电针推拿配合行为干预治疗颈椎病的多中心临床研究  

A Multicenter Clinical Study on Electroacupuncture and Massotherapy plus Behavior Therapy for Cervical Spondylosis

作　　者：孙德利[1] 陈云飞[2] 周爽[3] 张华梅 盛锋[1] 吕强[2] 倪承浩[1] 曹朋园 蔡若琳 钱小路[3] 章杰[3] 马海峰[1] SUN De-li CHEN Yun-fei ZHOU Shuang ZHANG Hua-mei SHENG Feng LU Qiang NI Cheng-hao CAO Peng-yuan CAI Ruo-lin QIAN Xia-lu ZHANG Jie MA Hai-feng(Shanghai University of Traditional Chinese Medicine Longhua Hospital,Shanghai 200032,China Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Traditional Chinese and Western Medicine,Shanghai 200437,China Shanghai Changhai Hospital,Shanghai 200433,China Shanghai Fengxian District Hospital of Traditional Chinese Medicine, Shanghai 201400,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]上海长海医院,上海200433 [4]上海市奉贤区中医医院,上海201400

出　　处：《上海针灸杂志》2017年第9期1092-1098,共7页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市科委科技支撑项目(13401903300);上海市卫计委中医药科研基金(2012L031A);上海市重点学科建设项目(S30304);上海市卫计委海派中医流派传承研究基地项目(ZY3-CCCX-1-1007);上海市卫计委中医临床重点扶植建设项目(ZY3-JSFC-1-1002)

摘　　要：目的观察电针和(或)推拿配合行为干预治疗颈椎病的临床疗效。方法将300例颈椎病患者按计算器随机数字方法随机分为3组,即A组、B组和C组,每组100例。在拔罐和行为治疗的基础上,A组采用电针治疗,B组采用推拿治疗,C组采用电针和推拿治疗。观察3组治疗前后临床症状体征计分变化,并比较临床疗效。结果 3组治疗4星期后、8星期后、治疗后4个月随访和治疗后6个月随访的临床控制率、显控率和总有效率比较,差异无统计学意义(P>0.05)。3组治疗4星期后、治疗8星期后、治疗后4个月随访和治疗后6个月随访的临床症状体征计分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗8星期后、治疗后4个月随访和治疗后6个月随访的临床症状体征计分与治疗后4星期比较,差异均有统计学意义(P<0.01)。3组治疗4星期后、治疗8星期后、治疗后4个月随访和治疗后6个月随访的临床症状体征计分比较,差异无统计学意义(P>0.05)。结论电针和(或)推拿配合行为干预是有效防治颈椎病的解决方案,本法具有简、便、易、廉的特点,可供临床应用。Objective To investigate the clinical efficacy of electroacupuncture and （or） massotherapy plus behavior therapy for cervical spondylosis. Methods Three hundred patients with cervical spondylosis were randomly allocated to three groups （A, B and C） by random number generated from calculator, 100 cases each. In addition to cupping and behavior therapy, group A received electroacupuncture; group B, massotherapy; group C, electroacupuncture and massotherapy. The clinical symptom and sign score was recorded in the three groups before and after treatment. The clinical therapeutic effects were compared. Results There were no statistically significant differences in the clinical control rate, marked control rate and total efficacy rate among the three groups after four and eight weeks of treatment and at the 4-month and 6-month follow-ups after treatment （P〉0.05）. In the three groups, there was a statistically significant difference in the clinical symptom and sign score between before treatment and after four and eight weeks of treatment or at the 4-month and 6-month follow-ups after treatment （P〈0.01） and between after four weeks of treatment and after eight weeks of treatment or at the 4-month and 6-month follow-ups after treatment （P〈 0.01）. There was no statistically significant differences in the clinical symptom and sign score among the three groups after four and eight weeks of treatment and at the 4-month and 6-month follow-ups after treatment （P〉0.05）. Conclusions Electroacupuncture and （or） massotherapy plus behavior therapy is an effective protocol for preventing and treating cervical spondylosis. It is characterized by simplicity, convenience, easiness and cheapness and can be provide for clinical application.

关 键 词：颈椎病 针刺疗法 电针 推拿 拔罐 行为疗法 随机对照研究 

分 类 号：R246.2[医药卫生—针灸推拿学]