“颈三针”为主与颈夹脊为主治疗气血不足颈型颈椎病的疗效对照观察-针灸推拿学专业论文.docxVIP

PAGE 1 PAGE 1 摘要 目的：观察不同取穴方法治疗气血不足颈型颈椎病的临床疗效差异。 方法：采用随机、对照的临床研究方法，将 60 例患者分成颈三针组和颈夹 脊组。颈三针组局部取风池、天牖、颈百劳，颈夹脊组局部取颈 4-6 夹脊穴，两 组均于大椎行温和灸、足三里行温针灸。隔天治疗 1 次，共 5 次。治疗前、后及 疗程结束后 1 个月均用症状+体征积分表、数字分级评分表（NRS）、现有疼痛强 度评分表（PPI）、关节活动度评分表进行疗效评定。 结果：60 例患者中 57 例完成治疗过程，脱落 2 例，剔除 1 例。经过 5 次的 治疗，颈三针组临床痊愈 2 例，显效 11 例，有效 15 例，无效 1 例,总有效率为 96.55%。颈夹脊组临床痊愈 0 例，显效 5 例，有效 21 例，无效 2 例, 总有效率 为 92.86%。一个月后 49 例完成随访，脱落 8 例。疗程结束后，两组临床疗效比 较，差异有统计学意义（P0.05）；两组自身治疗前、后比较，症状+体征积分、 NRS 评分、PPI 评分、关节活动度评分差异均具有统计学意义（P0.05）；治疗后 两组组间比较，以上评定指标差异均具有统计学意义（P0.05），且颈三针组优 于颈夹脊组。1 个月后随访，两组治疗前与随访比较，以上评定指标差异均具有 统计学意义（P0.05），两组治疗后与随访比较、两组随访组间比较，差异无统 计学意义(P0.05)。 结论：局部取颈三针或颈夹脊，结合辨证论治治疗气血不足颈型颈椎病,均 是针灸治疗本病的有效处方，且选择颈三针可获得更好、更快的临床疗效。 关键词：颈三针；颈夹脊；颈型颈椎病 ABSTRACT Objective: To observe the different acupuncture point method, compares the treatment of the Cervical Type Cervical spondylosis of Qi and Blood Deficiency. Methods: 60 patients are randomly divided into Neck Three Needles group and Neck Jiaji group. The patients of Neck Three Needles group are treated with GB 20, SJ 16 and EX-HN 14. The patients of Neck Jiaji group are treated with Neck Jiaji which pointed from C4 to C6.This two groups are also treated with ST 36 and DU 14. A course is five times. Symptom, Sign, NRS, PPI and ROM are clinic evaluated before and after the course, and give the clinical follow-up of two groups after the treatment finished. Results: 58 cases of the patients complete the study. The total effective rate of Neck Three Needles group is 96.55%. The total effective rate of Neck Jiaji group is 92.86%.There is a statistical significance of effective rate between the two groups. When the treatment is finished, there is a statistical significance compared with themselves and two groups. The Neck Three Needles group is superior to the others. But there is no statistical significance between the two groups when one month later. Conclusion: The treatment of the Neck Three Needles group and the Neck Jiaji group has effect on Cervical Type CS, and the