摘要
目的:对比脊柱调衡合气街干预与常规针刺推拿治疗各型颈椎病临床疗效差异。方法:将274例颈椎病患者随机分为脊柱调衡组和常规针刺组,每组137例。脊柱调衡组取头、腹气街部穴位(头气街:百会、天柱、完骨等;腹气街:肾俞、关元、中极等),行双手同刺法,配合脊柱调衡治疗;常规针刺组穴取C3～C7夹脊穴、风池、完骨、百会、大椎等,采用常规针刺法和常规推拿治疗。治疗前后采用颈痛量表(NPQ)综合评定两组的临床疗效。结果:两组治疗后NPQ评分均显著改善(均P<0.05),且脊柱调衡组优于常规针刺组(P<0.05);脊柱调衡组愈显率为83.2%(114/137),优于常规针刺组的69.3%(95/137,P<0.05);脊柱调衡组治疗颈椎病各型疗效从高到低依次为颈型、神经根型、椎动脉型、交感神经型、脊髓型。结论:脊柱调衡合气街干预法治疗各型颈椎病疗效优于常规针刺推拿治疗,能明显改善症状,提高患者生活质量。
Objective To compare the difference in the efficacy of cervical spondylosis between the combined therapy of spinal balancing and the intervention of pathway of qi and the conventional acupuncture and massage therapy. Methods Two hundred and seventy-four cases of cervical spondylosis were randomized into a spinal ba- lancing group and a conventional acupuncture group, 137 cases in each one. In the spinal balancing group, the points on the pathway of qi on the head and on the abdomen were selected [the pathway of qi on the head ： Baihui （GV 20）, Tianzhu （BL 10）, Wangu （GB 12） and the othersl the pathway of qi on the abdomen.. Shenshu （BL 23）, Guanyuan （CV 4）, Zhongji （CV 3） and the others]. The bimanual needling technique was applied in combination with spinal balancing therapy. In the conventional acupuncture group, the points were Jiaji （EX-B 2） （C3 C7） , Fengchi （GB 20）, Wangu （GB 12）, Baihui （GV 20）, etc. The conventional acupuncture technique and massage therapy were adopted. The neck pain questionnaire （NPQ） was adopted to assess the clinica] efficacy of the two groups before and after treatment. Resnlts NPQ score was all improved significantly after treatment in the two groups （all P〈0. 05）. The result in the spinal balancing group was superior to the conventional acupunc- ture group （P〈0.05）. The curative and effective rate was 83.2% （114/137） in the spinal balancing group, which was better than 69.3 % （95/137） in the conventional acupuncture group （P〈0. 05）. In terms of the types of cervi- cal spondylosis, from high to low, the efficacy sequence was cervical type, nerve root type, vertebral artery type, sympathetic nerve type and spinal cord type. Conclusion The combined therapy of spinal balancing and the inter- vention of pathway of qi achieves the superior efficacy on various types of cervical spondylosis as compared with the conventional acupuncture and massage therapy. It apparently relieves the symptoms and improves the life quality of the patients.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第7期582-586,共5页
Chinese Acupuncture & Moxibustion
基金
高等学校博士学科点专项科研基金项目:20101210110005
铜仁市科研计划项目:2010018
关键词
颈椎病
针灸疗法
脊柱
气街
推拿
随机对照试验
cervical spondylosis
acup-mox therapy
pathway of qi
massage
randomized controlled trial （RCT）
