针灸配合行为干预治疗颈型、神经根型颈椎病的随机对照研究

目的观察针灸配合行为干预治疗颈型、神经根型颈椎病的临床疗效。方法将颈型、神经根型颈椎病患者随机分为四组，即单纯电针组、电针水针组、温针水针组和药物对照组，接受针灸治疗者同时给予拔罐和行为干预（经常做抬头望月动作和纠正不良的睡眠习惯），通过症状体征评定量表，比较各组的临床疗效。结果单纯电针组、电针水针组、温针水针组各治疗组，治疗4星期后的临床控制率分别为30．0％、36．7％、33．3％，明显高于药物对照组10.0％；治疗8星期后的临床控制率分别为60．0％、80．0％、73．3％，明显高于药物对照组30．070：治疗或随访4个月后的临床控制率分别为76．7％、86．7％、80．0％，明显高于药物对照组50．0％。结论针灸配合行为干预是有效防治颈型、神经根型颈椎病的解决方案，本法具有简、便、易、廉的特点，可供临床应用。

Randomized Controlled Trial of Acupuncture plus Behavior Therapy for Cervical Spondylosis and Cervical Spondylotic Radiculopathy

Objective To investigate the clinical efficacy of acupuncture plus behavior therapy for cervical spondylosis and cervical spondylotic radiculopathy. Methods Patients with cervical spondylosis or cervical spondylotic radiculopathy were randomly allocated to four groups： simple electroacupuncture,, electroacupuncture plus acupuncture point injection, warm needling plus acupuncture point injection, and medication control. Cupping and behavior therapy （often perform the action of looking up at the moon and get out of bad sleep habits） were given in addition to acupuncture treatment. The clinical therapeutic effects were compared between different groups using the symptom and sign assessment scale. Results The clinical control rate was 30.0% in the simple electroacupuncture group, 36.7% in the electroacupuncture plus acupuncture point injection group and 33.3% in the warm needling plus acupuncture point injection group at 4 weeks after treatment. They were significantly higher than 10.0% in the medication control group. At 8 weeks after treatment, the clinical control rates were 60.0%, 80.0% and 73.3%, respectively, and significantly higher than 30.0% in the medication control group. At 4 months after treatment or of follow-up, the clinical control rates were 76.7%, 86.7% and 80.0%, respectively, and significantly higher than 50,0% in the medication control group. Conclusion Acupuncture plus behavior therapy is an effective way to prevent and treat cervical spondylosis and cervical spondylotic radiculopathy. This method is characterized by simplicity, convenience, easiness and cheapness. It is suitable for clinical application.