针刺调补脾肾治疗神经根型颈椎病临床观察.pdf

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1、上海针灸杂志2014年6月第33卷第6期·57l·文章编号：1005-0957(2014)06—0571—03·临床研究·针刺调补脾肾治疗神经根型颈椎病临床观察卢淑洪，陈颖琰，柯斌霞(厦门市第二医院，厦门361026)【摘要】目的观察运用针刺凋补脾肾治疗神经根型颈椎病的疗效。方法将6O例神经根型颈椎病患者按就诊先后顺序，采用随机数字表法分为治疗组(腹部取穴组)和对照组(常规取穴组)，分别于1个疗程和3个疗程后观察两组的症状体征积分、疼痛评分及临床疗效。结果两组治疗前后疼痛评分差异均有统计学意义(P

2、床症状体征积分、疼痛评分及疗效比较差异无统计学意义(P>O．05)。结论针刺调补脾肾治疗神经根型颈椎病在止痛方面较常规取穴治疗起效更快。【关键词】颈椎病：针刺：调补脾肾：McGil1疼痛问询量表：20分法量表【中图分类号】R246．2【文献标志码】ADOI：10．13460／j．issn．1005—0957．2014．06．0571ClinicalObservationsonAcupunctureTreatmentofCervicalSpondyloticRadicul0pathybySplenorenalRegulationandTonificationLUShu—hong，CHENHn

3、g-yan，KEBin-xia．XiamenSecondHospital~iamen361026，ChinaIAbstractl0hiectiveToinvestigatetheeficacyofacupunctureregulationandtonificationofthespleenandkidneyintreatingcervicalspondyloticradiculopathy．MethodSixtypatientswithcervicalspondyloticradiculopathywererandomlyallocated，inorderofvisitsandusinga

4、randomnumbertable，toatreatmentgroup(abdominalpointselection)andacontrolgroup(routinepointselection)．Thesymptomsandsigns，andthepainwerescoredandtheclinicaltherapeuticefectswereevaluatedinthetwogroupsafteroneandthreecoursesoftreatment．ResultTherewasastatisticallysignificantpre一／post-treatmentdiferen

5、ceinthepainscoreinbothgroups(P<0．05)．Afteronecourseoftreatment，theeffectwasproducedmorequicklyandtheanalgesiceffectwasbetterinthetreatmentgroupthaninthecontrolgroup(P

6、erapeuticefectbetweenthetwogroup(P>O．05)．ConclusionAcupunctureregulationandtonificationofthespleenandkidneyproduceaquickeranalgesicefectthanroutinepointselectionintreatingcervicalspondyloticradiculopathy．fKeywordsJCervicalspondylosis；Acupuncture；Splenorenalregulationandtonification；TheMcGillPainQu

7、estionnaire；TwentypointNumericRatingScale神经根型颈椎病是临床最常见的颈椎病，约占各数字表法分为两组。治疗组30例，其中男15例，女15型颈椎病的60％，主要临床表现为颈肩臂疼痛呈放射例：年龄最小23岁，最大69岁，平均(45±lO)岁：病程性或酸胀麻木，甚至活动受限，多发于一侧。随着人们最短0．25个月，最长60个月，平均(12．43±l3．09)个生活习惯的改变，如长时间驾驶机