针灸治疗颈椎病的临床效果分析  

Analysis of clinical effect of acupuncture on cervical spondylosis

作　　者：韩飞飞[1] 周媛媛 王立新[1] HAN Fei-fei;ZHOU Yuan-yuan;WANG Li-xin(Department of Acupuncture and Massage,Dongtai Hospital of Traditional Chinese Medicine,Yancheng 224200,China)

机构地区：[1]东台市中医院针灸推拿科,224200

出　　处：《中国实用医药》2023年第24期130-133,共4页China Practical Medicine

摘　　要：目的探析在颈椎病治疗期间应用针灸疗法的临床效果。方法60例颈椎病患者,采用随机数字表法分为对照组和观察组,每组30例。对照组患者给予常规药物治疗,神经根型颈椎病患者加用牵引治疗;观察组患者在对照组基础上联合针灸治疗。对比两组患者治疗前后中医证候积分、临床疗效。结果治疗结束时,两组患者颈肩部疼痛、颈部压痛、颈部活动受限以及上肢麻木疼痛积分均低于本组治疗前,且观察组患者颈肩部疼痛积分(1.09±0.29)分、颈部压痛积分(1.73±0.18)分、颈部活动受限积分(1.58±0.22)分、上肢麻木疼痛积分(1.09±0.27)分低于对照组的(2.03±0.05)、(2.55±0.20)、(1.98±0.18)、(1.72±0.24)分,差异具有统计学意义(P<0.05)。观察组患者治疗总有效率为96.67%,明显高于对照组的70.00%,差异具有统计学意义(P<0.05)。结论应用针灸治疗颈椎病效果更佳,可在临床中积极推广应用。Objective To investigate the clinical effect of acupuncture on cervical spondylosis.Methods A total of 60 patients with cervical spondylosis were divided into a control group and an observation group according to random numerical table,with 30 cases in each group.Patients in the control group were treated with conventional drugs,and traction therapy was given to patients with cervical spondylotic radiculopathy additionally;patients in the observation group were treated with acupuncture on the basis of control group.The traditional Chinese medicine syndrome score before and after treatment and clinical efficacy of the two groups were compared.Results At the end of treatment,the scores of neck and shoulder pain,neck tenderness,neck mobility restriction and upper limb numbness in both groups were lower than those before treatment in this group;in the observation group,the score of neck and shoulder pain was(1.09±0.29)points,the score of neck tenderness was(1.73±0.18)points,the score of neck mobility restriction was(1.58±0.22)points and the score of upper limb numbness was(1.09±0.27)points,which were lower than those of(2.03±0.05),(2.55±0.20),(1.98±0.18)and(1.72±0.24)points in the control group;the difference were statistically significant(P<0.05).The total effective rate of 96.67%in the observation group was significantly higher than that of 70.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of acupuncture in the treatment of cervical spondylosis is more effective,and can be actively promoted in clinical application.

关 键 词：针灸 药物治疗 颈椎病 中医证候 疗效 

分 类 号：R246.9[医药卫生—针灸推拿学]