颈三针合隔药饼灸治疗颈椎骨质增生疗效观察  

Observation on therapeutic effect of acupuncture at"cervical three points"combined with cake-separated moxibustion on cervical hyperosteogeny

作　　者：刘敏勇[1] 聂容荣[1] 周如钢 廖文舟 

机构地区：[1]江西中医学院附属医院针康部,南昌330006 [2]江西武宁县中医院针康部 [3]江西省赣县吉埠中心卫生院

出　　处：《中国针灸》2008年第12期877-879,共3页Chinese Acupuncture & Moxibustion

基　　金：江西省卫生厅课题项目：2006 A 50

摘　　要：目的:比较针刺"颈三针"合隔药饼灸与常规夹脊穴针刺治疗颈椎骨质增生的疗效差异。方法:将91例颈椎骨质增生患者随机分为观察组(46例)和对照组(45例)。观察组针刺崇骨、大椎、陶道,取白术、白芍制成药饼于痛点施隔物灸;对照组给予针刺C_2—C_7夹脊穴常规治疗。以治疗前后颈项酸痛、肩背酸痛、压痛、颈椎活动情况积分的变化来评价疗效。结果:观察组的显愈率为76.1%,优于对照组的42.2%(P<0.05)。两组各项积分均较治疗前有显著改善(均P<0.05),观察组在颈项酸痛、肩背酸痛、压痛、颈椎活动方面优于对照组(均P<0.05)。结论:针刺"颈三针"合隔药饼灸治疗颈椎骨质增生疗效优于常规取夹脊穴治疗。Objective To compare therapeutic effects of acupuncture at ＂cervical three points＂ combined with cake-separated moxibustion and routine acupuncture at Jiaji （EX-B 2） on cervical hyperosteogeny. Methods Single blind, randomized and controlled methods were used and 91 cases were divided into an observation group of 46 cases and a control group of 45 cases. The observation group was treated by acupuncture at ＂cervical three points＂ combined with cake-separated moxibustion, i.e. acupuncture at Chonggu （EX）, Dazbui （GV 14）, Taodao （GV 13） and moxibustion at pain points with cake made by Rhizoma Atractylodis Macrocephalae and Radix Paeoniae Alba;the control group was treated with acupuncture at Jiaji （EX-B 2）. Changes of sourness and pain of the neck, the shoulder and back, pressure pain and cervical activity scores were used for assessment of therapeutic effects. Results The markedly cured rate of 76.1% in the observation group was better than 42.2% in the control group （P〈0.05）. After treatment, the scores of all the items were significantly improved in the two groups （all P〈0.05）, and the observation group in sourness and pain of the neck, the shoulder and back, and cervical activity were better than the control group （all P〈0. 05）. Conclusion The therapeutic effect of acupuncture at ＂cervical three points＂ combined with cake-separated moxibustion on cervical byperosteogeny is superior to routine acupuncture at Jiaji （EX-B 2）.

关 键 词：颈三针 颈椎 骨质增生 药饼灸 隔药灸 

分 类 号：R246.2[医药卫生—针灸推拿学]