摘要
Objective To observe the clinical efficacy of acupuncture plus warming-needle moxibustion for the treatment of cervical spondylotic radiculopathy.Methods Sixty patients with cervical spondylotic radiculopathy were randomly divided into a warming-needle moxibustion group（group A）and an acupuncture group（group B）according to random number table,with thirty cases in each group.For the patients in the group A,Fengchi（风池 GB 20）,Jingjiaji（Jiaji points on the neck）,Dazhui（大椎 GV 14）,Dazhu（大杼 BL 11）,Jugu（巨骨 LI 16）,Tianzong（天宗 SI 11）,Tianliao（天髎 TE 15）,Jianjing（肩井 GB 21） and Hegu（合谷 LI 4） were selected for warming-needle moxibustion.In the group B,Jianliao（肩髎 TE 14）,Jianyu（肩髃 LI 15）,Quchi（曲池 LI 11）,Tianjing（天井 TE 10）,Yangchi（阳池 TE 4）,and Waiguan（外关 TE 5） were selected for acupuncture.Both groups were treated once a day and ten times constituted a course of treatment.Results Compared with the group B,significant differences were observed in the group A after a course of treatment in terms of 20-score scoring for symptoms of cervical spondylotic radiculopathy,VAS scoring and clinical efficacy[16.63±2.31 vs 15.67±2.48,2.36±1.59 vs 3.98±2.32,100%（30/30） vs 86.7%,all P〈0.05].Conclusion Acupuncture plus warming-needle moxibustion can significantly reduce neck pain and improve neck function of patients with cervical spondylotic radiculopathy,which is worthy of clinical application due to its simple manipulation.
目的:观察针刺加温针灸治疗神经根型颈椎病的临床疗效。方法:将60例神经根型颈椎病患者根据随机数字表法分为两组。温针灸组30例,选用风池、颈夹脊穴、大椎、大杼、巨骨、天宗、天髎、肩井、合谷,并结合艾灸治疗。针刺组30例,采用传统针刺法治疗,主要选用肩髎、肩髃、曲池、天井、阳池、外关。两组均每日治疗1次,10次为一疗程。结果:温针灸组治疗1个疗程后在神经根型颈椎病20分法评分、VAS评分、疗效等方面与针刺组相比,差异有统计学意义(16.63±2.31 vs 15.67±2.48,2.36±1.59 vs 3.98±2.32,100.0%vs 86.7%(26/30),P<0.05)。结论:针刺加温针法能够明显改善神经根型颈椎病患者的颈部疼痛和颈部功能,操作简易,值得临床应用。
