隔药灸配合梅花针叩刺治疗神经根型颈椎病疗效观察

Clinical observation of medicine-separated moxibustion with plum-blossom needle on nerve root type cervical spondylosis

[目的]观察隔药灸配合梅花针叩刺治疗神经根型颈椎病的临床疗效。[方法]将150例椎神经根型颈椎病患者随机分为治疗组90例和对照组60例。治疗组采用隔药灸配合梅花针叩刺治疗,对照组采用药物配合牵引治疗,两组在治疗3个疗程后由专人进行疗效评定。[结果]治疗组临床治愈率为51.1%,总有效率为97.8%,对照组临床治愈率为18.3%,总有效率为78.3%,治疗组总有效率及临床治愈率均优于对照组;两组痊愈患者中疗程与疗效比较显示,治疗组1个疗程和2个疗程内痊愈率均高于对照组,说明隔药灸配合梅花针叩刺能明显的缩短治疗神经根型颈椎病的疗程。治疗组疗效明显优于对照组,两组比较差异有统计学意义(P<0.05)。[结论]隔药灸配合梅花针叩刺治疗神经根型颈椎病疗效显著,值得临床推广应用。

[Objective] To observe the clinical curative effect of medicine-separated moxibustion with plum-blossom needle on nerve root type cervical spondylosis. [Methods] The 150 patients with vertebral cervical spondylosis of nerve root type were randomly divided into treatment group of 90 cases and control group of 60 cases. The treatment group was treated with medicine-separated moxibustion with plum-blossom needle; the control group was treated with drug and traction and the effects of the two groups were assessed by speciallyassigned person. [Results] In the treatment group, the clinical cure rate was 51.1% and the total effective rate was 97.8%; in the control group, the clinical cure rate was 18.3% and the total effective rate was 78.3%. The total effective rate and clinical cure rate in treatment group was better than that in control group. The comparison of treatment process and the curative effect of those cured patients indicated that the total curative rate in treatment group in one period of treatment or two were higher than those in the control group, indicating that medicine-separated moxibustion companied with plum needle stab could significantly shorten the treatment process of patients with nerve root type cervical spondylosis. The curative effect of treatment group was better than control group and the difference between these two groups had a statistical significance（P〈0.05）. [Conclusion] The effect of medicine-separated moxibustion with plum-blossom needle on nerve root type cervical spondylosis is distinct and it is worth clinical application.