针刺“下颈夹脊穴”治疗神经根型颈椎病的临床观察  

Clinical observation on treatment of cervical spondylotic radiculopathy by acupuncturing methods on “Lower Jiaji Points”

作　　者：陈晓英[1] 但小红[1] 李明波[1] 杨强[1] 陈弘严[1] 王科闯[2] 景洪帅[2] 

机构地区：[1]四川省宜宾市第一人民医院中医骨伤科,四川宜宾644000 [2]泸州医学院附属中医医院针灸推拿科,四川泸州646000

出　　处：《中国医药导报》2014年第36期75-78,共4页China Medical Herald

基　　金：四川省宜宾市科技计划项目(编号2013YZY004)

摘　　要：目的 观察针刺＂下颈夹脊穴＂法治疗神经根型颈椎病的临床效果。方法 选择2012年10月~2013年2月就诊于泸州医学院附属中医医院和宜宾市第一人民医院的神经根型颈椎病患者41例,按单双号分为治疗组和对照组,治疗组以针刺＂下颈夹脊穴＂法治疗为主,对照组依据《针灸治疗学》第2版中颈椎病的取穴方法选穴行针刺治疗。观察两组治疗前后症状及体征评分。结果 两组Mc Gill疼痛询问表（MPQ）评分及目测类比定级（VAS）＋现有疼痛强度（PPI）评分治疗前后比较[MPQ：治疗组：（11.8±3.0）分比（0.8±0.1）分,对照组：（12.2±4.1）分比（4.3±2.5）分;VAS＋PPI：治疗组：（10.6±2.5）分比（1.9±0.3）分,对照组：（10.4±1.7）分比（4.3±1.4）分],差异有高度统计学意义（P〈0.01）;治疗后两组间比较差异有高度统计学意义（P〈0.01）。治疗组愈显率为90.48%,显著高于对照组（60.00%）,差异有统计学意义（P〈0.05）。结论 针刺＂下颈夹脊穴＂治疗神经根型颈椎病具有较好的临床效果,值得临床推广。Objective To observe the clinical efficacy of using ＂Lower Jiaji Points＂ for cervical spondylotic radiculopathy. Methods 41 cases with cervical spondylotic radiculopathy in the Affiliated TCM Hospital of Luzhou Medical College and the First People＇s Hospital of Yibin City from October 2012 to February 2013 were selected and divided into the treatment group（21 cases） and control group（20 cases） according to the odd or even number. The treatment group was treated by acupuncture ＂Low Jiaji Points＂, and the control group was treated by acupuncture point acupuncture therapy based on the second edition of the acupuncture therapy of cervical spondylosis. Scores of symptoms and signs were observed before and after treatment in two groups. Results Compared within the group, MPQ and VAS＋PPI scores of two groups before and after treatment showed significant differences [MPQ： the treatment group：（11.8 ±3.0）points vs（0.8±0.1） points, the control group：（12.2 ±4.1） points vs（4.3±2.5） points; VAS＋PPI： the treatment group：（10.6±2.5） points vs（1.9±0.3） points, the control group：（10.4 ±1.7） points vs（4.3±1.4） points]（P〈0.01）; after treatment, MPQ and VAS＋PPI scores showed significant differences between the two groups（P〈0.01）. The markedly effective rate in treatment group was 90.48%, which was higher than that of control group（60.00%）, there was a significant difference between the two groups（P〈0.05）. Conclusion Acupuncturing ＂Low Jiaji Points＂ for cervical spondylotic radiculopathy shows good clinical efficacy, which is worthy of clinical application.

关 键 词：针刺 下颈夹脊穴 神经根型颈椎病 临床观察 

分 类 号：R246.1[医药卫生—针灸推拿学]