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[数字穴位按压治疗神经根型颈椎病的疗效观察]

[Observation on therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis].

作者信息

Chen Xiang-yun, Jia Wei-hua, Liu Mei-ju, Meng Xian-qing, Ma Yan-Dong, Wang Ling-ling

机构信息

Department of Orthopedics, The Forth People's Hospital of Hengshui City, Hengshui, China.

出版信息

Zhongguo Zhen Jiu. 2009 Aug;29(8):659-62.

Abstract

OBJECTIVE

To observe the therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis.

METHODS

Four hundred cases were randomly divided into a digital acupoint pressure group (DAP group) and a medicine group, 200 cases in each group. Acupoints of Quepen (ST 12), Jianjing (GB 21) and Tianzong (ST 11) etc. were used for digital pressing in the DAP group; and Chinese herb medicine of Gentongping was routinely taken in the medicine group. After three treatment courses, the symptoms of pain and numbness, the signs of pressure measurement by compression of head, brachial plexus drawer test and arm myodynamia, as well as the total cumulative scores of daily living capability, were compared.

RESULTS

After treatment, the total cumulative scores of numbness, pressure measurement by compression of head, brachial plexus drawer test, arm myodynamia and daily living capability in both groups were obviously better than those of before treatment (all P<0.01); but there was a significant difference on the total cumulative score of the symptoms and signs between the two groups. The cured rate of 78.0% and total effective rate of 99.0% in the DAP group were better than those of 61.0% and 87.0% in the medicine group, respectively (both P<0.01).

CONCLUSION

Digital acupoint pressure plays an active role in improving the symptoms and signs on patients with nerve root type of cervical spondylosis, which is better than Chinese herb medicine of Gentongping.

摘要

目的

观察指压穴位治疗神经根型颈椎病的疗效。

方法

将400例患者随机分为指压穴位组(DAP组)和药物组,每组200例。DAP组采用指压缺盆(ST 12)、肩井(GB 21)、天宗(ST 11)等穴位;药物组常规服用根痛平中药。经过三个疗程治疗后,比较两组患者的疼痛麻木症状、压头试验体征、臂丛神经牵拉试验和上肢肌力,以及日常生活能力总积分。

结果

治疗后,两组患者的麻木、压头试验、臂丛神经牵拉试验、上肢肌力及日常生活能力总积分均明显优于治疗前(均P<0.01);但两组患者症状体征总积分比较差异有统计学意义。DAP组治愈率78.0%、总有效率99.0%,分别优于药物组的61.0%和87.0%(均P<0.01)。

结论

指压穴位对改善神经根型颈椎病患者的症状体征有积极作用,疗效优于根痛平中药。

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