电针配合透灸法治疗风寒闭阻型神经根型颈椎病的疗效观察

Clinical research of electro acupuncture combined with moxibustion treating cervical spondylosis of nerve root type diagnosed with wind-cold resistance impassability

目的探讨电针配合透灸法治疗风寒闭阻型神经根型颈椎病的临床效果。方法选择2014年1月至2015年12月我科收治的120例风寒闭阻型神经根型颈椎病患者,根据随机数字表法分为观察组与对照组,每组60例。观察组患者给予电针配合透灸法进行治疗,对照组患者给予常规针刺方法治疗,两组均每天治疗1次,10 d为1个疗程,疗程间休息2~3 d,共进行2个疗程。观察两组患者治疗后的临床效果及治疗前后的临床症状评分。结果观察组的总有效率为98.3%,对照组的总有效率为88.3%,与对照组相比,观察组明显高于对照组(P<0.05);观察组治疗前临床症状积分为(7.2±1.6)分,治疗后为(18.5±2.1)分;对照组治疗前临床症状积分为(6.9±1.7)分,治疗后为(14.1±2.0)分。治疗前两组患者临床症状积分比较,差异无统计学意义(P>0.05);治疗后两组临床症状均明显升高,而治疗后观察组明显高于对照组(P<0.05)。结论电针配合透灸法治疗风寒闭阻型神经根型颈椎病效果显著,且可明显改善临床症状,值得临床推广应用。

Objective To investigate the clinical effect of electro acupuncture combined with moxibustion treating cervical spondylosis of nerve root type diagnosed with wind-cold resistance impassability. Methods One hundred and twenty cases of patients with cervical spondylosis of nerve root type diagnosed with wind-cold resistance impassability in our department from January 2014 to December 2015 were collected. According to the random number table method, the patients were averagely divided into observation group and control group, with 60 cases in each group. The observation group was treated by electro acupuncture combined with moxibustion treatment, the control group was treated with routine acupuncture method, two groups were both treated once a day, 10 days for a course, after one course the patients rest for 2 to 3 days, both of the patents were given a total of two courses, the clinical effect of the two groups of patients after treatment and the clinical symptoms score before and after the treatment were observed. Results The total effective rate of observation group was 98.3%, the total effective rate of the control group was 88.3%, the observation group was significantly higher than that of the control group （P〈0.05）; Before the treatment, the clinical symptom score of the observation group were （7.2±1.6）, after the treatment, the scores were （18.5±2.1）; before the treatment,the clinical symptom score of the observation group was （6.9 ±1.7）, after the treatment, the score was （14.1 ±2.0）. Before the treatment, the clinical symptoms points of two groups were not statistically significant （P〉0.05）; after the treatment,the clinical symptoms of two groups were significantly increased, while the observation group was significantly higher than that of control group （P〈0.05）. Conclusion The effect of electro acupuncture combined with moxibustion treating cervical spondylosis of nerve root type diagnosed with wind-cold resistance impassability is obvious, and it can significantly improve the clinical symptoms, which is worth of clinical application.