颈三针合隔药饼灸治疗颈椎骨质增生疗效观察

目的:比较针刺"颈三针"合隔药饼灸与常规夹脊穴针刺治疗颈椎骨质增生的疗效差异。方法:将91例颈椎骨质增生患者随机分为观察组(46例)和对照组(45例)。观察组针刺崇骨、大椎、陶道,取白术、白芍制成药饼于痛点施隔物灸;对照组给予针刺C_2—C_7夹脊穴常规治疗。以治疗前后颈项酸痛、肩背酸痛、压痛、颈椎活动情况积分的变化来评价疗效。结果:观察组的显愈率为76.1%,优于对照组的42.2%(P<0.05)。两组各项积分均较治疗前有显著改善(均P<0.05),观察组在颈项酸痛、肩背酸痛、压痛、颈椎活动方面优于对照组(均P<0.05)。结论:针刺"颈三针"合隔药饼灸治疗颈椎骨质增生疗效优于常规取夹脊穴治疗。

Observation on therapeutic effect of acupuncture at "cervical three points" combined with cake-separated moxibustion on cervical hyperosteogeny

Objective To compare therapeutic effects of acupuncture at"cervical three points"combined with cake-separated moxibustion and routine acupuncture at Jiaji (EX-B 2) on cervical hyperosteogeny.Methods Single blind,randomized and controlled methods were used and 91 cases were divided into an observation group of 46 cases and a control group of 45 cases.The observation group was treated by acupuncture at"cervical three points"com- bined with cake-separated moxibustion,i.e.acupuncture at Chonggu (EX),Dazhui (GV 14),Taodao (GV 13) and moxibustion at pain points with cake made by Rhizoma Atractylodis Macrocephalae and Radix Paeoniae Alba;the control group was treated with acupuncture at Jiaji (EX-B 2).Changes of sourness and pain of the neck,the shoul- der and back,pressure pain and cervical activity scores were used for assessment of therapeutic effects.Results The markedly cured rate of 76.1% in the observation group was better than 42.2% in the control group (P<0.05).After treatment,the scores of all the items were significantly improved in the two groups (all P<0.05),and the observation group in sourness and pain of the neck,the shoulder and back,and cervical activity were better than the control group (all P<0.05).Conclusion The therapeutic effect of acupuncture at"cervical three points"combined with cake-separated moxibustion on cervical hyperosteogeny is superior to routine acupunc- ture at Jiaji (EX-B 2).