督药灸联合牵引治疗神经根型颈椎病的疗效观察

目的:比较督药灸联合牵引和电针联合牵引治疗神经根型颈椎病的临床疗效差异。方法:将128例神经根型颈椎病患者随机分为A组和B组,每组各64例。两组患者均接受牵引治疗,A组患者加用督药灸治疗,B组患者加用电针治疗。两组治疗周期均为2周。评价两组患者的临床疗效和治疗的安全性,比较两组患者治疗前后及治疗结束后3个月临床症状、体征积分的变化。结果:治疗后,A组和B组患者的临床总有效率分别为93.7%和90.6%,两组临床疗效比较差异无统计学意义(P0.05)。治疗后及治疗结束后3个月,两组患者的症状、体征总积分较治疗前均显著降低(P0.05),且治疗结束后3个月,A组患者的总积分低于B组(P0.05);治疗后,两组患者的颈肩疼痛、颈椎活动度、上肢麻木积分较治疗前均降低(P0.05),且A组患者的上肢麻木积分低于B组(P0.05)。治疗过程中B组有3例患者出现晕针现象,其余患者未出现不良事件。结论:督药灸或电针联合牵引治疗神经根型颈椎病均具有较好的临床疗效;督药灸联合牵引可明显改善神经根型颈椎病患者的临床症状,且具有一定的远期疗效,同时可适用于惧针、晕针患者。

Efficacy Observation of Governor Meridian Moxibustion Combined with Traction in Treating Cervical Spondylotic Radiculopathy

  Objective:To compare the clinical efficacy differences between governor meridian moxibustion combined with traction and electroacupuncture combined with traction in the treatment of cervical spondylotic radiculopathy.   Methods: One hundred and twenty-eight patients with cervical spondylotic radiculopathy were randomly divided into the group A and group B, 64 cases in each group. All the patients were treated with traction therapy, meanwhile the patients in the group A were treated with governor meridian moxibustion and the patients in the group B were treated with electroacupuncture. The treatment course in both groups was 2 weeks. The clinical efficacy and safety of the two groups were evaluated, and the scores of clinical symptoms and signs in the two groups were compared before and after treatment and 3 months after treatment.   Results: After treatment, the clinical total effective rates of the group A and group B were 93.7% and 90.6% respectively, with no statistical difference between the two groups (P>0.05). Compared with treatment before, the total scores of symptoms and signs in both groups were significantly decreased after treatment and 3 months after the treatment (P<0.05), and 3 months after treatment, the total score in the group A was lower than that in the group B (P<0.05). After treatment, the scores of neck and shoulder pain, cervical vertebra activity and upper limb numbness in both groups were obviously decreased (P<0.05), and the score of upper limb numbness in the group A was lower than that in the group B (P<0.05). During the treatment course, 3 patients in the group B occurred halo needle and no other adverse events were observed.   Conclusion: Both governor meridian moxibustion combined with traction and electroacupuncture combined with traction show good clinical efficacy in the treatment of cervical spondylotic radiculopathy; governor meridian moxibustion combined with traction can obviously improve the clinical symptoms in patients with cervical spondylotic radiculopathy and shows a certain long-term efficacy, meanwhile it can be applied for patients who fear needle or halo needle.