[针灸联合艾灸贴治疗神经根型颈椎病]

[Acupuncture combined with moxibustion plaster for nerve-root type cervical spondylosis].

作者信息

Liu Li-an, Zhang Shu, Wang Hajying

出版信息

Zhongguo Zhen Jiu. 2016 Feb;36(2):139-43.

Abstract

OBJECTIVE

To compare the clinical efficacy differences between acupuncture combined with moxi-bustion plaster and electroacupuncture (EA) for nerve-root type cervical spondylosis.

METHODS

A total of 60 casesof nerve-root type cervical spondylosis were randomly divided into a plaster group and an EA group, 30 cases ineach one. Patients in the plaster group were treated with regular acupuncture at Jiaji(EX-B 2) points and ashipoints, combined with moxibustion plaster at Gaohuang (BL 43); patients in the EA group were treated with EAat identical acupoints as plaster group. The treatment was given once a day, and 5 days were taken as one course;there was an interval of 2 days between courses and totally 2 courses were performed. The pain questionnaires andquantitative score of signs and symptoms were observed before and after treatment in the two groups. The clinicalefficacy of the two groups was compared.

RESULTS

The total effective rate was 96. 7% (29/30) in the plastergroup, which was not significantly different from 93. 3% (28/30) in the EA group (P>0. 05). After treatment,PRI, VAS and PPI were all reduced in the two groups (all P<C. 01), which were also significantly different be-tween the two groups (all P<0. 05). The quantitative score of each sign and symptom was increased after treat-ment in the two groups (all P<0. 01). Compared with the EA group, the work and life ability, function, feelingand strength of hand were increased in the plaster groups (all P<. 05). Pain score of neck and shoulder aftertreatment in the EA group was higher than the plaster group (all P<0. 05).

CONCLUSION

Acupuncture combinedwith moxibustion plaster and EA both have superior clinical efficacy for nerve-root type cervical spondylosis; EA issuperior to acupuncture combined with moxibustion plaster on relieving pain, while acupuncture combined withmoxibustion plaster is superior to EA on improving life quality, muscle strength and feeling.

摘要

目的

比较针刺联合艾灸贴与电针治疗神经根型颈椎病的临床疗效差异。

方法

将60例神经根型颈椎病患者随机分为贴剂组和电针组，每组30例。贴剂组患者采用夹脊（EX - B 2）穴和阿是穴常规针刺，配合膏肓（BL 43）穴艾灸贴治疗；电针组患者在与贴剂组相同穴位采用电针治疗。每天治疗1次，5天为1个疗程；疗程间间隔2天，共进行2个疗程。观察两组治疗前后的疼痛问卷及体征和症状量化评分，比较两组的临床疗效。

结果

贴剂组总有效率为96.7%（29/30），与电针组的93.3%（28/30）相比差异无统计学意义（P > 0.05）。治疗后，两组的PRI、VAS和PPI均降低（均P < 0.01），且两组间差异也有统计学意义（均P < 0.05）。两组治疗后各体征和症状量化评分均升高（均P < 0.01）。与电针组相比，贴剂组患者的工作和生活能力、手部功能、感觉及力量均有所提高（均P < 0.05）。电针组治疗后颈肩部疼痛评分高于贴剂组（均P < 0.05）。