针刺结合旋牵手法治疗神经根型颈椎病临床观察  

Clinical Observation on the Treatment of Nerve Root Type Cervical Spondylosis by Acupuncture Combined with Rotation Manipulation

作　　者：张立强 鄢卫平[2] 郭亮亮 强天明 李景周 周广超 刘宗玮 ZHANG Liqiang;YAN Weiping;GUO Liangliang;QIANG Tianming;LI Jingzhou;ZHOU Guangchao;LIU Zongwei(Gansu University of Traditional Chinese Medicine,Gansu Lanzhou 730000,China;Gansu Provincial Hospital of Traditional Chinese Medicine,Gansu Lanzhou 730050,China)

机构地区：[1]甘肃省中医药大学,甘肃兰州730000 [2]甘肃省中医院,甘肃兰州730050

出　　处：《中医药临床杂志》2018年第9期1675-1677,共3页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:观察针刺结合旋牵手法治疗神经根型颈椎病临床效果。方法:70例神经根型颈椎病,随机分为观察组35例,对照组35例。观察组治疗方案为针刺结合旋牵手法治疗,针刺主要以百会、肩井、大椎、风池、合谷为主穴并配合颈部旋牵手法。对照组采用单独针刺治疗,针刺主穴与观察组相同。2组的治疗方案均为1次/d,不间断冶疗7d为1个疗程,持续治疗3个疗程。结果:治疗后观察组总有效率明显优于对照组;治疗后观察组与对照组比较,VAS评分上升明显,颈椎曲度恢复明显。差异有统计学意义(P<0.05)。结论:神经根型颈椎病运用针刺结合旋牵手法治疗神经根型颈椎病临床效果明显。Objective： To observe the clinical effect of acupuncture combined with rotatory hand-holding method in the treatment of cervical spondylosis of nerve root type. Methods： 72 patients with cervical spondylopathy of nerve root type were diagnosed and 70 patients who met the standard were randomly divided into observation group （ n=35 ） and control group （ n=35 ）. The observation group was treated by acupuncture combined with the method of hand rotation, and the acupuncture mainly consisted of Baihui, Jianjin, Dazhui, Fengchi and Hegu and combined with the method of neck rotation and holding hands. The control group was treated with acupuncture alone, the theme and manipulation of acupuncture were the same as those in the observation group. Both the observation group and the control group were treated with 1/d, 7 days of continuous treatment as a course of treatment. There were 3 courses of treatment. Results： The total effective rate of the observation group was significantly higher than that of the single acupuncture method af- ter treatment. After treatment, the VAS score of the observation group was significantly higher than that of the control group, and the cervical curvature recovery was obvious. The difference was statistically significant （ P〈0.05 ）. Conclusion： the treatment of cervical spondylopathy of nerve root type by acupuncture combined

关 键 词：神经根型颈椎病 针刺 旋牵手法 

分 类 号：R274.39[医药卫生—中医骨伤科学]