“陆氏针灸”烧山火针刺手法治疗神经根型颈椎病疗效观察

Therapeutic Observation of LU's Heat-producing Needling(Shao Shan Huo) for Cervical Spondylotic Radiculopathy

目的评价"陆氏针灸"烧山火针刺手法治疗神经根型颈椎病的近期及远期疗效。方法将200例神经根型颈椎病患者随机分为治疗组和对照组,每组100例。治疗组采用烧山火针刺手法治疗,对照组采用常规平补平泻手法针刺治疗。两组均每日治疗1次,10次为1个疗程,治疗2个疗程后观察两组治疗前后疼痛分级指数(PRI)评分、现有疼痛强度(PPI)评分及视觉模拟评分量表(VAS)评分,比较两组临床疗效。结果两组治疗后及治疗后3个月VAS、PPI及PRI评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后及治疗后3个月VAS、PPI及PRI评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组治疗后3个月VAS、PPI及PRI评分与同组治疗后比较,差异均具有统计学意义(P<0.01)。治疗组总有效率为98.0%,对照组为79.0%,两组比较差异有统计学意义(P<0.01)。结论 "陆氏针灸"烧山火针刺手法是一种治疗神经根型颈椎病的有效方法,能明显改善患者疼痛程度及临床症状和体征。

Objective To evaluate the short-term and long-term therapeutic efficacies of LU＇s heat-producing needling （Shao Shan Huo） in treating cervical spondylotic radiculopathy （CSR）. Method Two hundred patients with CSR were randomized into a treatment group and a control group, 100 in each group. The treatment group was intervened by using heat-producing needling method, while the control group was by regular acupuncture technique with even reinforcing-reducing manipulations. For both groups, the treatment was given once a day, 10 sessions as a treatment course. The Pain Rating Index （PRI）, Present Pain Intensity （PPI）, and Visual Analogue Scale （VAS） were adopted for observation before intervention and after two treatment courses. The clinical efficacies were compared between the two groups. Result Right after the intervention and in the 3-month follow-up, the VAS, PPI, and PRI scores were significantly different from that before intervention in both groups （P〈0.01）. There were significant differences in comparing the VAS, PPI, and PRI scores between the two groups after intervention and in the 3-month follow-up （P〈0.01）. The VAS, PPI, and PRI scores in the treatment group right after intervention were markedly different from that in the 3-month follow-up （P〈0.01）. The total effective rate was 98.0% in the treatment group versus 79.0% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion LU＇s heat-producing needling is an effective way in treating CSR, as it can significantly reduce pain intensity, and improve other symptoms and body signs.