项排针治疗神经根型颈椎病75例疗效观察

Clinical observation on the efficacy of parallel-acupuncture treatment of 75 cases of nerve root type cervical spondylosis

目的 :观察项排针治疗神经根型颈椎病的临床疗效。方法 :收集2016年1月—2017年5月收治的神经根型颈椎病患者150例,分为治疗组和对照组各75例。治疗组采用项排针治疗,对照组采用常规针刺治疗,12 d为1个疗程,2个疗程后观察评价两组临床疗效。结果 :治疗组总有效率为94.7%(4/75),对照组为88.0%(9/75),组间差异有统计学意义(P<0.05)。治疗前治疗组和对照组的颈椎病评估总积分分别为(44.81±7.95)分和(42.62±5.38)分,组间差异无统计学意义(P>0.05),治疗后分别为(23.81±5.12)分和(30.19±2.76)分,均比治疗前改善(P<0.05),且治疗组优于对照组(P<0.05)。两组颈肩部疼痛与不适、上肢/手指疼痛与麻木、椎间孔挤压试验、臂丛神经牵拉试验积分差异均有统计学意义(P<0.05),治疗组优于对照组。结论 :项排针治疗能有效改善神经根型颈椎病患者的症状,具有较好的临床疗效。

Objective:To observe the clinical effect of parallel-acupuncture on nerve root type cervical spondylosis.Methods:From January2016to May2017150cases of cervical spondylosis of the nerve root type were collected and divided into a treatment group and a control group with75cases each.The treatment group was treated by parallel-acupuncture,and the control group with routine acupuncture therapy,and12days were a course of treatment.After2courses of treatment,the clinical efficacy of the two groups was observed and evaluated.Results:The total effective rate of the treatment group was94.7%(4/75),that of the control group was88%(9/75),and the difference between the groups was statistically significant(P<0.05).Before treatment,the total scores of cervical spondylosis in the treatment group and the control group were(44.81±7.95)and(42.62±5.38),respectively,and there was no significant difference between the two groups(P>0.05).After treatment,the scores were(23.81±5.12)and(30.19±2.76),respectively,which were all better than those before treatment(P<0.05),and the treatment group was better than the control group(P<0.05).The differences of neck shoulder pain and discomfort,upper limb/finger pain and numbness,intervertebral foramen extrusion test,and brachial plexus traction test score of the two groups were statistically significant(P<0.05),and the treatment group was better than the control group.Conclusion:Parallel-acupuncture treatment can effectively improve the symptoms of patients with nerve root type cervical spondylosis,and has good clinical effect.