温针治疗神经根型颈椎病疗效观察  

Therapeutic Observation of Warm Needling for Cervical Spondylotic Radiculopathy

作　　者：朱毅[1] 徐曼文 黄艳[1] 马晓芃[1,2] 施征[1] 徐世芬[3] 刘慧荣[1,2] 汪司右[1,2] 吴焕淦[1,2] ZHU Yi;XU Man-wen;HUANG Yan;MA Xiao-peng;SHI Zheng;XU Shi-fen;LIU Hui-rong;WANG Si-you;WU Huan-gan(Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China;Shanghai University of TCM,Shanghai 200437,China;Shanghai Hospital of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海市针灸经络研究所,上海200030 [2]上海中医药大学,上海200437 [3]上海市中医医院,上海200071

出　　处：《上海针灸杂志》2018年第12期1413-1418,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划项目(2009CB522900;2015CB554501);上海市卫生和计划生育委员会科研项目(201440422)

摘　　要：目的采用麦吉疼痛询问量表(McGill Pain Questionnaire, MPQ)观察陆氏温针治疗神经根型颈椎病的临床疗效。方法采用随机、对照的研究方法,将患者随机分为针刺组、温针组和温针补泻组。3组均选择风池、天柱、大杼、列缺作为针刺穴位,隔日治疗1次。比较各组患者的临床疗效及治疗前、治疗中期、治疗结束及治疗随访1个月后的MPQ评分,主要观察Mc Gill总评分、PRI评分、VAS评分和PPI评分。结果针刺组、温针组和温针补泻组的总有效率分别为85.3%、94.3%和97.1%,温针补泻组优于针刺组(P<0.05)。3组McGill总评分、PRI评分、PRI情感项评分、VAS评分和PPI评分治疗后各时间点与治疗前比较,均显著减低(P<0.05);3组PRI感觉项评分治疗结束和随访1个月后与治疗前比较均显著降低(P<0.05)。在降低Mc Gill总评分、PRI评分、PRI感觉项评分和PPI评分方面,温针补泻组优于温针组和针刺组(P<0.05);在降低PRI情感项评分、VAS评分方面,温针补泻组、温针组优于针刺组(P<0.05)。结论单纯针刺、温针、温针结合补泻手法治疗神经根型颈椎病均有一定疗效,温针结合补泻手法的整体疗效更好。Objective To observe the clinical efficacy of LU’s warm needling in treating cervical spondylotic radiculopathy using the McGill Pain Questionnaire （MPQ）. Method A randomized controlled trial was conducted. The patients were randomized into an acupuncture group, a warm needling group and a reinforcing-reducing warm needling group. In all the three groups, Fengchi （GB20）, Tianzhu （BL10）, Dazhu （BL11） and Lieque （LU7） were selected for acupuncture. The treatment was given once every other day. The therapeutic effects were compared, as well as the MPQ scores [McGill, Pain Rating Index （PRI）, Visual Analogue Scale （VAS） and Present Pain Intensity （PPI）] before, during and at the end of the treatment, and at one-month follow-up. Result The total effective rates was 85.3% in the acupuncture group, 94.3% in the warm needling group and 97.1% in the reinforcing-reducing warm needling group, and the reinforcing-reducing warm needling group was superior to the acupuncture group（P〈0.05）. In the threegroups, the MPQ total score, PRI score, Affective-PRI （A-PRI） score, VAS score and PPI score decreased significantly at different time points after treatment compared with the baseline scores （P〈0.05）; the Sensory-PRI （SPRI） declined significantly at the end of the treatment and at the 1-month follow-up in the three groups compared with the baseline score （P〈0.05）. the reinforcing-reducing warm needling group was superior to the warm needling group and acupuncture group in reducing the MPQ total score, PRI score, S-PRI score and PPI score （P〈0.05）; the reinforcing-reducing warm-needling group and warm needling group were better than the acupuncture group in reducing the A-PRI score and VAS score （P〈0.05）. Conclusion Acupuncture, warm needling and warm needling with reinforcing-reducing manipulation all can produce a certain therapeutic effect for cervical spondylostic radiculopathy, while warm needling with reinforcing-reducing manipulation has a bette

关 键 词：温针疗法 颈椎病 神经根型 颈痛 麦吉疼痛询问量表 针刺补泻 

分 类 号：R246.2[医药卫生—针灸推拿学]