调脊通督针法治疗神经根型颈椎病临床研究

Clinical Study on Tiaoji Tongdu Acupuncture Therapy in Treatment of Nerve-root Type Cervical Disease

目的:观察调脊通督针法治疗神经根型颈椎病的临床疗效。方法:将216例患者随机分成两组,观察组采用调脊通督针法治疗,对照组采用常规针刺法治疗,观察两组临床疗效,并采用简化Mc Gill疼痛评分(short-form Mc Gill pain questionnaire,SF-MPQ)量表系统评定两组患者治疗前后疼痛分级指数(pain rating index,PRI)、视觉模拟评分法(visual analogue scale,VAS)评分、现有疼痛强度(present pain intensity,PPI)。结果:观察组临床疗效显著优于对照组(P<0.05)。两组患者VAS及PRI评分与治疗前比较,有显著性差异(P<0.05),且观察组改善更显著(P<0.05)。观察组患者PPI评分较对照组有显著性差异(P<0.05)。结论:调脊通督针法取穴简便,能更好地改善神经根型颈椎病患者疼痛症状,疗效确切。

Objective：To examine the clinical efficacy of Tiaoji Tongdu acupuncture therapy in treatment of Nerve-root Type Cervical Disease. Method：Two hundred and sixteen cases of patients were randomly divided into observation Group and control group, with 108 cases in each group. The observation Group was treated with Tiaoji Tongdu acupuncture therapy and the control group was treated with routine acupuncture method. The Clinical efficacy of each group was observed. The pain rating index （PRI） and visual analogue scale （VAS） scores of the two groups before and after treatment and the present pain intensity （PPI） were evaluated by the simplified McGill pain scale （SF-MPQ）. Results：The clinical efficacy of the observation group was significantly better than that of the control group （P 〈 0.05 ）. There was significant difference （ P 〈 0.05 ） in the VAS and PRI scores between the two groups before treatment and the improvement was more significant in the observation group （P 〈 0.05 ）. The PPI score of the observation group was significantly different from that of the control group （P 〈 0.05）. Conclusion ：Tiaoji Tongdu acupuncture therapy is simple and convenient to relieve the pain symptom of patients with cervical spondylotic with better clinical efficacy.