摘要
目的探讨药物铺灸联合针刺疗法治疗神经根型颈椎病的临床疗效。方法选取2019年3月至2020年9月沈阳市中医院就诊的90例神经根型颈椎病患者作为研究对象,根据随机数字表分为观察组和对照组,每组各45例。对照组采用常规针刺治疗,观察组采用常规针刺治疗联合药物铺灸疗法,2周为1个疗程,治疗1个疗程后比较两组患者治疗前后视觉模拟量表VAS评分及颈椎功能障碍指数量表(NDI)评分的变化,比较两组临床疗效。结果治疗后,观察组总有效率为95.56%,对照组为82.22%,两组比较,差异有统计学意义(P<0.05);观察组治疗前VAS评分为(6.35±1.27)分,对照组为(6.23±1.14)分,两组比较,差异无统计学意义(P>0.05)。观察组患者治疗后VAS评分为(1.42±0.12)分,对照组为(2.38±0.54)分,与治疗前比较评分明显下降,差异有统计学意义(P<0.001)。且治疗后,观察组VAS评分显著低于对照组,差异有统计学意义(P<0.001)。观察组治疗前NDI评分为(36.24±4.22)分,对照组为(35.56±4.37)分,两组比较,差异无统计学意义(P>0.05)。观察组患者治疗后NDI评分为(15.60±1.58)分、对照组为(19.35±2.41)分,与治疗前比较评分明显下降,差异有统计学意义(P<0.001)。且治疗后,观察组VAS评分显著低于对照组,差异有统计学意义(P<0.001)。结论药物铺灸联合针刺可明显改善神经根型颈椎病患者的临床症状,临床疗效确切。
Objective To explore the clinical efficacy of drug long-snake moxibustion combined with acupuncture in the treatment of cervical spondylotic radiculopathy.Methods Ninety patients with cervical spondylotic radiculopathy admitted to Shenyang Hospital of Traditional Chinese Medicine from March 2019 to September 2020 were selected as the research objects.According to the random number table,they were divided into 45 cases in the observation group and 45 cases in the control group.The control group underwent conventional acupuncture treatment.The observation group was treated with drug long-snake moxibustion based on the control group.Two weeks was a course of treatment.After one course of treatment,the changes of the visual analog scale(VAS)scores and cervical spine dysfunction index(NDI)scores between the two groups were compared before and after treatment.The clinical efficacy of the two groups was compared.Results After treatment,the total effective rate of the observation group was 95.56%,and the total effective rate of the control group was 82.22%.The difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference in the VAS scores between the observation group(6.35±1.27)points and the control group(6.23±1.14)points before treatment(P>0.05).After treatment,the VAS scores were(1.42±0.12)points in the observation group and(2.38±0.54)points in the control group,and the scores were significantly lower than before treatment,and the difference was statistically significant(P<0.001).The VAS scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.001).There was no statistically significant difference in the NDI scores between the observation group(36.24±4.22)points and the control group(35.56±4.37)points before treatment(P>0.05).The NDI scores of the observation group(15.60±1.58)points and the control group(19.35±2.41)points after treatment were significantly lower than before treatment,and the difference was statistically significant(P<0.001).After treatment,the VAS scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.001).Conclusion Drug long-snake moxibustion combined with acupuncture can significantly improve the clinical symptoms of patients with cervical spondylotic radiculopathy,and has a definite clinical effect.
作者
色佳鸿
SE Jiahong(Department of Acupuncture Clinic,Shenyang Hospital of Traditional Chinese Medicine,Shenyang110003,China)
出处
《中国现代医生》
2022年第7期146-149,共4页
China Modern Doctor
关键词
艾灸
针刺
神经根型颈椎病
颈椎功能障碍指数量表
Moxibustion
Acupuncture
Cervical spondylotic radiculopathy
Cervical spine dysfunction index scale
