Therapeutic efficacy observation on bloodletting and cupping for cervical radiculopathy  

刺络疗法治疗神经根型颈椎病的疗效观察(英文)

作　　者：牟明园 朴盛爱 孟向文 郭义 陈泽林 朱成慧 赵强 张耀巍 吕福全 邢俊标 刁殿军 耿连奇 李丹丹 刘华朋 乐天 韩丑萍 

机构地区：[1]Acupuncture and Tuina School, Tianjin University of Traditional Chinese Medicine [2]Hospital Affiliated to Tianjin Research Academy of Traditional Chinese Medicine [3]Tianjin Heping Hospital of Traditional Chinese Medicine [4]Tianjin Nankai Hospital [5]Tianjin Wuqing Hospital of Traditional Chinese Medicine [6]Tianjin Tanggu Hospital of Traditional Chinese Medicine in Binhai New District

出　　处：《Journal of Acupuncture and Tuina Science》2015年第4期236-241,共6页针灸推拿医学（英文版）

基　　金：supported by Scientific Research Project of Integrative Chinese and Western Medicine by Tianjin Municipal Health Bureau;No.11027~~

摘　　要：Objective： To observe the efficacy and safety of bloodletting and cupping for cervical radiculopathy. Methods： The randomized controlled clinical trial was conducted in five centers. A total of 183 eligible subjects were randomly allocated into a bloodletting group （n=68）, an acupuncture group （n=56） and a combined group （n=59）. Patients in the bloodletting group were treated with bloodletting at Dazhui （GV 14） and Jianjing （GB 21） on the affected side, coupled with 5-10 min of cupping, 5 mL blood for each cup, 2-3 cups for one treatment. Patients in the acupuncture group were treated with needling cervical Jiaji （EX-B 2） points and Jianjing （GB 21） on the affected side. The needles were retained for 30 min. Patients in the combined group were treated with both methods. The treatment in all three groups were done once every three days, twice a week, 4 weeks for a course of treatment, for a total of 1-3 courses. Then the therapeutic efficacy was evaluated using scores of visual analogue scale （VAS）, neck disability index （NDL） and clinical assessment scale （CAS） before treatment and after 1, 2 and 3 courses of treatment. Results： The scores of VAS, NDI and CAS in all three groups were significantly decreased after 1, 2 and 3 courses of treatment （all P〈0.001）, and there were no inter-group statistical significances in comparing scores of VAS, NDI and CAS （all P〉0.05）. Conclusion： Bloodletting and cupping share the similar effect with acupuncture in pain relief and improvement of quality of life in patients with cervical radiculopathy.目的:观察刺络疗法治疗神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的有效性及安全性。方法:采用五个中心、随机、对照的方法,将183名符合纳入标准的受试者按随机数字表分为刺络组(68例)、针刺组(56例)及刺络加针刺组(59例)。刺络组患者接受在大椎、患侧肩井刺络放血并拔火罐治疗,留罐5-10 min,出血量每罐5 m L,共2-3罐。针刺组患者接受在双侧C3-7夹脊穴、患侧肩井针刺治疗,留针30 min。刺络加针刺组患者接受与刺络组相同的刺络治疗和与针刺组相同的针刺治疗。三组均3日治疗1次,每星期治疗2次,治疗4星期为1疗程,治疗1-3疗程。采用视觉模拟量表(visual analogue scale,VAS)、颈部功能障碍指数(neck disability index,NDI)和临床评价量表(clinical assessment scale,CAS)评分于治疗前及治疗1、2、3疗程后,对各组进行疗效评价。结果:三组治疗1、2、3个疗程后VAS、NDI、CAS评分均较本组治疗前有明显下降(均P<0.001),三组组间VAS、NDI及CAS评分比较,无统计学差异(均P>0.05)。结论:刺络疗法治疗CSR可有效缓解患者疼痛并改善其生活质量,与针刺疗法具有同样治疗作用。

关 键 词：Acupuncture Therapy Blood-letting Puncturing and Cupping Neck Pain SPONDYLOSIS Cervical Spondylosis Randomized Controlled Trials 

分 类 号：R246.2[医药卫生—针灸推拿学]