痧点重灸治疗寒凝血瘀型颈型颈椎病疗效观察

Therapeutic Observation of Heavy-dose Moxibustion at Sha-petechiae for Neck-type Cervical Spondylosis Due to Cold Coagulation and Blood Stagnation

目的观察痧点重灸与常规悬灸法治疗寒凝血瘀型颈型颈椎病的疗效差异。方法将113例寒凝血瘀型颈型颈椎病患者随机分为治疗组58例和对照组55例。治疗组采取刮痧后痧点重灸治疗,对照组采取常规艾灸治疗。采用陆氏评分量表对颈部症状体征进行评分,观察两组治疗后及治疗后半年的症状改善情况及临床疗效。结果两组治疗后及治疗后半年VAS评分及陆氏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半年VAS评分及陆氏评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组总有效率和愈显率分别为94.8%和77.6%,对照组分别为76.4%和52.7%,两组比较差异均具有统计学意义(P<0.01)。结论痧点重灸是一种治疗寒凝血瘀型颈型颈椎病的有效方法,其近期和远期效果均优于常规艾灸治疗。

Objective To observe the efficacy difference between heavy-dose moxibustion at Sha-petechiae and ordinary suspended moxibustion in treating neck-type cervical spondylosis due to cold coagulation and blood stagnation. Method A total of 113 patients with neck-type cervical spondylosis due to cold coagulation and blood stagnation were randomized into a treatment group of 58 cases and a control group of 55 cases. The treatment group was intervened by heavy-dose moxibustion at Sha-petechiae after scraping therapy; the control group was treated with conventional moxibustion therapy. The cervical symptoms and signs were evaluated by using LU’s scale scores. The improvement in symptoms and clinical efficacy were observed after the intervention and half a year later. Result The Visual Analogue Scale （VAS） and LU’s scale scores were significantly changed after the intervention and half a year later compared with those before the intervention in both groups （P〈0.01）. After the intervention and half a year later, there were significant differences in comparing the VAS and LU’s scale scores between the two groups （P〈0.01）. The total effective rate and markedly effective rate were respectively 94.8% and 77.6% in the treatment group versus 76.4% and 52.7% in the control group, and the between-group differences were statistically significant （P〈0.01）. Conclusion Heavy-dose moxibustion at Sha-petechiae is an effective approach in treating neck-type cervical spondylosis due to cold coagulation and blood stagnation, and its short-term and long-term efficacies are both superior to those of ordinary moxibustion.