针刺从脾胃论治神经根型颈椎病疗效观察

Observations on the Effect of Spleen and Stomach Theory-based Treatment on Cervical Spondylotic Radiculopathy

目的研究从脾胃论治神经根型颈椎病(兼有脾虚证候者)的可行性及有效性,传承和验证经典理论。方法选择神经根型颈椎病兼有脾虚证候者69例,随机分为治疗组36例和对照组33例。治疗组采用针灸取穴从脾胃论治;对照组采用常规循经取穴治疗。分别在治疗前、治疗5次、治疗10次后采用颈椎病治疗成绩评分表及视觉模拟评分量表(VAS)对两组患者症状、体征积分变化和疼痛、麻木评分及临床疗效进行分析比较。结果两组患者治疗后VAS和症状、体征积分比较,差异有统计学意义(P<0.05);麻木分级评分比较,差异有统计学意义(P<0.01);两组总有效率比较,差异无统计学意义(P>0.05),但治疗组痊愈率和显效率明显优于对照组,两组比较差异有统计学意义(P<0.01)。结论治疗组和对照组都可缓解神经根型颈椎病兼脾虚的症状,但从脾胃论治的取穴方法优于常规循经取穴法,能较快缓解患者的疼痛、麻木等症状。

Objective To investigate the feasibility and efficacy of spleen and stomach theory-based treatment for cervical spondylotic radiculopathy（accompanied with spleen deficiency syndrome） and to inherit and validate the classical theory.Methods Sixty-nine patients with cervical spondylotic radiculopathy accompanied with spleen deficiency syndrome were enrolled and randomly allocated to a treatment group of 36 cases and a control group of 30 cases.The treatment group received acupuncture at points selected according to spleen and stomach theory-based treatment and the control group,conventional acupuncture at points selected along the meridian.The symptoms,signs,pain severity and numbness severity were scored using the Assessment Scale for Cervical Spondylosis and the Visual Analog Scale（VAS） before treatment and after 5 and 10 sessions of treatment in the two groups.The scores and the clinical therapeutic effects were compared between the two groups.Results There were statistically significant post-treatment differences in the VAS,symptom and sign scores between the two groups（P〈0.05）.There was a statistically significant post-treatment difference in the numbness grading score between the two groups（P〈0.01）.There was no statistically significant difference in the total efficacy rate between the two groups（〉P0.05）,but the cure rate and the marked efficacy rate were significantly higher in the treatment group than in the control group and there were statistically significant differences between the two groups（P〈0.01）.Conclusion The symptoms of cervical spondylotic radiculopathy accompanied with spleen deficiency can be relieved in both treatment and control groups,but the method of selecting points according to spleen and stomach theory-based treatment is superior to the routine method of selecting points along the meridian and can more rapidly relieve pain and numbness in the patients.