针推结合治疗神经根型颈椎病39例临床观察

Effect of Acupuncture Combined with Massage on Nerve-root Cervical Spondylopathy: An Observation of 39 Cases

目的:观察针刺结合推拿治疗神经根型颈椎病的临床疗效。方法:将76例患者随机分为2组。单纯针刺组37例,采用针刺方法(选穴:颈夹脊、大杼、肩井、曲池、外关、后溪)治疗;针推结合组39例,在针刺基础上加用推拿方法治疗。结果:总有效率单纯针刺组为89.19%,针推结合组为94.87%,2组比较,差异无显著性意义(P>0.05);2组治疗后视觉模拟(VAS)评分均有明显下降,与治疗前比较,差异有非常显著性意义(P<0.01);2组间治疗前后差值比较,差异有显著性意义(P<0.05)。结论:针刺结合推拿治疗神经根型颈椎病止痛效果更好。

Objective: To observe the therapeutic effect of acupuncture combined with massage on nerve - root cervical spondylopathy (NRCS). Methods: Seventy -six NRCS patients were randomized into 2 groups: group A (n = 37) received acupuncture on acupoints of cervical Jiaji, Dazhu, Jianjing, Quchi, Waiguan, etc; group B (n = 39) received acupuncture combined with massage therapy. Results: The total effective rate was 89. 19% in group A, and 94. 87% in group B , the difference being insignificant (P > 0. 05) . After treatment, the visual analogy score (VAS) decreased in the two groups (P < 0. 01 compared with that before treatment), and the difference of VAS between the two groups being significant ( P < 0. 05). Conclusion: Acupuncture combined with massage has a better pain -relieving effect on nerve - root cervical spondylopathy.