摘要
目的:观察电针配合穴位注射腺苷钴胺改善神经根型颈椎病患者颈椎病临床评价量表评分(CASCA评分)及肘关节肌力的临床疗效。方法:选取2018年1月至2019年3月北京中医药大学第三附属医院收治的神经根型颈椎病患者70例作为研究对象,按照就诊的先后顺序随机分为观察组和对照组,每组35例。其中观察组采用穴位注射腺苷钴胺联合电针治疗,对照组采用电针治疗。对比治疗前后2组VAS评分,CASCA评分及上肢肘关节周围肌力变化,并进行统计学分析。结果:观察组总有效率为94.3%,对照组总有效率为80.0%,差异有统计学意义(P<0.05)。结论:2种治疗方法对本病患者的临床表现如疼痛、颈椎功能及上肢肌力等方面均有不同程度的改善,但穴位注射联合电针观察组疗效明显优于单纯电针观察组。
Objective:To observe the clinical effects of electroacupuncture combined with acupoint injection of adenosine cobalamin in improving CASCA score and elbow joint muscle strength of patients with cervical spondylotic radiculopathy.Methods:A total of 70 patients with cervical spondylotic radiculopathy admitted to Beijing University of Chinese Medicine,Third Affiliated Hospital from January 2018 to March 2019 were randomly divided into an observation group and a control group,with 35 patients in each group according to order of treatment.The observation group was treated with electroacupuncture combined with acupoint injection of adenosine cobalamin,while the control group was treated with electroacupuncture.VAS score,CASCA score and muscle strength changes around the upper elbow joint of the 2 groups were compared before and after treatment,and statistical analysis was performed.Results:The total effective rate was 94.3%in the observation group and 80.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The 2 treatment methods have different degrees of improvement in pain,cervical vertebra function and upper limb muscle strength of patients etc.,however,the curative effects of acupoint injection combined with electroacupuncture group is better than that of only electroacupuncture group.
作者
殷岳杉
赵吉平
阮安民
徐凡平
YIN Yueshan;ZHAO Jiping;RUAN Anmin;XU Fanping(Beijing University of Chinese Medicine,Third Affiliated Hospital,Beijing 100029,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 1000072,China;Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Hospital of Traditional Chinese Medicine,Beijing 100010,China)
出处
《世界中医药》
CAS
2020年第6期915-919,共5页
World Chinese Medicine
基金
中医药管理局中医药行业科研专项(201407001)。
关键词
颈椎病
电针治疗
穴位注射
肌力检查
颈椎间盘
椎间孔
CASCA评分
疗效观察
Cervical spondylosis
Electroacupuncture treatment
Acuoint injection
Muscle strength test
Cervical disc
Intervertebral foramen
CASCA score
Clinical observation
