针刺研究2016，Vol.41Issue(4)：343-346,4.DOI:10.13702/j.1000-0607.2016.04.011
针刺结合火龙灸法治疗肾虚督寒型神经根型颈椎病的疗效观察
Efficacy of Acupuncture Combined with Fire Dragon Moxibustion for Patients with Cervical Spondylotic Radiculopathy of Kidney-Deficiency-Cold Type
摘要
Abstract
Objective To compare the therapeutic effects of acupuncture combined with fire dragon moxibustion and simple acupuncture therapy in the treatment of patients with cervical spondylotic radiculopathy (CSR)of kidney-deficiency-cold type.Methods Ninety kidney-deficiency-cold type CSR outpatients were randomly divided into control (acupuncture,n =40) and treatment (acupuncture + moxibustion,n = 50 )groups.Acupuncture stimulation was applied to Dazhui (GV 1 4 ),Ganshu (BL 1 8),Tianzhu (BL 1 0 )and Houxi (SI 3 ),Jiaji (EX-B 2 ),Taixi (KI 3 ),Shenmai (BL 62 ),Zusanli (ST 36 ),Shenshu (BL 23),etc once daily,5 times a week,and two weeks altogether,except the weekend.In addition,for patients of the treat-ment group,herbal medicinal powder separated-fire dargon moxibustion was applied to the patient's back from GV1 4 and Fengmen (BL 1 2)on the top to Zhibian (BL 54)area at the buttock,once every 3 days,5 times altogether.The therapeutic effect was e-valuated according to “CSR-20-points scale”including 3 aspects as neck-shoulder pain,upper-limb pain-numbness,finger numb-ness;working and daily life ability and physical conditions (Spurling tests,sensory,myodynamia and tendon reflex).Results ① After the treatment,CSR-20-points scores in both treatment and control groups were significantly increased in comparison with pre-treatment in each group (P <0.05),with the score being markedly higher in the treatment group than in the control group (P <0.05).② Of the 40 and 50 cases in the control and the treatment group,2 and 1 3 were cured,1 4 and 24 experienced a re-markable improvement,1 2 and 1 1 were effective,and 1 2 and 2 failed,with the total effective rates being 70.0%(28/40)and 96.0%(48/50),respectively.The therapeutic effect of the treatment group was notably better than that of the control group (P <0.05).Conclusion Acupuncture combined with fire dragon moxibustion is superior to simple acupuncture therapy in improving clinical symptoms of patients with CSR of kidney-deficiency-cold type,being a recommendable scheme in clinical practice.关键词
火龙灸/神经根型颈椎病/肾虚督寒型/临床研究Key words
Fire dragon moxibustion/Cervical spondylotic radiculopathy/Kidney-deficiency-cold type/Clinical trial分类
医药卫生引用本文复制引用
景福权,汪秀梅,牛相来,周钰..针刺结合火龙灸法治疗肾虚督寒型神经根型颈椎病的疗效观察[J].针刺研究,2016,41(4):343-346,4.基金项目
项目来源:新疆乌鲁木齐市科技厅资助项目(No.Y 121310018) （No.Y 121310018）
新疆医科大学第一附属医院院内项目(No.2015 ZRQN 25) （No.2015 ZRQN 25）
