针刺结合火龙灸法治疗肾虚督寒型神经根型颈椎病的疗效观察

目的:观察针刺结合火龙灸法与单纯针刺法治疗肾虚督寒型神经根型颈椎病的临床疗效的差别,为提高肾虚督寒型神经根型颈椎病的临床疗效提供依据。方法:肾虚督寒型神经根型颈椎病患者90例,随机分成治疗组50例和对照组40例,治疗组采用针刺大椎、肝俞、天柱、后溪等穴配合火龙灸自大椎至秩边所属督脉及膀胱经覆盖区域,对照组仅采用针刺治疗,均治疗2周。观察治疗前后两组患者CSR 20分法量表评分,并对两组临床疗效进行比较。结果:治疗组和对照组治疗后CSR 20分法量表评分较治疗前明显升高(P0.05),治疗组改善优于对照组(P0.05)。治疗组总有效率为96.0%(48/50),对照组总有效率为70.0%(28/40),治疗组明显优于对照组(P0.05)。结论:针刺结合火龙灸法治疗肾虚督寒型神经根型颈椎病具有较好的临床疗效。

Efficacy of Acupuncture Combined with Fire Dragon Moxibustion for Patients with Cervical Spondylotic Radiculopathy of Kidney-Deficiency-Cold Type

Objective To compare the therapeutic effects of acupuncture combined with fire dragon moxibustion and simple acupuncture therapy in the treatment of patients with cervical spondylotic radiculopathy(CSR)of kidney-deficiency-cold type.Methods Ninety kidney-deficiency-cold type CSR outpatients were randomly divided into control(acupuncture,n=40)and treatment(acupuncture +moxibustion,n=50)groups.Acupuncture stimulation was applied to Dazhui(GV 14),Ganshu(BL 18),Tianzhu(BL 10)and Houxi(SI 3),Jiaji(EX-B 2),Taixi(KI 3),Shenmai(BL 62),Zusanli(ST 36),Shenshu(BL 23),etc once daily,5times a week,and two weeks altogether,except the weekend.In addition,for patients of the treatment group,herbal medicinal powder separated-fire dargon moxibustion was applied to the patient's back from GV14 and Fengmen(BL 12)on the top to Zhibian(BL 54)area at the buttock,once every 3days,5times altogether.The therapeutic effect was evaluated according to"CSR-20-points scale"including 3aspects as neck-shoulder pain,upper-limb pain-numbness,finger numbness;working and daily life ability and physical conditions(Spurling tests,sensory,myodynamia and tendon reflex).Results1 After the treatment,CSR-20-points scores in both treatment and control groups were significantly increased in comparison with pre-treatment in each group(P<0.05),with the score being markedly higher in the treatment group than in the control group(P<0.05).2 Of the 40 and 50cases in the control and the treatment group,2and 13 were cured,14 and 24experienced a remarkable improvement,12 and 11were effective,and 12 and 2failed,with the total effective rates being 70.0%(28/40)and96.0%(48/50),respectively.The therapeutic effect of the treatment group was notably better than that of the control group(P<0.05).Conclusion Acupuncture combined with fire dragon moxibustion is superior to simple acupuncture therapy in improving clinical symptoms of patients with CSR of kidney-deficiency-cold type,being a recommendable scheme in clinical practice.