针灸推拿为主治疗神经根型颈椎病:多中心随机对照研究

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

目的:探讨以针灸推拿为主的非药物综合方案治疗颈椎病(神经根型)的临床价值。方法:采用五中心、单盲、随机、对照研究方法,将合格受试者660例按1∶1比例随机纳入治疗组(符合方案者317例)和对照组(311例),分别给予以针灸推拿为主的非药物综合方案和以物理疗法为主的非药物综合方案治疗,建立证候测评表和多维的效应评价指标,评价疗效及安全性。结果:治疗组痊愈率42.9%,愈显率64.4%,优于对照组的16.7%、36.3%(P<0.01);治疗后两组临床证候得到改善,颈肩肢痛、颈项僵硬、颈部前屈异常、颈部旋转异常等指标的改善程度,治疗组优于对照组(P<0.01或P<0.05);两组起效时间和疗程,治疗组均短于对照组(P<0.01);未发现所采用治疗方法的不良反应。结论:以针灸推拿为主的非药物综合方案治疗颈椎病(神经根型),安全有效;其较之以物理疗法为主的非药物综合方案具有疗效优势。

Objective To probe into clinical value of comprehensive progrom 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%, 64.4M 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 neckshoulder-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.