热敏灸与温针治疗椎动脉型颈椎病疗效对比观察  

Comparative Study on Heat-sensitive Moxibustion Versus Warm Needling for Cervical Spondylosis of Vertebroarterial Type

作　　者：罗开涛[1] 高峰[1] 占道伟[1] 杨喜兵[1] 沈来华[1] 

机构地区：[1]浙江中医药大学附属嘉兴中医院,嘉兴314001

出　　处：《上海针灸杂志》2014年第12期1135-1137,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医基层适宜技术培育和推广研究计划(2011ZS005);嘉兴市科技局一般科技项目(SA2011AY1179)

摘　　要：目的观察热敏灸与温针疗法治疗椎动脉型颈椎病的临床疗效差异。方法将120例椎动脉型颈椎病患者随机分为热敏灸组和温针组,每组60例。两组均在针刺双侧风池、完骨、天柱、及大椎、百会穴的基础上,热敏灸组在颈项部、肩胛部探寻出热敏点后加施回旋、雀啄、往返的温和灸,温针组加施普通艾灸。结果平均治疗20次后,两组治疗均有效果,治疗前后比较差异均有统计学意义(P<0.05),但热敏灸组在总分项、眩晕项、颈肩痛项和愈显率方面明显优于温针组(P<0.05)。结论热敏灸较温针治疗椎动脉型颈椎病更能明显减轻患者眩晕和疼痛症状,提高治疗效果。Objective To compare the efficacies between heat-sensitive moxibustion and warm needling in treating cervical spondylosis of vertebroarterial type. Method Totally 120 patients with cervical spondylosis of vertebroarterial type were randomized into a heat-sensitive moxibustion group and a warm needling group, 60 in each group. In addition to acupuncture at bilateral Fengchi （GB20）, Wangu （GB12）, Tianzhu （BL10）, Dazhui （GV14） and Baihui （GV20）, the heat-sensitive moxibustion group was given mild moxibustion to the heat-sensitive points in cervical and scapular regions, while the warm needling group was given regular moxibustion. Result Generally, after 20 treatment sessions, efficacy was found in both groups, and there were significant differences in both groups after intervention （P〈0.05）, while the improvements of integral score, dizziness, cervical and shoulder pain, and the recovery and markedly-effective rate in the heat-sensitive moxibustion group were significantly superior to that in the warm needling group （P〈0.05）. Conclusion Compared to warm needling treatment, heat-sensitive moxibustion can more significantly improve dizziness and pain in patients with cervical spondylosis of vertebroarterial type, and thus enhance the therapeutic efficacy.

关 键 词：艾条灸 热敏灸 温针疗法 颈椎病 

分 类 号：R246.2[医药卫生—针灸推拿学]