武警医学
武警醫學
무경의학
MEDICAL JOURNAL OF THE CHINESE PEOPLE'S ARMED POLICE FORCES
2014年
12期
1236-1238
,共3页
神经根型颈椎病%针灸治疗%大椎穴%冰麝散
神經根型頸椎病%針灸治療%大椎穴%冰麝散
신경근형경추병%침구치료%대추혈%빙사산
cervical spondylosis of nerve root%acupuncture%Dazhui%Bing-she Powder
目的：探讨独刺大椎穴配合冰麝散外用治疗神经根型颈椎病的疗效。方法将72例患者随机分为治疗组和对照组，治疗组给予大椎穴针刺，并行冰麝散局部外敷，每3 d治疗1次，5次为一疗程；对照组口服颈痛颗粒，每次4 g，3次／d，连用15 d为1个疗程。治疗前后对两组患者按照视觉模拟评定法（ VAS）和20分法量表进行评分，并对两组疗效作对比分析。结果治疗后，两组VAS评分和20分法量表评分均明显优于治疗前（P＜0．01）。治疗组VAS评分明显低于对照组，20分法量表评分较对照组明显提高，差异均有统计学意义（ P＜0．05）。治疗组总有效率为94．29％，对照组总有效率为82．33％，治疗组高于对照组（P＜0．05）。结论独刺大椎穴配合冰麝散外用可以有效减轻神经根型颈椎病的症状、体征。
目的：探討獨刺大椎穴配閤冰麝散外用治療神經根型頸椎病的療效。方法將72例患者隨機分為治療組和對照組，治療組給予大椎穴針刺，併行冰麝散跼部外敷，每3 d治療1次，5次為一療程；對照組口服頸痛顆粒，每次4 g，3次／d，連用15 d為1箇療程。治療前後對兩組患者按照視覺模擬評定法（ VAS）和20分法量錶進行評分，併對兩組療效作對比分析。結果治療後，兩組VAS評分和20分法量錶評分均明顯優于治療前（P＜0．01）。治療組VAS評分明顯低于對照組，20分法量錶評分較對照組明顯提高，差異均有統計學意義（ P＜0．05）。治療組總有效率為94．29％，對照組總有效率為82．33％，治療組高于對照組（P＜0．05）。結論獨刺大椎穴配閤冰麝散外用可以有效減輕神經根型頸椎病的癥狀、體徵。
목적：탐토독자대추혈배합빙사산외용치료신경근형경추병적료효。방법장72례환자수궤분위치료조화대조조，치료조급여대추혈침자，병행빙사산국부외부，매3 d치료1차，5차위일료정；대조조구복경통과립，매차4 g，3차／d，련용15 d위1개료정。치료전후대량조환자안조시각모의평정법（ VAS）화20분법량표진행평분，병대량조료효작대비분석。결과치료후，량조VAS평분화20분법량표평분균명현우우치료전（P＜0．01）。치료조VAS평분명현저우대조조，20분법량표평분교대조조명현제고，차이균유통계학의의（ P＜0．05）。치료조총유효솔위94．29％，대조조총유효솔위82．33％，치료조고우대조조（P＜0．05）。결론독자대추혈배합빙사산외용가이유효감경신경근형경추병적증상、체정。
Objective To observe the effect of acupuncture at Dazhui with external Bing-she Powder treatment of type cervical spondylosis of nerve root.Methods Senventy-two patients with cervical spondylosis of nerve root type were randomly divided into the treatment group and control group, 36 cases in each group.The treatment group was given acupuncture at Dazhui ( GV 14) with exter-nal Bing-she Powder treatment,while the control group was treated with Jing-tong Granula.The time of therapy continue two weeks, then, the score of VAS was recorded, and the evaluation of symptoms and signs(20 score measuring scale) was also assessed before and after the therapy.At last, the total effective power was compared between two groups.Results There was no significant difference of two scores between two groups before the treatment.After the treatment, both of the increase of VAS scores and the reduction of the score of symptoms and signs decreased of two groups were very significant(P<0.05).However, the indices of the treatment group were better than the control group (P<0.05) .Meanwhile, the total effective rate of the treatment group was 94.29%, the control group was 82.35%, the treatment group was superior to the later (P<0.05).Conclusions Acupuncture at Dazhui with external Bing-she Powder has distinct curative effect on cervical spondylosis of nerve root type, and is worthy of clinical application.
