针刺结合苗医弩药液实按灸治疗颈型颈椎病临床观察

Clinical Observation of Acupuncture Combined with Press Moxibustion with Miao Medicine Crossbow Liquid in Treating Neck Type Cerivical Spondylopathy

目的 观察针刺组、弩药液实按灸组(艾灸组)、针刺联合弩药液实按灸组(联合组)3组治疗颈型颈椎病(NTCS)的临床疗效,评价3种干预方法治疗该病的疗效及优势,证实联合组是否有优势疗效,针刺组、艾灸组是否有同等疗效。方法 90例受试者随机平分为针刺组、艾灸组、联合组。取相同穴位隔日治疗1次,共12次;观察治疗前后麦吉尔疼痛量表(MPQ)、颈痛量表(NPQ)的评分变化。结果 3组疗法治疗前后MPQ、NPQ评分差异均有显著统计学意义(P<0.001)。3组治疗后MPQ、NPQ差异均有显著统计学意义(P<0.001);联合组明显优于针刺组、艾灸组(P<0.001);针刺组、艾灸组差异无统计学意义(P>0.05)。结论 3组治疗NTCS均有肯定疗效,联合组疗效优于针刺组、艾灸组;针刺组、艾灸组治疗NTCS在改善MPQ、NPQ评分方面疗效相当。

Objective To observe the clinical effect of acupuncture group, press moxibustion with Miao medicine crossbow liquid(moxibustion group), acupuncture combined with press moxibustion with Miao medicine crossbow liquid(joint group) in the treatment of neck type cerivical spondylopathy(NTCS), to evaluate the efficacy and advantages of the three intervention methods in the treatment of NTCS, and to confirm whether joint group has superior efficacy in the treatment of NTCS and whether moxibustion has the same efficacy as acupuncture. Methods 90 subjects who met the diagnostic criteria of this test and were included in the criteria were randomly divided into acupuncture group, moxibustion group and joint group. In the third group, the same acupoints were used for treatment once every 1 day for a total of 12 times. Changes of the MPQ, NPQ of the three groups were observed. Results Comparing the scores of MPQ, NPQ among the three groups before and after treatment, there was significant statistical significance(P < 0.001). Comparison among groups after treatment, the MPQ, NPQ among the three groups have extremely demonstrable statistical significance(P<0.001).The joint group was significantly better than acupuncture group and moxibustion group, and the difference was statistically significant(P < 0.001). There was no distinct difference in MPQ, NPQ between acupuncture group and moxibustion group(P>0.05). Conclusion The research results showed that three groups have positive effects on cervical spondylosis. The joint group is superior to acupuncture group and moxibustion group in the curative effect of NTCS. acupuncture group and moxibustion group have the same efficacy in improving MPQ and NPQ score.