金晓晓+李懿

摘 要 目的：观察“项八针”治疗神经根型颈椎病的疗效。方法：选择2013年1月—2014年7月伤科门诊确诊神经根型颈椎病患者60例，分为治疗组和对照组，每组30例。治疗组采用“项八针”治疗，对照组采用超短波治疗，两组均每周治疗3次，10次为1个疗程。疗程结束后比较两组临床疗效。结果：治疗组痊愈8例，有效19例，无效3例，总有效率为90%；对照组痊愈5例，有效14例，无效11例，总有效率为63.3%，组间差异有统计学意义（P<0.05）。结论：“项八针”治疗神经根型颈椎病具有较好的疗效，能有效缓解患者症状，提高生活质量。

关键词 神经根型颈椎病 项八针 疗效

中图分类号：R681.5+5/R246.2 文献标识码：A 文章编号：1006-1533（2016）02-0033-02

Observation on the clinical effect of “Eight-pin” in the treatment of 30 cases of the cervical spondylosis of nerve root type

JIN Xiaoxiao， LI Yi

（Changfeng Community Health Service Center of Putuo District， Shanghai 200062， China）

ABSTRACT Objective： To observe the clinical effect of the “Eight-pin” in the treatment of the cervical spondylosis of nerve root type. Methods： From Jan 2013 to July 2014， 60 cases of the cervical spondylosis of nerve root type confirmed by the traumatology department were selected and divided into a treatment group and a control one with 30 cases each. The treatment group was treated with “Eight-pin” and the control one with the ultrashort wave. The two groups were treated three times a week and ten times for one course. The clinical treatment effects were compared between two groups after the treatment. Results： In the treatment group， 8 cases were cured， 19 ones improved and 3 ones had no effect. The total effective rate was 90%. In the control group， 5 cases were cured， 14 ones improved and 11 had no effect. The total effective rate was 63.3%. The differences between two groups had the statistical significance （P<0.05）. Conclusion： The therapy of “Eight-pin” has a good effect in the treatment of the cervical spondylosis of nerve root type and can effectively alleviate the symptoms of the patients and improve their life quality.

KEY WORDS： cervical spondylosis of nerve root type； Eight-pin； treatment effect

颈椎病是临床常见病、多发病，好发于40～60岁中老年人，近年发病年龄趋于年轻化[1]。神经根型颈椎病是由于颈椎间盘侧后方突出，构椎关节或关节突关节增生、肥大，颈椎椎管或椎间孔变形、狭窄、刺激或压迫神经根所致，临床多表现为颈肩痛，伴有上肢麻木或疼痛感，占颈椎病发病率的60%～70%[2]。“项八针”技术是上海中医药大学附属曙光医院针灸科主任沈卫东教授根据多年临床经验总结而成的经验用穴，临床疗效显著，同时也是上海市基层中医药适宜推广项目技术[3]。现将我中心采用“项八针”技术治疗神经根型颈椎病的结果报道如下。

1 资料与方法

1.1 一般资料

收集2013年1月—2014年7月中心伤科门诊就诊的神经根型颈椎病患者60例，所有患者均符合《中医病证诊断疗效标准》[4]中神经根型颈椎病诊断标准。

将患者分为治疗组30例，男性14例，女性16例，年龄25～60岁，平均43.3岁，病程1周～6个月；对照组30例，男性12例，女性18例，年龄24～63岁，平均42.5岁，病程2周～半年。……