温针灸联合牵引治疗神经根型颈椎病(寒湿痹阻证)临床观察

Clinical Observation of Warm Acupuncture Combined with Traction in Treating Cervical Spondylotic Ra⁃diculopathy with Cold-dampness Blockage

目的观察温针灸联合牵引治疗神经根型颈椎病(寒湿痹阻证)的临床疗效。方法将104例患者随机分为联合组与对照组各52例,对照组患者接受牵引治疗,联合组给予温针灸联合牵引治疗,连续治疗2周后比较两组临床疗效、中医证候积分、颈椎功能、疼痛情况、生活质量以及治疗安全性。结果联合组总有效率为94.23%,高于对照组的78.85%(P<0.05);治疗后两组患者中医证候积分、颈部残障指数(NDI)评分、视觉模拟量表(VAS)评分较治疗前降低(P<0.05),且联合组低于对照组(P<0.05);治疗后两组患者颈椎病临床评价量表(CASCS)评分、SF-36评分较治疗前显著升高(P<0.05),且联合组显著高于对照组(P<0.05)。两组患者不良反应发生率差异无统计学意义(P>0.05)。结论温针灸联合牵引治疗神经根型颈椎病可进一步缓解症状,改善颈椎功能,提升生活质量,且安全性良好。

Objective:To investigate the clinical efficacy of warm acupuncture combined with traction in treat⁃ing cervical spondylotic radiculopathy.Methods:A total of 104 cases were randomly divided into the combined group(52 cases)and the control group(52 cases).The control group received traction treatment,and the combined group was treated with warm acupuncture treatment combined with traction.After two weeks of continuous treat⁃ment,the clinical efficacy,TCM syndrome score,cervical spine function,pain,life quality and treatment safety were compared between the two groups.Results:The total effective rate of the combined group(94.23%)was sig⁃nificantly higher than that of the control group(78.85%)(P<0.05).After treatment,TCM syndrome scores,NDI score and VAS score of the two groups were lower(P<0.05),and the combination group was lower than the con⁃trol group(P<0.05).The CASCA score and the SF-36 score after treatment of two groups were higher than those before treatment.These scores in the treatment group were higher than those in the control group.There was no statistically significant difference in the incidenice of adverse reactions between the two group(P>0.05).Conclu⁃sion:Warm acupuncture combined with traction can further relieve symptoms,improve the function of cervical ver⁃tebra,and improve the quality of life with good safety.