【摘要】 目的:观察短刺配合烧山火针刺手法治疗神经根型颈椎病的临床疗效;方法:将160例神经根型颈椎病的患者随机分成普通针刺组、短刺组、烧山火组、短刺+烧山火组、中药组各32例,普通针刺组选取夹脊穴针刺,短刺组在普通针刺的基础上选取阿是穴行短刺法,烧山火组则在普通针刺的基础上选取阿是穴及大椎穴行烧山火手法,短刺+烧山火组则在普通针刺的基础上选行短刺后行烧山火,中药组则予口服桂枝加葛根汤加减汤剂,均治疗10次一个疗程后,观察其临床证候积分变化情况及临床疗效。结果:各组治疗后临床证候积分较治疗前明显降低(P<0.01),治疗前后临床证候积分差值各组之间差异不全相同(P>0.05),短刺+烧山火组在降低临床证候积分具有显著性差异(P<0.05);且短刺+烧山火组在临床疗效的愈显率方面与其余各组具有显著性差异(P<0.05)。结论:运用短刺配合烧山火针刺手法治疗神经根型颈椎病具有显著的临床疗效。更多还原

【Abstract】 Objective: To observe the clinical effect of close needling with heat- producing needling treating on cervical spondylotic radiculopathy. Methods: 160 cases of cervical spondylotic radiculopathy were randomly divided into normal acupuncture group,close needling group,heat- producing needling group,close needling + heat- producing needling group and Chinese medicine group,with 32 cases in each group. The normal acupuncture group selected Jiaji points; close needling group selected close needling living acupoints based on ordinary acupuncture; heat- producing needling group selected heat- producing needling living acupoints and Dazhui point based on common acupuncture; close needling + heat- producing needling group selected heat- producing needling after close needling based on common acupuncture. Chinese medicine group were treated with oral Ramuli Cinnamomi Decoction added puerariae. All were treated with a course of 10 times,observing the clinical symptom score changes and clinical curative effect. Results: After treatment,clinical symptom score was significantly lower than that before treatment( P < 0. 01) and the difference between the clinical syndrome integral groups were not all the same( P > 0. 05). Close needling + heat- producing needling group had significant differences in reducing clinical syndrome integral( P < 0. 05) and close needling + heat- producing needling group had significant differences in clinical efficacy rate compared with those of the other groups( P < 0. 05). Conclusion: Combination of close needling with heat- producing needling treating on cervical spondylotic radiculopathy has significant clinical efficacy.更多还原