针灸配合颈椎牵引治疗神经根型颈椎病的临床效果

Clinical effect of acupuncture combined with cervical traction in the treatment of nerve root type cervical spondylosis

目的分析针灸配合颈椎牵引治疗神经根型颈椎病﹙CSR﹚的临床效果。方法选择2016年1月至2017年10月我院收治的CSR患者81例,采用随机数字表法分为对照组(n=40)和观察组(n=41)。对照组采用颈椎牵引治疗,观察组采取针灸联合颈椎牵引治疗。比较两组的临床治疗效果,治疗前、后的疼痛情况及复发情况。结果观察组治疗总有效率为90.24%,明显高于对照组的70.00%,差异具有统计学意义(P<0.05)。治疗前,两组患者的NRS评分比较,差异无统计学意义(P>0.05);治疗后,两组NRS评分明显降低,且观察组明显低于对照组,差异具有统计学意义(P<0.05);观察组复发率明显低于对照组,差异具有统计学意义(P<0.05)。结论针对CSR,采用针灸配合颈椎前牵引治疗可有效改善临床症状,降低疼痛感,治疗过程安全、有效,值得临床推广。

Objective To analyze the clinical effect of acupuncture combined with cervical traction in the treatment of cervical spondylotic radiculopathy（CSR）. Methods Eighty-one patients with CSR admitted in our hospital from January2016 to October 2017 were selected and randomly divided into control group（n =40） and observation group（n =41）according to random digital table method. The control group was given cervical traction, and the observation group was treated with acupuncture combined with cervical traction. The clinical treatment effects, pain before and after treatment,reccurence rates of the two groups were compared. Results The total effective rate of the observation group was 90.24%,which was higher than 70.00% of the control group, the difference was statistically significant（P〈0.05）. Before treatment,there was no significant difference in NRS scores between the two groups（P〉0.05）. After treatment, the NRS scores of the two groups decreased, and the NRS score in the observation group was lower than that of the control group（P〈0.05）. The reccurence rate of the observation group was lower than that of the control group（P 〈0.05）. Conclusion Acupuncture combined with cervical traction in the treatment of CSR can effectively improve the clinical symptoms and reduce pain.The treatment process is safe and effective, which is worthy of clinical promotion.