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以针灸、艾灸和按摩为主治疗神经根型颈椎病的对照研究

[Controlled study on treatment of cervical spondylopathy of the nerve root type with acupuncture, moxibustion and massage as main].

作者信息

Zhou Jian-wei, Jiang Zhen-ya, Ye Rui-bin, Li Xian-liang, Yuan Xiu-li, Zhang Fan, Li Chang-du, Li Gang, Tang Qi-hua, Hu Yun-guang, Ai Shuang-chun, Chen Jie, Li Chun-yu, Liao Wei, Wang Qiong-fen, Luo Xiao-bing, Zhao Jing-jing, Li An-hong, Kong Jie, Qin Xue-fei, Ouyang Song, Luo Jian-ping, Wang Min, Yang Guang, Li Jin-cun, Wang Fang, Gu Ying, Gao Li

机构信息

Institute of Acupuncture & Channels, Sichuan Provincial Academy of TCM, Chengdu 610031, China.

出版信息

Zhongguo Zhen Jiu. 2006 Aug;26(8):537-43.

Abstract

OBJECTIVE

To probe into clinical value of comprehensive program of acupuncture, moxibustion and massage as main for treatment of cervical spondylopathy of the nerve root type.

METHODS

Five centers, single blind, randomized controlled method were used, 660 cases were divided into a treatment group of 317 cases and a control group of 311 cases. They were treated respectively with comprehensive program of acupuncture, moxibustion and massage as main, and comprehensive program of physical therapy as main. Establish syndrome detection scale and multiply dimensional effect assessment indexes, and evaluate the therapeutic effects and safety.

RESULTS

The cured rate, the cured-markedly effective rate were 42.9%, 64.4% in the treatment group, respectively, better than 16.7%, 36.3% in the control group (P<0.01); after treatment of 2 weeks, clinical symptoms improved in the both groups, but the treatment group was better than the control group in the improvement degrees of neck-shoulder-limb pain, neck rigidity, abnormality of cervical anteflexion, etc. (P<0.01 or P<0.05); the treatment group was shorter than the control group in the time of producing the effect and therapeutic course (P<0.01).

CONCLUSION

Comprehensive program of acupuncture, moxibustion and massage as main is safe and effective for treatment of cervical spondylopathy, with a better therapeutic effect compared with the comprehensive program of physical therapy.

摘要

目的

探讨以针灸推拿为主的综合方案治疗神经根型颈椎病的临床价值。

方法

采用五中心、单盲、随机对照方法,将660例患者分为治疗组317例和对照组311例。分别采用以针灸推拿为主的综合方案和以物理治疗为主的综合方案进行治疗。建立证候检测量表和多维度疗效评估指标,评价治疗效果及安全性。

结果

治疗组治愈率、治愈显效率分别为42.9%、64.4%,优于对照组的16.7%、36.3%(P<0.01);治疗2周后,两组临床症状均有改善,但治疗组在颈肩肢痛、颈部僵硬、颈椎前屈异常等改善程度上优于对照组(P<0.01或P<0.05);治疗组起效时间和疗程短于对照组(P<0.01)。

结论

以针灸推拿为主的综合方案治疗颈椎病安全有效,与以物理治疗为主的综合方案相比疗效更佳。

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