刘超

摘 要：目的 觀察整脊疗法配合针灸疗法治疗神经根型颈椎病的临床疗效。方法 将2016年12月～2017年3月在我院接受治疗的70例CSR患者随机分成研究组（36例）和对照组（34例），研究组患者采用整脊疗法配合针灸疗法治疗，对照组患者采用针灸疗法治疗，比较两组患者的治疗总有效率、视觉模拟评分（VAS）及疗效评分情况。结果 治疗后研究组总有效率为94.44%，对照组患者总有效率为73.53%，研究组高于对照组，差异具有统计学意义（P<0.05）；相较于治疗前，两组患者治疗后的VAS和疗效评分均有明显改善，差异具有统计学意义（P<0.05）；治疗后研究组VAS评分为（2.07±0.30）分，低于对照组的（3.24±0.47）分，差异具有统计学意义（P<0.05）；研究组疗效评分为（26.38±2.97）分，高于对照组的（20.17±3.24）分，差异具有统计学意义（P<0.05）。结论 整脊针灸两种疗法配合使用治疗神经根型颈椎病临床效果明显优于单纯采用针灸疗法，能够提高总有效率，降低患者VAS评分，使患者的工作和生活能力恢复正常。

关键词：整脊疗法；针灸；神经根型颈椎病

中图分类号：R246.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.046

文章编号：1006-1959（2018）11-0142-03

Clinical Efficacy of Chiropractic Therapy Combined with Acupuncture and Moxibustion in the Treatment of Cervical Spondylotic Radicular

LIU Chao

（Department of Massage，Shunyi Hospital，Beijing Traditional Chinese Medicine Hospital，Beijing 100000，China）

Abstract：Objective To observe the clinical efficacy of chiropractic therapy combined with acupuncture and moxibustion in the treatment of cervical spondylotic radicular.Methods From December 2016 to March 2017，70 patients with CSR received treatment in our hospital were randomly divided into study group（n=36）and control group（n=34）.The patients in the study group were treated with chiropractic combined with acupuncture and moxibustion.The patients in the control group were treated with acupuncture and moxibustion.The total treatment efficacy，visual analogue scale（VAS），and efficacy scores were compared between the two groups. Results After treatment，the total effective rate was 94.44% in the study group and 73.53% in the control group.The study group was higher than the control group and the difference was statistically significant（P<0.05）.Compared with before treatment，the VAS and efficacy scores after treatment in both groups were significantly improved，the difference was statistically significant（P<0.05）；after treatment，the VAS score in the study group was（2.07±0.30）points，which was lower than that of the control group（3.24±0.47）points，and the difference was statistically significant（P<0.05）；The efficacy score in the study group was（26.38±2.97）points，which was higher than that in the control group（20.17±3.24）points，the difference was statistically significant（P<0.05）.Conclusion The clinical effect of using chiropractic acupuncture and moxibustion combined with two kinds of therapy to treat cervical spondylotic myelopathy is obviously better than that of acupuncture and moxibustion alone，which can increase the total effective rate，decrease the VAS score of patients， and restore the normal work and life ability of patients.

Key words：Chiropractic therapy；Acupuncture and moxibustion；Cervical spondylotic radicular

神經根型颈椎病（CSR）是颈椎病中发病率较高的一种类型，过度疲劳、轻微扭挫伤、不良的坐姿睡姿以及突遇寒冷等都会诱发CSR，当前CSR的新增患者正以每年100万人的速度攀升[1]。因此，开展CSR的防治研究是非常有意义的。本研究选取就诊于北京中医医院顺义医院的70例CSR患者作为研究对象，采取不同的治疗方式，研究分析整脊疗法配合针灸疗法治疗CSR的临床疗效。

1 资料与方法

1.1一般资料 选取2016年12月～2017年3月在北京中医医院顺义医院接受治疗的70例CSR患者，入选者参照《第二届颈椎病专题座谈会纪要》[2]对CSR的诊断标准，排除合并心脑血管疾病、创伤性颈椎病、严重骨质增生、骨关节结合及骨肿瘤者。随机将患者分为对照组34例和研究组36例，对照组男性19例，女性15例，年龄23～70岁，病程在2个月～3年；研究组男性19例，女性17例，年龄24～72岁，病程在1个月～3年。两组患者各项指标对比，差异无统计学意义（P>0.05），研究可进行，见表1。

1.2方法