温灸刮痧疗法治疗颈型颈椎病临床研究

Clinical Study on Warm Moxibustion and Scrapping Therapy for Cervical Spondylosis of the Neck Type

目的:观察温灸刮痧疗法治疗颈型颈椎病的临床疗效。方法:将90例颈型颈椎病患者按随机数字表法分成观察组、对照1组和对照2组,每组30例。观察组给予温灸刮痧疗法治疗,对照1组采用艾灸疗法治疗,对照2组采用刮痧疗法治疗。3组治疗前后均采用Northwick Park颈痛量表(NPQ)和McGill疼痛问卷(MPQ)评价颈痛程度,比较3组疗效,记录不良反应发生情况。结果:治疗1个疗程、2个疗程后,观察组NPQ评分均低于对照1组和对照2组,差异有统计学意义(P<0.05)。治疗前及治疗1个疗程后,观察组与对照1组、对照2组MPQ评分比较,差异均无统计学意义(P>0.05)。观察组治疗2个疗程后MPQ评分低于对照1组、对照2组,差异均有统计学意义(P<0.01)。治疗后,观察组总有效率优于对照1组和对照2组,差异均有统计学意义(P<0.05)。3组均未出现明显不良反应。结论:温灸刮痧疗法可以减轻颈型颈椎病患者的颈部疼痛,治疗效果优于艾灸疗法和刮痧疗法。

Objective:To observe the clinical effect of warm moxibustion and scraping therapy for cervical spondylosis of the neck type. Methods:Divided 90 cases of patients with cervical spondylosis of the neck type into the observation group,the control group 1 and the control group 2 randomly,with 30 cases in each group. The observation group was treated with warm moxibustion and scrapping therapy,the control group 1 was treated with moxibustion therapy and the control group 2 was treated with scraping therapy. Evaluated the degree of neck pain in the three groups before and after treatment by Northwick Park neck pain scale(NPQ) and McGill pain questionnaire(MPQ),compared the curative effect in the three groups and recorded the occurrence of adverse reactions. Results:After 1 course of treatment and 2 courses of treatment,NPQ scores in the observation group were lower than those in the control group 1 and the control group 2, differences being significant(P < 0.05). Before treatment and after 1 course of treatment,there were no significant differences being found in the comparison of MPQ scores in the observation group,the control group 1 and the control group 2(P > 0.05). MPQ scores in the observation group after 2 courses of treatment were lower than those in the control group 1 and the control group 2,differences being significant(P < 0.01). After treatment,the total effective rate in the observation group was better than that in the control group 1 and the control group 2, differences being significant(P < 0.05). There were no obvious adverse reactions being found in all the three groups. Conclusion: The application of warm moxibustion and scraping therapy can relieve the neck pain of patients with cervical spondylosis of the neck type and it has better curative effect than that of moxibustion therapy and scraping therapy.