CAJ | 학술논문

目的：观察针刺“下颈夹脊穴”法治疗神经根型颈椎病的临床效果。方法选择2012年10月~2013年2月就诊于泸州医学院附属中医医院和宜宾市第一人民医院的神经根型颈椎病患者41例，按单双号分为治疗组和对照组，治疗组以针刺“下颈夹脊穴”法治疗为主，对照组依据《针灸治疗学》第2版中颈椎病的取穴方法选穴行针刺治疗。观察两组治疗前后症状及体征评分。结果两组McGill疼痛询问表(MPQ)评分及目测类比定级(VAS)+现有疼痛强度(PPI)评分治疗前后比较[MPQ：治疗组：(11.8±3.0)分比(0.8±0.1)分，对照组：(12.2±4.1)分比(4.3±2.5)分；VAS+PPI：治疗组：(10.6±2.5)分比(1.9±0.3)分，对照组：(10.4±1.7)分比(4.3±1.4)分]，差异有高度统计学意义(P<0.01)；治疗后两组间比较差异有高度统计学意义(P<0.01)。治疗组愈显率为90.48%，显著高于对照组(60.00%)，差异有统计学意义(P<0.05)。结论针刺“下颈夹脊穴”治疗神经根型颈椎病具有较好的临床效果，值得临床推广。
목적：관찰침자“하경협척혈”법치료신경근형경추병적림상효과。방법선택2012년10월~2013년2월취진우로주의학원부속중의의원화의빈시제일인민의원적신경근형경추병환자41례，안단쌍호분위치료조화대조조，치료조이침자“하경협척혈”법치료위주，대조조의거《침구치료학》제2판중경추병적취혈방법선혈행침자치료。관찰량조치료전후증상급체정평분。결과량조McGill동통순문표(MPQ)평분급목측류비정급(VAS)+현유동통강도(PPI)평분치료전후비교[MPQ：치료조：(11.8±3.0)분비(0.8±0.1)분，대조조：(12.2±4.1)분비(4.3±2.5)분；VAS+PPI：치료조：(10.6±2.5)분비(1.9±0.3)분，대조조：(10.4±1.7)분비(4.3±1.4)분]，차이유고도통계학의의(P<0.01)；치료후량조간비교차이유고도통계학의의(P<0.01)。치료조유현솔위90.48%，현저고우대조조(60.00%)，차이유통계학의의(P<0.05)。결론침자“하경협척혈”치료신경근형경추병구유교호적림상효과，치득림상추엄。
Objective To observe the clinical efficacy of using "Lower Jiaji Points" for cervical spondylotic radicu-lopathy. Methods 41 cases with cervical spondylotic radiculopathy in the Affiliated TCM Hospital of Luzhou Medical College and the First People's Hospital of Yibin City from October 2012 to February 2013 were selected and divided into the treatment group (21 cases) and control group (20 cases) according to the odd or even number. The treatment group was treated by acupuncture “Low Jiaji Points”, and the control group was treated by acupuncture point acupunc-ture therapy based on the second edition of the acupuncture therapy of cervical spondylosis. Scores of symptoms and signs were observed before and after treatment in two groups. Results Compared within the group, MPQ and VAS+PPI scores of two groups before and after treatment showed significant differences [MPQ: the treatment group: (11.8±3.0) points v s (0.8±0.1) points, the control group: (12.2±4.1) points v s (4.3±2.5) points; VAS+PPI: the treatment group:(10.6±2.5) points v s (1.9±0.3) points, the control group: (10.4±1.7) points v s (4.3±1.4) points] (P< 0.01); after treat-ment, MPQ and VAS+PPI scores showed significant differences between the two groups (P<0.01). The markedly effec-tive rate in treatment group was 90.48%, which was higher than that of control group (60.00%), there was a significant difference between the two groups (P< 0.05). Conclusion Acupuncturing "Low Jiaji Points" for cervical spondylotic radiculopathy shows good clinical efficacy, which is worthy of clinical application.