电针配合手法推拿治疗神经根型颈椎病98例分析

Analysis of clinical efficacy of acupuncture and Tuina therapy in the treatment of 98 cases with nerve root type cervical spondylosis

目的:观察分析电针配合推拿手法治疗神经根型颈椎病的临床疗效。方法:将神经型颈椎病分为根痛型、麻木型、失用型三个亚型,采用电针颈部夹脊穴配合手法推拿为主,根据不同亚型配取不同穴位,治疗神经型颈椎病98例,并观察其临床疗效。结果:治愈65例(根痛型30例、麻木型34例、失用型1例),显效25例(根痛型10例、麻木型13例、失用型2例),好转6例(根痛型1例、麻木型3例、失用型2例),无效2例(麻木型1例、失用型1例),总有效率为98.0%。结论:1电针配合手法推拿治疗神经型根颈椎病疗效显著;2根痛型(41.8%)、麻木型(52.0%)发病率高且疗效好,失用型(6.1%)发病率很低且疗效差。

Objectives: To observe and analyze clinical efficacy of acupuncture and Tuina therapy in the treatment of 98 cases withnerve root type cervical spondylosis. Methods: The disease is divided into the nerve root type cervical pain type, numbness type, apraxiatype three subtypes, neck Jiaji electro acupuncture and Tuina massage in accordance with different subtypes take different points, thetreatment of neurological type 98 cases with cervical spondylosis and clinical efficacy. Results: 65 cases were cured completely (root pain30 cases, numbness in 34 cases, apraxia type 1 cases), 25 cases showed markedly improvement (root pain in 10 cases, numbness in 13cases, apraxia type 2 cases), 6 cases showed a little improvement (1 case root pain, numbness in 3 cases, apraxia type 2 cases), while in 2cases there was no effect (1 case of numbness, apraxia 1 case); the total effective rate was 98.0%. Conclusion: 1. Acupuncture and Tuinatherapy has a significant effect in neuronal root cervical spondylosis treatment; 2. The efficacy was high and very effective in root pain typeand numbness type with efficacy 41.8% and 52.0%, respectively, while apraxia type showed low morbidity and poor efficacy (6.1%).