针推联合刺络放血疗法治疗气滞血瘀型颈椎病35例

Combination of Manipulation,Acupunctureand Blood-letting Therapy for 35 Cases of Cervical Spondylosis of Qi Stagnation and Blood Stasis Sydnrome

目的:探讨针推联合刺络放血疗法对治疗颈椎病(气滞血瘀型)的临床疗效。方法:将确诊为气滞血瘀型颈椎病的70例患者按随机数表法随机平均分为针推联合刺络放血组(治疗组)和针推治疗组(对照组)。治疗组采用颈椎旋提手法、针灸结合刺络放血疗法进行治疗,对照组采用颈椎旋提手法和针灸进行治疗。隔天做一次治疗,一周为一个疗程,做两个疗程。观察比较两组患者疗程治疗前后的疗效情况,并于治疗结束后3个月以电话或者门诊复诊形式进行疗效回访,观察两组患者的远期疗效和复发情况。结果:治疗组35例,治愈20例,其中显效7例,好转6例,无效2例,治愈率为57.1%,总有效率为94.3%;对照组35例,其中治愈14例,显效5例,好转8例,无效8例,治愈率为40.0%,总有效率为77.1%。两组间疗效比较P<0.05,差异有统计学意义。治疗结束3个月后随访,治疗组临床疗效仍优于对照组,组间差异有统计学意义(P<0.05)。结论:针推联合刺络放血疗法治疗气滞血瘀型颈椎病的临床疗效优于针推组。

Objective:To observe the clinical effect of manipulation,acupuncture and blood-letting therapy in treating cervical spondylosis(Qi stagnation and blood stasis syndrome).Methods:Seventy cases were randomly divided into treatment group and control group on average according to the method of random number table.Patients in the treatment group were treated with rotation-traction manipulation,acupuncture and blood-letting therapy,while the others in the control group were treated with rotation-traction manipulation and acupuncture,every other day and a week was a course of treatment,two courses continuously.We observed the clinical effect of two groups and compared the long-term effect after three months.Results:There were 35 cases in the treatment group and 20 cases obtained an excellent result,7 obviously effective,6 effective and 2 invalid and the cure rate was 57.1%,the total effective rate was 94.3% while 14 patients obtained an excellent result,5 obviously effective,8 effective and 8 invalid in the control group.There was statistic difference between the two groups′ curative effect(P<0.05).Three months after treatment,the treatment group was still better than the control group(P<0.05).Conclusion:The clinical effect of manipulation,acupuncture and blood-letting therapy is better than manipulation and acupuncture only in treating cervical spondylosis of Qi stagnation and blood stasis syndrome.