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1、针药联合治疗颈椎骨质增生58例临床分析曾广键陆广仁刘焯敏(广州市花都区新华社区卫生服务中心<新华医院>510800)目的探讨针药联合治疗颈椎骨质增生的临床疗效。方法选取我院骨科治疗颈椎增牛.的患者116例,按就诊顺序分为两组,对照组给予独活寄生汤加减治疗,观察组在此基础上加用针灸疗法,1个月为一个疗程,治疗前和治疗三个疗程(3个月)后均用自拟评分表统计两组患者的临床症状,比较两组改善情况;随诊一年,比较两组患者临床疗效。结果两组治疗后颈部活动受限、肢体麻木、头痛头晕、疼痛等临床症状评分与治疗前相比有统计学意义(P<0.05>,但观察
2、组各症状改善情况均明显优于对照组,且数据比较有统计学意(P<0.01);观察组治疗总有效率为89.7%明显高于对照组74.1%,两组数据比较有统计学意义(P<0.05)。结论针药联合治疗颈椎骨质增生,临床效果优于单独用药治疗,远期效果明显。【关键词】中药治疗针灸劲椎骨质增生临床疗效R242A2095-1752(2013)21-0141-02Acupuncturefortreatmentofcervicalbonehyperplasiaclinicalanalysisof58casesZengGuangjian,LuGuangren,Liu
3、ZhuominXinhuacommunityhealthservicecenterinHuaduDistrictofGuangzhouCity(XinhuaHospital)510800【Abstract】Objective:Toinvestigatetheclinicalefficacyofacupuncturefortreatmentofcervicalbonehyperplasia.Methods:116patientsinourhospitaldepartmentoforthopedicsfortreatmentofcervicalhyper
4、plasia,wererandomlydividedintotwogroups,thecontrolgrouptreatedbyDuhuoJishengdecoction,theobservationgroupbasedontheuseofacupunctureandmoxibustiontherapy,1monthsforacourse,threecoursesoftreatmentbeforeandaftertreatment(3months)wereusedthescoreofclinicalsymptomsofthepatientsinthe
5、twogroupsofstatistics,comparisonofthetwogrouptoimprovethesituation;follow-uponeyear,comparedtwogroupsofpatientswithclinicalcurativeeffect.Results:Thetwogroupsaftertreatmentofneckactivity,limbnumbness,dizziness,headachescoreandtreatmentofpainandotherclinicalsymptomswithstatistic
6、alsignificance(P<0.05),buttheimprovementofsymptomsinobservationgroupwassignificantlybetterthanthecontrolgroup,andthedatawerestatisticallysignificance(P<O.Ol);thetotaleffectiverateofobservationgroupwas89.7%obvioushigherthanthatofthecontrolgroup74.1%,twogroupsofdatawerestat
7、isticallysignificant(P<0.05).Conclusion:Acupuncturefortreatmentofcervicalbonehyperplasia,clinicaleffectisbetterthanthesingledrugtreatment,long-termeffect.【keyword]Chinesemedicinetherapyacupuncturecervicalbonehyperplasiaclinicaleffect颈椎骨质增生是由于颈部椎间盘的退行性病变、骨关节边缘由于长期损伤导致瘢痕组织增生日久
8、产生钙质沉着变成骨质而形成,部分患者没奋临床症状,但绝大部分患者会由于增生的骨质压迫颈部脊髓或颈神经根、椎动