Jing Fu-Quan, Wang Xiu-Mei, Niu Xiang-Lai, Zhou Yu
Department of Acu-moxibustion and Massage, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.
Zhen Ci Yan Jiu. 2016 Aug 25;41(4):343-6.
To compare the therapeutic effects of acupuncture combined with fire dragon moxibustion and simple acupuncture therapy in the treatment of patients with cervical spondylotic radiculopathy (CSR) of kidney-deficiency-cold type.
Ninety kidney-deficiency-cold type CSR outpatients were randomly divided into control (acupuncture, =40) and treatment (acupuncture +moxibustion, =50) groups. Acupuncture stimulation was applied to Dazhui (GV 14), Ganshu (BL 18), Tianzhu (BL 10) and Houxi (SI 3), Jiaji (EX-B 2), Taixi (KI 3), Shenmai (BL 62), Zusanli (ST 36), Shenshu (BL 23), etc once daily, 5 times a week, and two weeks altogether, except the weekend. In addition, for patients of the treatment group, herbal medicinal powder separated-fire dargon moxibustion was applied to the patient's back from GV14 and Fengmen (BL 12) on the top to Zhibian (BL 54) area at the buttock, once every 3 days, 5 times altogether. The therapeutic effect was evaluated according to "CSR-20-points scale" including 3 aspects as neck-shoulder pain, upper-limb pain-numbness, finger numbness; working and daily life ability and physical conditions (Spurling tests, sensory, myodynamia and tendon reflex).
① After the treatment, CSR-20-points scores in both treatment and control groups were significantly increased in comparison with pre-treatment in each group (<0.05), with the score being markedly higher in the treatment group than in the control group (<0.05). ② Of the 40 and 50 cases in the control and the treatment group, 2 and 13 were cured, 14 and 24 experienced a remarkable improvement, 12 and 11 were effective, and 12 and 2 failed, with the total effective rates being 70.0%(28/40) and 96.0%(48/50), respectively. The therapeutic effect of the treatment group was notably better than that of the control group (<0.05).
Acupuncture combined with fire dragon moxibustion is superior to simple acupuncture therapy in improving clinical symptoms of patients with CSR of kidney-deficiency-cold type, being a recommendable scheme in clinical practice.
比较针刺联合火龙灸与单纯针刺疗法治疗肾虚寒型神经根型颈椎病（CSR）患者的疗效。
将90例肾虚寒型CSR门诊患者随机分为对照组（针刺，n = 40）和治疗组（针刺+艾灸，n = 50）。针刺穴位选取大椎（GV 14）、肝俞（BL 18）、天柱（BL 10）、后溪（SI 3）、夹脊（EX - B 2）、太溪（KI 3）、申脉（BL 62）、足三里（ST 36）、肾俞（BL 23）等，每天1次，每周5次，除周末外共治疗2周。此外，治疗组患者采用中药散剂隔火灸从大椎和风门（BL 12）至臀部秩边（BL 54）区域进行背部施灸，每3天1次，共5次。根据“CSR - 20分评分量表”从颈肩痛、上肢疼痛麻木、手指麻木3个方面，以及工作和日常生活能力及身体状况（斯伯林试验、感觉、肌力和腱反射）对疗效进行评价。
①治疗后，治疗组和对照组CSR - 20分评分均较各自治疗前显著升高（P < 0.05），且治疗组评分显著高于对照组（P < 0.05）。②对照组40例和治疗组50例中，治愈分别为2例和13例，显效分别为14例和24例，有效分别为12例和11例，无效分别为12例和2例，总有效率分别为70.0%（28/40）和96.0%（48/50）。治疗组疗效显著优于对照组（P < 0.05）。
针刺联合火龙灸在改善肾虚寒型CSR患者临床症状方面优于单纯针刺疗法，是临床实践中值得推荐的方案。
Zotero 插件