針灸聯合推拿手法治療神經根型頸椎病的臨床療效分析

王俊依+蔡劍飛

[摘要] 目的 探討針灸聯合推拿手法治療治療神經根型頸椎病的臨床療效及其安全性。 方法 選取于2014年1月～2016年12月在我院接受治療的300例神經根型頸椎病患者作為研究對象，按隨機分配方式分為對照組和治療組，各150例，對照組給予針灸療法治療，治療組給予針灸聯合推拿手法治療，觀察并比較兩組患者的臨床療效、治療前后VAS評分、不良反應等情況。 結果 治療組總有效率為94.67%，對照組總有效率為83.33%，兩組比較差異有顯著性意義（P<0.05）；治療組治療后VAS評分與對照組比較差異有顯著性（P<0.05），兩組患者VAS評分治療前后比較差異均有統計學意義（P<0.05）；兩組患者不良反應發生率比較差異無統計學意義（P>0.05）。 結論 針灸聯合推拿手法治療能改善神經根型頸椎病患者肩頸部疼痛、患側上肢放射痛或麻木感、頭暈頭痛等癥狀，具有操作簡便、損傷少、恢復快、療效高等優點，且不良反應發生率低，值得在臨床上推廣應用。

[關鍵詞] 神經根型頸椎病；針灸；推拿；中醫療法

[中圖分類號] R246.9；R274.9 [文獻標識碼] B [文章編號] 1673-9701（2017）30-0127-04

[Abstract] Objective To explore the clinical efficacy and safety of acupuncture combined with massage manipulation in the treatment of cervical spondylosis of nerve root type. Methods 300 patients with cervical spondylosis of nerve root type who were treated in our hospital from January 2014 to December 2016 were selected as study subjects. According to the random assignment method， the patients were divided into the control group and the treatment group， with 150 patients in each group. The control group was given acupuncture therapy， and the treatment group was given acupuncture combined with massage manipulation. The clinical efficacy， VAS scores before and after treatment， as well as adverse reactions were observed and compared between the two groups. Results The total effective rate was 94.67% in the treatment group and 83.33% in the control group. The difference was significant between the two groups（P<0.05）； there was significant difference in VAS scores after the treatment between the treatment group and the control group（P<0.05）. There was statistically significant difference in VAS scores between the two groups before and after treatment（P<0.05）； there was no statistically significant difference in the adverse effect rate between the two groups（P>0.05）. Conclusion Acupuncture combined with massage manipulation can improve the pain of shoulder and neck， radiating pain and numbness of upper limb pain， and dizziness and headache in the patients with cervical spondylosis of nerve root type， with the advantages of easy operation， less damage， fast recovery and high efficacy， as well as low incidence of adverse reactions， which is worthy of clinical promotion and application.

[Key words] Cervical spondylosis of nerve root type；Acupuncture；Massage；TCM therapy

神經根型頸椎病指由頸椎椎間盤退行性改變及其繼發性病理改變所導致神經根受壓而引起的以頸項部及肩背部疼痛、頭暈頭痛、上肢麻木等為主要表現的頸椎病，是臨床上頸椎病中較為常見的類型。近年來隨著經濟條件的改善，電子產品及家用汽車逐漸普及，人們工作及生活方式發生明顯改變，神經根型頸椎病的發病率明顯升高，并呈現年輕化趨勢，因此，發掘并總結更多治療方法具有必要性。本研究選取2014年1月～2016年12月在我院治療的300例神經根型頸椎病患者作為研究對象，探討針灸聯合推拿手法治療該病的臨床療效及其安全性，現報道如下。endprint