针刺配合中药离子透入治疗神经根型颈椎病  

Effectiveness of Acupuncture Plus Traditional Chinese Medicine Iontophoresis for Cervical Spondylotic Radiculopathy

作　　者：安雪[1] 张红星[2] 周利[2] 黄国付[2] 邹然[2] 唐雷[1] 祁青[1] 

机构地区：[1]湖北中医药大学,2004级针推七年制武汉430065 [2]武汉市中西医结合医院针灸科,武汉430022

出　　处：《中国康复》2011年第2期98-100,共3页Chinese Journal of Rehabilitation

基　　金：2006年武汉市科技攻关计划<金辛镇痛喷雾剂的开发研制>(20065009138-05)

摘　　要：目的:观察针刺配合中药离子透入对神经根型颈椎病(CSR)患者血浆PGE2浓度的影响及其临床疗效。方法:90例CSR患者随机分为针药组、对照1组和对照2组各30例,分别采用针刺加中药离子透入治疗与针刺治疗、中药离子透入治疗。治疗前后采用神经根型颈椎病20分量表评定患者临床症状体征和功能状态及临床疗效;测定血浆PGE2浓度。结果:治疗14次后,症状体征及功能状态总积分、PGE2浓度,3组均较治疗前明显下降,积分差值比较,针刺组明显大于对照1、2组(P<0.05,0.01);临床疗效比较,针刺组临床治愈率及总有效率均明显高于对照1、2组(P<0.05)。结论:针刺配合中药离子透入治疗可明显改善CSR患者的临床症状、体征,降低血浆PGE2的浓度,显著提高临床疗效,促进功能恢复。Objective： To observe the influence of acupuncture and traditional Chinese medicine iontophoresis on the level of PGE2 in patients with cervical spondylotic radiculopathy（CSR） and clinical effectiveness.Methods： Ninety patients with CSR were randomly divided into treatment group（acupuncture and TCM iontophoresis group）,control group 1（acupuncture group）,control group 2（TCM iontophoresis group）,20 cases in each group.The clinical effectiveness and plasma PGE2 levels were measured before and after treatment.Results： After treatment 14 times,the total scores of symptoms signs and functional status,and PGE2 levels were significantly reduced as compared with those before treatment in all groups.The curative rate and total effective rate in treatment group were higher than in control groups 1 and 2（P0.05）.Conclusion： Acupuncture combined with traditional Chinese medicine iontophoresis can significantly improve the symptoms and signs of patients with CSR,reduce the plasma PGE2 levels and promote the recovery of function.

关 键 词：针刺 中药离子透入 神经根型颈椎病 PGE2 

分 类 号：R274.9[医药卫生—中西医结合]