温针灸与牵引联合西药治疗神经根型颈椎病随机平行对照研究  

Randomized Controlled Study of Warm Acupuncture and Moxibustion combined with Western Medicine in the Treatment of Cervical Spondylotic Radiculopathy

作　　者：王婧[1] WANG Jing(Department of Traditional Chinese Medicine,Hedong Branch,Guangzhou First People's Hospital,Guangzhou 510380,China)

机构地区：[1]广州市第一人民医院鹤洞分院中医康复科

出　　处：《实用中医内科杂志》2019年第5期68-71,共4页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察温针灸与牵引联合西药治疗神经根型颈椎病疗效。[方法]使用随机平行对照方法,将90例住院及门诊患者按诊号单双数随机分两组,抗炎、镇痛、营养神经等。对照组45例T-YZQ型颈椎电动牵引器,牵引力100N,时间15min,1次/d,5次/周。治疗组45例温针灸,双侧颈夹脊C3~C5(1.5寸毫针针刺使针感放射至肩部)、大椎(2.0寸毫针针刺,微微上挑针尖使患者存酸麻胀痛感且放射至肩部)、三阴交(1.5寸毫针针刺)、阳池(1.5寸毫针针刺)、血海(1.5寸毫针针刺),得气后使用长约2cm艾条套并在毫针上点燃,于针下放置阻隔物避免皮肤烫伤,每穴1壮,1次/d,5次/周;牵引同对照组。连续治疗4周为1疗程。观测临床表现、疼痛评分、颈椎功能、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效16例,有效27例,无效2例,总有效率95.56%;对照组显效12例,有效24例,无效9例,总有效率80.00%;治疗组疗效优于对照组(P<0.05)。VAS、NDI两组均有降低(P<0.01),治疗组降低低于对照组(P<0.01)。[结论]温针灸与牵引联合西药治疗神经根型颈椎病,疗效满意,无严重不良反应,值得推广。[Objective] To observe the therapeutic effect of warm acupuncture and moxibustion combined with western medicine on cervical spondylotic radiculopathy.[Methods] Using randomized parallel control method, 90 hospitalized and outpatients were randomly divided into two groups according to the number of patients, anti-inflammatory, analgesic and nutritional nerves. In the control group, 45 cases of T-YZQ cervical electric traction device, traction force 100 N, time 15 min, 1 time/d, 5 times/week. Treatment group45 cases of warm acupuncture, bilateral neck ridge C3~C5(1.5 inch needle acupuncture so that the needle is radiated to the shoulder), Dazhui(2.0 inch needle acupuncture, slightly picking the needle tip to make the patient feel sore And radiated to the shoulder), Sanyinjiao(1.5-inch needle acupuncture), Yangchi(1.5-inch needle acupuncture), blood sea(1.5-inch needle acupuncture), after using gas, use about 2 cm long strips and on the needle Ignite, place a barrier under the needle to avoid skin burns, 1 strong per hole, 1 time/d, 5 times/week;traction with the control group. Continuous treatment for 4 weeks is a course of treatment. Observed clinical manifestations, pain scores, cervical spine function, and adverse reactions. Treatment for 1 course of treatment, to determine the efficacy.[Results] In the treatment group, 16 cases were effective, 27 cases were effective, 2 cases were ineffective, and the total effective rate was 95.56%. The control group was effective in12 cases, effective in 24 cases, and ineffective in 9 cases. The total effective rate was 80.00%. The therapeutic effect was better than the control group.(P<0.05). VAS and NDI were decreased in both groups(P<0.01),and the treatment group was lower than the control group(P<0.01).[Conclusion] Warm acupuncture and moxibustion combined with western medicine for the treatment of cervical spondylotic radiculopathy has satisfactory curative effect and no serious adverse reactions, which is worthy of promotion.

关 键 词：神经根型颈椎病 温针灸 T-YZQ型颈椎电动牵引器 牵引 疼痛评分 颈椎功能 中西医结合治疗 随机平行对照研究 

分 类 号：R246.9[医药卫生—针灸推拿学]