CAJ | 학술논문

目的：观察热敏灸与温针疗法治疗椎动脉型颈椎病的临床疗效差异。方法将120例椎动脉型颈椎病患者随机分为热敏灸组和温针组，每组60例。两组均在针刺双侧风池、完骨、天柱、及大椎、百会穴的基础上，热敏灸组在颈项部、肩胛部探寻出热敏点后加施回旋、雀啄、往返的温和灸，温针组加施普通艾灸。结果平均治疗20次后，两组治疗均有效果，治疗前后比较差异均有统计学意义(P＜0.05)，但热敏灸组在总分项、眩晕项、颈肩痛项和愈显率方面明显优于温针组(P＜0.05)。结论热敏灸较温针治疗椎动脉型颈椎病更能明显减轻患者眩晕和疼痛症状，提高治疗效果。
목적：관찰열민구여온침요법치료추동맥형경추병적림상료효차이。방법장120례추동맥형경추병환자수궤분위열민구조화온침조，매조60례。량조균재침자쌍측풍지、완골、천주、급대추、백회혈적기출상，열민구조재경항부、견갑부탐심출열민점후가시회선、작탁、왕반적온화구，온침조가시보통애구。결과평균치료20차후，량조치료균유효과，치료전후비교차이균유통계학의의(P＜0.05)，단열민구조재총분항、현훈항、경견통항화유현솔방면명현우우온침조(P＜0.05)。결론열민구교온침치료추동맥형경추병경능명현감경환자현훈화동통증상，제고치료효과。
ObjectiveTo compare the efficacies between heat-sensitive moxibustion and warm needling in treating cervical spondylosis of vertebroarterial type.MethodTotally 120 patients with cervical spondylosis of vertebroarterial type were randomized into a heat-sensitive moxibustion group and a warm needling group, 60 in each group. In addition to acupuncture at bilateral Fengchi (GB20), Wangu (GB12), Tianzhu (BL10), Dazhui (GV14) and Baihui (GV20), the heat-sensitive moxibustion group was given mild moxibustion to the heat-sensitive points in cervical and scapular regions, while the warm needling group was given regular moxibustion.ResultGenerally, after 20 treatment sessions, efficacy wasfound in both groups, and there were significant differences in both groups after intervention (P<0.05), while the improvements of integral score, dizziness, cervical and shoulder pain, and the recovery and markedly-effective rate in the heat-sensitive moxibustion group were significantlysuperiorto that in the warm needling group (P<0.05).ConclusionCompared to warm needling treatment, heat-sensitive moxibustion can more significantly improve dizziness and pain in patients with cervical spondylosis of vertebroarterial type, and thus enhance the therapeutic efficacy.