益肾通络针法治疗肝肾亏虚型神经根型颈椎病

Clinical efficacy of Yishentongluo acupuncture method in the treatment of cervical spondylotic radiculopathy of liver-kidney deficiency type

目的观察益肾通络针法治疗肝肾亏虚型神经根型颈椎病的临床疗效。方法选择肝肾亏虚型神经根型颈椎病患者100例,随机数表法分为治疗组与对照组,各50例。对照组予常规针刺颈夹脊穴、阿是穴、天柱、后溪、申脉、悬钟、肾俞,治疗组予益肾通络针法,针刺夹脊穴、阿是穴、合谷、后溪、关元治疗。比较2组治疗前后临床疗效、中医证候积分、视觉模拟评分(VAS)、田中靖久颈椎病症状量表评分,比较2组不良反应发生情况。结果治疗2周后,治疗组临床疗效总有效率(88.00%,44/50)显著高于对照组(82.00%,41/50)(P<0.05);2组中医证候评分较治疗前下降,治疗组低于对照组(P<0.05);治疗后,2组颈项部痛感、患肢放射痛及麻木感症状评分较治疗前降低,且治疗组VAS评分低于对照组(P<0.05);2组治疗后,田中靖久颈椎病症状量表评分均较治疗前下降,且治疗组低于对照组(P<0.05);结论益肾通络针法治疗肝肾亏虚型神经根型颈椎病疗效肯定,可有效缓解颈项部疼痛、上肢放射痛及麻木、头晕头痛、耳聋耳鸣、失眠多梦等症状,值得临床推广。

Objective To observe the clinical efficacy of Yishentongluo acupuncture method in the treatment of cervical spondylotic radiculopathy of liver-kidney deficiency type.Methods A total of 100 patients with cervical spondylotic radiculopathy of liverkidney deficiency type were selected and divided into the treatment group and the control group according to random number table method,with 50 cases in each group.The control group was treated with conventional acupuncture at neck-Jiaji point(EXB2),Ashi point,Tianzhu point(BL10),Houxi point(SI3),Shenmai point(BL62),Xuanzhong point(GB39),and Shenshu point(BL23),and the treatment group was treated with Yishentongluo acupuncture at Jiaji point,Ashi point,Hegu point(LI4),Houxi point(SI3),and Guanyuan point(RN4).The clinical efficacy in both groups was compared.Traditional Chinese medicine(TCM)syndrome score,Visual Analogue Scale(VAS)score,and Tanaka Yasushi Cervical Spondylitis Symptom Scale 20 Score of two groups before and after treatment were compared.The occurrence of adverse reactions between two groups was compared.Results After 2 weeks of treatment,the total clinical effective rate of the treatment group(88.00%,44/50)was significantly higher than that of the control group(82.00%,41/50)(P<0.05).After 2 weeks of treatment,compared with before treatment,the scores of TCM syndrome in two groups decreased,and the treatment group was lower than the control group(P<0.05).After treatment,compared with before treatment,the symptom scores of neck pain,and radiating pain and numbness of the affected limb in both groups decreased,and the VAS score in the treatment group was lower than that in the control group(P<0.05).After treatment,compared with before treatment,Tanaka Yasushi Cervical Spondylitis Symptom Scale 20 Score in both groups decreased,and the treatment group was lower than the control group(P<0.05).Conclusion Yishentongluo acupuncture method has the definite therapeutic effect on cervical spondylotic radiculopathy of liver-kidney deficiency type.It can effectively alleviate symptoms such as neck pain,radiating pain and numbness in the upper limbs,dizziness and headache,hearing loss,tinnitus,and insomnia and dreams.This therapy is worthy of clinical promotion.