小针刀联合耳穴贴压治疗神经根型颈椎病中的应用效果

The Application of Acupotomy Combined with Auricular Point Compression in Treatment of Cervical Spondylotic Radiculopathy

目的:探讨小针刀联合耳穴贴压治疗神经根型颈椎病的临床疗效。方法:将100例神经根型颈椎病患者随机分为观察组和对照组各50例,观察组在激痛点或阿是穴行小针刀治疗(每周1次),术后给予耳穴贴压,对照组则采用常规电针、TDP照射治疗(每次30min,隔天1次),治疗1个月后观察两组临床疗效及生活质量改善情况。结果:观察组总有效率为96.00%,显著高于对照组的78.00%(P<0.05);观察组症状体征评分、VAS评分、WHOQOL评分改善程度均显著优于对照组(P<0.05)。结论:小针刀联合耳穴贴压治疗神经根型颈椎病疗效显著,能有效缓解患者的疼痛及相关症状体征,提高患者的生活质量。

Objective： To investigate the efficacy of acupotomy combined with auricular point compression for cervical spondylotic radiculopathy.Methods： 100 cases of patients with cervical spondylotic radiculopathy were randomly divided into observation group（50 cases） and control group（50 cases）, the observation group treated with acupotomy therapy at trigger points or Ashi points（1 time per week） and auricular point compression after the operation, while control group received conventional electro-acupuncture and TDP irradiation（30 min, qod）, observed the efficacy and improvement of life quality of the two groups after 1 month of treatment. Results： The overall response rate of observation group was 96.00%, which was significantly higher than 78.00% that of control group（P0.05）; the improvement of symptoms and signs score, VAS score and WHOQOL score of observation group were significantly better than those of control group（P0.05）. Conclusion： Acupotomy combined with auricular point compression has a significant curative effect on cervical spondylotic radiculopathy, which can effectively relieve patients＇ pain and related symptoms and signs and improve their quality of life.