运用整脊加针灸法治疗神经根型颈椎病疗效观察

Clinical observation on treatment of cervical spondylotic radiculopathy by chiropractic and acupuncture

目的观察整脊加针灸法治疗神经根型颈椎病的临床疗效。方法将423例神经根型颈椎病患者随机分为治疗组和对照组,治疗组212例,采用整脊加针灸法治疗;对照组211例,采用局部整复加针灸法治疗,10次为1个疗程。2组均治疗1个疗程后观察疗效并做好跟踪随访。结果治疗组复发率为8.1%,对照组复发率为72.4%,2组复发率比较差异有统计学意义(P<0.01)。结论运用整脊加针灸法治疗神经根型颈椎病的复发率低于局部整复法的复发率,值得临床推广应用。

Objective To observe the clinical efficacy on treating cervical spondylotic radiculopathy by chiropractic plus acupuncture. Methods 423 cases of cervical spondylotic radiculopathy were randomly divided into treatment and control group. 212 cases in treatment group were treated with combination of chiropractic and acupuncture. 211 cases in control group were managed by combination of cervical reconstructive method and acupuncture. 10 times treatment were as one course. The clinical observation were followed up after both groups received one treatment course. Results The recurrence rate in treatment group and control group were 8.1% and 72.4% respectively. Comparison of the recurrence rate between the two groups showed a statistical significance （P〈0.01）. Conclusion The recurrence rate of combination of chiropractic and acupuncture method are lower than combination of cervical reconstructive and acupuncture method in the treatment of cervical spondylotic radiculopathy. It is worthy of clinical promotion.