatment, the difference was statistically significant （ P 〈 0. 05 ）. VAS score of observation group after treatment was lower than that of the control group, the difference was statistically significant （ P 〈 0. 05 ）. Recurrence rate was significantly higher than that of control group, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion ： Combination of acupuncture and moxibustion in treatment cervical spondylosis of nerve root type is better than simply using conventional traction and massage therapy in improving the clinical signs and symptoms, relieving pain, reducing the recurrence rate, etc.