腕踝针配合药罐为主治疗神经根型颈椎病疗效观察

摘要

目的 观察腕踝针配合药罐为主治疗神经根型颈椎病的临床疗效.方法 将80例神经根型颈椎病患者随机分为A组、B组、C组和D组,每组20例.A组采用口服洛索洛芬钠片治疗,B组、C组和D组在A组基础上分别采用腕踝针、药罐及腕踝针配合药罐治疗.观察4组治疗前后VAS评分的变化情况,并比较各组临床疗效.结果 D组治疗1 d后VAS评分较同组治疗前明显降低(P<0.05).治疗7、14 d后,各组VAS评分较同组治疗前显著降低(均P<0.05);D组VAS评分与A组比较,差异均具有统计学意义(P<0.05).治疗21 d后,B组、C组和D组VAS评分较同组治疗前显著降低(均P<0.05);B组、C组和D组VAS评分与A组比较,差异均具有统计学意义(P<0.05);D组VAS评分与B组和C组比较,差异均具有统计学意义(P<0.05).A组总有效率为50.0％,B组为55.0％,C组为55.0％,D组为90.0％.D组总有效率与A组、B组和C组比较,差异均具有统计学意义(P<0.05).结论 腕踝针配合药罐为主治疗神经根型颈椎病疗效确切,能改善患者颈肩疼痛症状.%Objective To investigate the clinical efficacy of wrist-ankle acupuncture plus medicated cupping as main treatment for cervical spondylotic radiculopathy.Methods Eighty patients with cervical spondylotic radiculopathy were randomized to groups A, B, C and D. Group A took loxoprofen sodium tablets. Groups B, C and D additionally received wrist-ankle acupuncture, medicated cupping and wrist-ankle acupuncture plus medicated cupping, respectively. The VSA score was recorded in the four groups before and after treatment. The clinical therapeutic effects were compared between the groups. Results The VSA score decreased significantly in group D after one day of treatment compared with before (P<0.05). The VSA score decreased significantly in every group after 7 and 14 days of treatment compared with before (P<0.05); there was a statistically significant difference in the VSA score between groups D and A (P<0.05). The VSA score decreased significantly in groups B, C and D after 21 days of treatment compared with before (P<0.05); there was a statistically significant difference in the VSA score between group A and group B, C or D (P<0.05) and between group D and group B or C (P<0.05). The total efficacy rate was 50.0％ in group A, 55.0％ in group B, 55.0％ in group C and 90.0％ in group D. There was a statistically significant difference in the total efficacy rate between group D and group A. B or C (P<0.05).Conclusions Wrist-ankle acupuncture plus medicated cupping as main treatment has a definite effect on cervical spondylotic radiculopathy. It can relieve neck and shoulder pain in the patients.