针灸联合龙氏手法治疗神经根型颈椎病临床研究  

Clinical Study on Acupuncture and Moxibustion Combined with LONG's Manipulation for Cervical Spondylosis of Nerve Root Cervical Type

作　　者：林树梁[1] 赵鹭 LIN Shuliang;ZHAO Lu

机构地区：[1]金华市中心医院,浙江金华321000

出　　处：《新中医》2021年第23期180-184,共5页New Chinese Medicine

基　　金：国家自然科学基金资助项目(61971169)。

摘　　要：目的:观察针灸联合龙氏手法治疗神经根型颈椎病的临床疗效。方法:选取200例神经根型颈椎病患者作为研究对象,按随机数字表法分为对照组及观察组各100例,对照组采用针灸治疗,观察组在对照组基础上加用龙氏手法治疗,2组疗程均为8周。观察2组临床疗效,观察2组治疗前后颈椎病临床评价量表(CASCS)变化,观察2组治疗前后视觉模拟评分法(VAS)变化,以及治疗前后臂丛牵拉试验结果、颈椎功能障碍指数(NDI)的变化。结果:观察组临床疗效总有效率为93.00%,高于对照组80.00%,2组比较,差异有统计学意义(P<0.05)。治疗8周后,2组主观症状、临床体征、生活工作及社会适应能力评分均较治疗前上升,观察组上述3项评分均高于对照组,差异均有统计学意义(P<0.05)。2组治疗不同时间VAS评分均较治疗前下降,差异均有统计学意义(P<0.05);观察组治疗2周、治疗4周、治疗8周VAS评分均低于同时段对照组评分,差异均有统计学意义(P<0.05)。治疗8周后,2组臂丛牵拉试验评分均较治疗前上升,NDI评分均较治疗前下降,观察组臂丛牵拉试验评分高于对照组,NDI评分低于对照组,差异均有统计学意义(P<0.05)。结论:针灸联合龙氏手法治疗神经根型颈椎病疗效较好,可缓解疼痛感,减轻颈椎功能障碍,促进颈椎功能恢复。Objective:To observe the clinical effect of acupuncture and moxibustion combined with LONG's manipulation for cervical spondylosis of nerve root cervical type.Methods:A total of 200 cases of patients with cervical spondylosis of nerve root cervical type were selected as the study objects,and divided into the control group and the observation group according to random number table method,with 100 cases in each group.The control group was treated with acupuncture and moxibustion,and the observation group was additionally treated with LONG's manipulation based on the treatment of the control group.Both groups were treated for eight weeks.The clinical effects in the two groups were compared.Before and after treatment,the changes in Clinical Assessment Scale for Cervical Spondylosis(CASCS),Visual Analogue Scale(VAS),results of brachial plexus traction test and Neck Disability Index(NDI)in the two groups were observed.Results:The total effective rate of clinical effect was 93.00%in the observation group,higher than that of 80.00%in the control group,the difference being significant(P<0.05).After eight-week treatment,the scores of subjective symptoms,clinical signs,and work and social adaptability in the two groups were increased when compared with those before treatment,and the above three scores in the observation group were higher than those in the control group,differences being significant(P<0.05).The VAS scores after treatment for different time periods were decreased when compared with those before treatment,differences being significant(P<0.05);after treatment for two,four and eight weeks,the VAS scores in the observation group were lower than those in the control group,differences being significant(P<0.05).After eight-week treatment,the scores of brachial plexus traction test in the two groups were increased when compared with those before treatment,and NDI scores were decreased;the score of brachial plexus traction test in the observation group was higher than that in the control group,and NDI score was lower,

关 键 词：颈椎病 神经根型 针灸 龙氏手法 

分 类 号：R246.9[医药卫生—针灸推拿学]