齐刺颈夹脊配合中药熏蒸治疗神经根型颈椎病临床观察
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[摘要] 目的：观察齐刺颈夹脊配合中药熏蒸治疗神经根型颈椎病的临床疗效。方法：将符合纳入标准的95例患者随机分为治疗组(50例)和对照组(45例)，治疗组采用齐刺颈夹脊配合中药熏蒸治疗，对照组采用传统针刺方法治疗。治疗2个疗程后对比两组疗效。结果：治疗组总有效率为94%，对照组总有效率为80%，两组疗效比较差异有统计学意义(P<0.05)。结论：齐刺颈夹脊配合中药熏蒸治疗神经根型颈椎病疗效优于传统针刺法，值得临床推广应用。
[关键词] 齐刺；颈夹脊；颈椎病；神经根型；中药熏蒸
[中图分类号] R246.2[文献标识码]A [文章编号]1673-7210(2011)03(b)-087-02
Clinical observations on triple puncture at neck jia-ji-points combine with fumigation of Chinese Herbal Medicine in treatment of cervical spondylotic radiculopathy
FU Xiuxia
(Luozhuang Central Hospital of Linyi City, Shandong Province, Linyi 276017, China)
[Abstract] Objective: To investigate the clinical efficacy of triple puncture at neck jia-ji-points combined with fumigation of Chinese Herbal Medicine in treatment ofcervical spondylotic radiculopathy. Methods: 95 paients were randomly divided into treatment group (50 cases) and control group (45 cases). The treatment group were received triple puncture at neck jia-ji-points combine with fumigation of Chinese Herbal Medicine, and the control group were given traditional acupuncture. The therapeutic effects were evaluated after two course of treatment. Results: The total efficacy ratewas 94% in the treatment group, and 80% in the control group; there was a statistically significant difference between the two groups (P<0.05). Conclusion: Ttriple puncture at neck jia-ji-points combined with fumigation of Chinese Herbal Medicine is superior to traditional acupuncture in the treatment of cervical spondylotic radiculopathy.
[Key words] Ttriple puncture; Neck jia-ji-points; Cervical spondylosis; Radiculopathy; Fumigation of Chinese Herbal Medicine
颈椎病是临床常见病、多发病，而神经根型颈椎病是颈椎病中发病率最高的一型，在普通人群中发病率达3.5%[1-2]，占颈椎病总体发病的60%左右。临床以颈肩臂疼痛为主，多数表现为沿颈神经根串痛，伴有针刺样或过电样麻痛，颈部活动受限，严重者患肢沉重无力，握力下降或有持物落地现象[3]。随着现代低头方式工作人群增多，电脑、空调的广泛使用，人们屈颈及遭受风寒湿机会增加，造成颈椎发病率不断上升并有年龄提前趋势。2007年8月~2010年7月笔者采用齐刺颈夹脊配合药物熏蒸治疗神经根型颈椎病95例，取得较好临床疗效，现分析报道如下：
1 资料与方法
1.1 一般资料
选取我院理疗科门诊和住院患者95例，将其随机分为治疗组和对照组。治疗组50例中，男21例，女29例 ；年龄最小18岁，最大65岁，平均45岁；病程最短15 d，最长3年。对照组45例中，男20例，女25例；年龄最小20岁，最大65岁，平均44岁；病程最短20 d，最长3年。
1.2 诊断标准
按照国家中医药管理局发布的《中医病症诊断疗效标准》[4]。①长期低头劳动、工作或惯于长时间看电视、电脑者，有慢性劳损、外伤史者。②颈肩背疼痛，局部有明显压痛点，颈肌肉僵硬，手指麻木无力，颈项活动可诱发加重疼痛麻木，(其中检查者用手指挤压椎间孔可诱发颈神经根刺激性疼痛)。③X线摄片或CT、MRI检查有颈椎病理改变、椎间盘病变 ......
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