热敏灸对交感神经型颈椎病患者头痛头晕的临床疗效观察  

Observation of the clinical efficacy of thermosensitive moxibustion on headache and dizziness in patients with sympathetic type of cervical spondylosis

作　　者：黄国民 毛强健 杨林 李自如[1] 杨亚男[1] 吴德盛 周水生 迟振海[1] HUANG Guomin;MAO Qiangjian;YANG Lin;LI Ziru;YANG Yanan;WU Desheng;ZHOU Shuisheng;CHI Zhenhai(The Fifth Department of Acupuncture and Moxibustion,Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,Jiangxi,China)

机构地区：[1]江西中医药大学附属医院针灸五科,江西南昌3300061

出　　处：《中国现代医生》2025年第4期24-27,共4页China Modern Doctor

基　　金：江西省卫生健康委科技计划项目(202410047)。

摘　　要：目的探讨热敏灸对交感神经型颈椎病(sympathetic type of cervical spondylosis,SCS)患者头痛头晕的临床疗效。方法选取2023年6月至2024年6月于江西中医药大学附属医院治疗的80例SCS患者,根据随机数字表法将其分为观察组和对照组,每组40例。对照组患者采用普通艾灸治疗,观察组患者采用热敏灸治疗。比较两组患者的临床疗效、疼痛程度、生活质量、颈椎功能、颈交感神经症状及不良反应。结果观察组患者的治疗总有效率显著高于对照组(χ^(2)=4.501,P=0.034)。治疗后,两组患者的视觉模拟评分法(visual analogue scale,VAS)、Northwick Park颈痛量表(Northwick Park neck pain questionnaire,NPQ)、颈交感神经症状评分均显著低于本组治疗前,颈椎病临床评价量表(clinical assessment scale for cervical spondylosis,CASCS)评分均显著高于本组治疗前(P<0.05),观察组患者的VAS、NPQ、颈交感神经症状评分均显著低于对照组,CASCS评分显著高于对照组(P<0.05)。两组患者治疗过程中均未发生晕灸、烫伤等不良反应。结论热敏灸治疗SCS可减轻患者的颈交感神经症状和疼痛程度,改善颈椎功能,提高患者的生活质量,且安全性良好。Objective To explore the clinical efficacy of thermosensitive moxibustion in treating headache and dizziness in patients with sympathetic type of cervical spondylosis(SCS).Methods A total of 80 patients with SCS treated in Affiliated Hospital of Jiangxi University of Chinese Medicine from June 2023 to June 2024 were selected and divided into observation group and control group according to random number table method,with 40 patients in each group.The patients in control group were treated with regular moxibustion,while the patients in observation group were treated with thermosensitive moxibustion.The clinical efficacy,pain,quality of life,cervical spine function,cervical sympathetic symptoms,and adverse reactions between two groups were compared.Results The total effective rate of observation group was significantly higher than that of control group(χ^(2)=4.501,P=0.034).After treatment,visual analogue scale(VAS),Northwick Park neck pain questionnaire(NPQ)and cervical sympathetic nerve symptom scores of patients in two groups were significantly lower than before treatment,and clinical assessment scale for cervical spondylosis(CASCS)scores were significantly higher than before treatment(P<0.05).VAS,NPQ and cervical sympathetic nerve symptom scores of observation group were significantly lower than those of control group,and CASCS score was significantly higher than that of control group(P<0.05).No adverse reactions such as fainting and scalding occurred in both groups during treatment.Conclusion Thermosensitive moxibustion for SCS can reduce cervical sympathetic nerve symptoms and pain,improve cervical spine function,and improve patients’quality of life,and is relatively safe.

关 键 词：交感神经型颈椎病 热敏灸 艾灸 颈椎功能 颈交感神经症状 

分 类 号：R246[医药卫生—针灸推拿学]