针刺下颈夹脊穴治疗神经根型颈椎病临床观察.docVIP

针刺下颈夹脊穴治疗神经根型颈椎病临床观察 　　[摘要] 目的 观察针刺“下颈夹脊穴”法治疗神经根型颈椎病的临床效果。 方法 选择2012年10月～2013年2月就诊于泸州医学院附属中医医院和宜宾市第一人民医院的神经根型颈椎病患者41例，按单双号分为治疗组和对照组，治疗组以针刺“下颈夹脊穴”法治疗为主，对照组依据《针灸治疗学》第2版中颈椎病的取穴方法选穴行针刺治疗。观察两组治疗前后症状及体征评分。 结果 两组McGill疼痛询问表（MPQ）评分及目测类比定级（VAS）+现有疼痛强度（PPI）评分治疗前后比较[MPQ：治疗组：（11.8±3.0）分比（0.8±0.1）分，对照组：（12.2±4.1）分比（4.3±2.5）分；VAS+PPI：治疗组：（10.6±2.5）分比（1.9±0.3）分，对照组：（10.4±1.7）分比（4.3±1.4）分]，差异有高度统计学意义（P 0.01）；治疗后两组间比较差异有高度统计学意义（P 0.01）。治疗组愈显率为90.48%，显著高于对照组（60.00%），差异有统计学意义（P 0.05）。 结论 针刺“下颈夹脊穴”治疗神经根型颈椎病具有较好的临床效果，值得临床推广。 　　[关键词] 针刺；下颈夹脊穴；神经根型颈椎病；临床观察 　　[中图分类号] R246.1 [文献标识码] A [文章编号] 1673-7210（2014）12（c）-0075-04 　　Clinical observation on treatment of cervical spondylotic radiculopathy by acupuncturing methods on “Lower Jiaji Points” 　　CHEN Xiaoying1 DAN Xiaohong1 LI Mingbo1 YANG Qiang1 CHEN Hongyan1 WANG Kechuang2 JING Hongshuai2 　　1.Department of Orthopedics and Traumatology， the First Hospital of Yibin City， Sichuan Province， Yibin 644000， China； 2.Department of Acupuncture， the Affiliated TCM Hospital of Luzhou Medical College， Sichuan Province， Luzhou 646000， China 　　[Abstract] Objective To observe the clinical efficacy of using Lower Jiaji Points for cervical spondylotic radiculopathy. Methods 41 cases with cervical spondylotic radiculopathy in the Affiliated TCM Hospital of Luzhou Medical College and the First Peoples Hospital of Yibin City from October 2012 to February 2013 were selected and divided into the treatment group （21 cases） and control group （20 cases） according to the odd or even number. The treatment group was treated by acupuncture “Low Jiaji Points”， and the control group was treated by acupuncture point acupuncture therapy based on the second edition of the acupuncture therapy of cervical spondylosis. Scores of symptoms and signs were observed before and after treatment in two groups. Results Compared within the group， MPQ and VAS+PPI scores of two groups before and after treatment showed significant differences [MPQ： the treatment group： （11.8±3.0）