针砭罐综合疗法治疗颈型颈椎病疗效观察

目的观察砭石、拔罐、电针及红外线综合疗法治疗颈型颈椎病的疗效及安全性。方法70例患者随机分为综合组（35例）和对照组（35例）。综合组重用耿氏多功能砭板沿督脉风府至身柱；胆经风池至肩井；膀胱经天柱至膈俞实施推法和刮法、闪罐留罐法，并用常规电针疗法及红外线照射治疗；对照组采用常规电针疗法及红外线照射治疗。两组均隔日施治1次，6次为1疗程。观察两组治疗后即刻与1疗程结束后的临床疗效以及不良反应。结果综合组治疗后即刻总有效率为88．6％，对照组为80．0％，综合组即刻疗效好于对照组（P〈0．05）。综合组1疗程结束后总有效率为97．1％，对照组为94．3％，综合组1疗程后疗效也好于对照组（P〈0．05）。综合组2例、对照组1例患者肩部针刺取针后，穴位局部出现微量皮下瘀血，1星期后自行消退，余未见其他不良反应。结论针砭罐综合疗法治疗颈型颈椎病安全有效且见效较快。

Treatment of Neck-type Cervical Spondylopathy by A Composite Treatment with Acupuncture, Stone Scraping and Cupping

Objective To investigate the efficacy and safety of a composite treatment with stone scraping,cupping,electroacupuncture and infrared radiation for neck-type cervical spondylopathy. Methods Seventy patients were selected as subjects and randomly allocated to a composite treatment group(35 cases) and an electroacupuncture control group(35 cases).The composite treatment group was treated by scraping from Fengfu(GV 16) to Shenzhu(GV 12) along the Du Meridian,Fengchi(GB 12) to Jianjing(GB 21) along the Gallbladder Meridian and Tianzhu(BL 10) to Geshu(BL 17) along the Bladder Meridian with Geng's multifunctional stone plate,quick cupping with subsequent retention of cups,routine electroacupuncture,and infrared radiation.The electroacupuncture group was treated by routine electroacupuncture and infrared radiation.Both groups were treated once very other day,6 times as a course.The clinical curative effects and adverse responses were evaluated immediately after each treatment and at the completion of one course of treatment in both groups. Results The total immediate posttreatment efficacy rate was 88.6% in the composite treatment group and 80.0% in the electroacupuncture group.The immediate effect was significantly better in the electroacupuncture group than in the electroacupuncture group(P<0.05).The total efficacy rate at the completion of one course of treatment was 97.1% in the composite treatment group and 94.3% in the electroacupuncture group.The curative effect after one course of treatment was also significantly better in the electroacupuncture group than in the electroacupuncture group(P<0.05).Slight subcutaneous bleeding occurred at the location of the point on the shoulder after withdrawal of the needle in 2 cases of composite treatment group and 1 case of the electroacupuncture group.It disappeared spontaneously after 1 week.There was no other adverse response. Conclusion A composite treatment with acupuncture,stone scraping and cupping is safe and effective in treating neck-type cervical spondylopathy.The effect occurs rapidly.