腹针结合龙氏正骨手法治疗神经根型颈椎病近远期疗效观察  

Observation on short and long-term effects of cervical spondylotic radiculopathy treated with abdominal acupuncture plus Long’s bone-setting manipulation

作　　者：范德辉[1] 刘刚[1] 王廷臣[2] 黄凡[1] 王小寅[1] 曾红文[1] 周飞雄[1] 姚国新[1] 陈旭林[1] 许荣达[1] 李盈[3] 

机构地区：[1]广东省第二中医院针灸康复科,广州510095 [2]广州军区广州总医院 [3]广州中医药大学

出　　处：《中国针灸》2010年第11期909-912,共4页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药局科技项目:007172

摘　　要：目的:比较单纯龙氏正骨、腹针与腹针结合龙氏正骨手法治疗神经根型颈椎病(CSR)的近远期临床疗效,寻找较好的治疗方法。方法:将180例CSR患者随机分为腹针正骨组、正骨组和腹针组,每组60例。腹针正骨组采用腹针结合龙氏正骨手法治疗,腹针穴取中脘、关元、石关、商曲等,正骨手法采用仰头摇正、侧头摇正等龙氏正骨手法。正骨组和腹针组单纯采用龙氏正骨手法和腹针治疗。比较各组治疗2个疗程(近期)、治疗后1个月(远期)的临床疗效。结果:腹针正骨组近期、远期愈显率分别为80.7%(46/57)、68.4%(39/57),均明显高于正骨组的63.6%(35/55)、30.9%(17/55)与腹针组的58.9%(33/56)、50.0%(28/56)(均P<0.05),其中正骨组、腹针组两组远期愈显率相比较,腹针组的远期疗效优于正骨组(P<0.05)。结论:腹针结合龙氏正骨手法治疗神经根型颈椎病患者的近、远期疗效均较好,优于单纯腹针和龙氏正骨手法治疗,且具有叠加效应,是目前治疗CSR的较好方法之一。Objective To compare the short and long-term therapeutic effects on cervical spondylotic radiculopathy （CSR） treated with simple Long＇s bone-setting manipulation, abdominal acupuncture and abdominal acupuncture plus Long＇s bone-setting manipulation. Methods One hundred and eighty cases of CSR were randomly allocated into abdominal acupuncture plus bone-setting group （combined therapy group）, bone-setting group and abdominal acupuncture group, 60 cases in each group. In combined therapy group, the abdominal acupuncture and Long＇s bone-setting were applied in combination. Abdominal acupuncture was applied to Zhongwan （CV 12）, Guanyuan （CV 4）, Shiguan （KI 18）, Shangqu （KI 17）, etc. Long＇s manipulation, such as bone-setting in head-upward posture and bone-setting in head-lateral posture, was adopted. In bone-setting group and abdominal acupuncture group, Long＇s bone-setting manipulation and abdominal acupuncture were adopted simp｜y and respectively. The clinical therapeutic effects were compared after 2 courses of treatment （short-term） and 1-month after treatment （longterm） among groups. Results The short and long-term curative and markedly effective rates in combined therapy group were 80. 7% （46/57） and 68.4% （39/57） respectively, which were better than those of 63.64% （35/55）, 30.9% （17/55） in bone-setting group and 58. 9% （33/56）, 50.0% （28/56） in abdominal acupuncture group, separately （all P〈0. 05）. Moreover, the long-term curative and markedly effective rate in abdominal acupuncture group was superior to that in bone-setting group （P〈0.05）. Conclusion Abdominal acupuncture plus Long＇s bone-setting manipulation has significant efficacy of either short or long-term on CSR, which is superior to the efficacy of either simple abdominal acupuncture or Long＇s bone-setting manipulation and indicates superimposed effect. Hence, it is one of the better approaches in CSR treatment.

关 键 词：神经根型颈椎病 腹针 正骨手法 

分 类 号：R246.2[医药卫生—针灸推拿学]