腕踝针配合浮针扫散法治疗神经根型颈椎病临床观察

Clinical Observation of Wrist-ankle Needling Combined with Fu's Subcutaneous Needling for Treatment of Nerve-root Type Cervical Spondylosis

目的：观察采用腕踝针配合浮针扫散法治疗神经根型颈椎病的疗效。方法：将60例神经根型颈椎病患者按照随机数字表法分为治疗组和对照组各30例。治疗组采用腕踝针结合浮针扫散法,腕踝针取上5、上6,留针时以进针点为支点,手握针柄,左右摇摆,使针尖作扇形运动2~3 min,每10 min扫散1次,留针30min,隔日1次,10次为1个疗程。对照组采用单纯腕踝针治疗,静留针,穴位、操作及疗程同前。采用简化的Mc Gill疼痛量表（SF-MPQ）评价治疗后患者症状改善情况和疗效。结果：治疗组SF-MPQ评分低于对照组,差异具有统计学意义（P〈0.05）;在疼痛症状方面,2组治疗前后比较差异有统计学意义（P〈0.05）。结论：腕踝针配合浮针扫散法能够改善神经根型颈椎病的疼痛症状,临床疗效优于单纯腕踝针法。

Objective：To observe the clinical curative effect of the wrist-ankle needling combined with Fu＇s subcutaneous needling for the treatment of nerve-root type cervical spondylosis. Methods：Sixty patients with cervical spondylosis of nerve root type were randomly divided into the treatment group and the control group,thirty cases in each group. The treatment group was treated by wrist-ankle needling combined with Fu＇s subcutaneous needling,while the control group adopted pure wrist-ankle needling treatment.Simplified Mc Gill pain scale（SF-MPQ） was used to evaluate symptoms improvement after treatment and curative effect. Results：Pain symptoms in two groups of patients were obviously improved and SF-MPQ scores in the treatment group were lower than the control group（P〈0.05）. Conclusion：The clinical curative effect of wrist-ankle needling combined with Fu＇s substaneous needling treatment is better than that of pure wrist-ankle needling treatment for patients with cervical spondylosis of nerve root type.