左振芹　　陈敏　　谢甦　　罗能先

[关键词] 白脉软膏;刮痧;灸法;颈椎病

[中图分类号] R244.1          [文献标识码] B          [文章编号] 1673-9701（2021）16-0146-04

Effect of Baimai Ointment for scraping combined with moxibustion in the treatment of cervical spondylosis

ZUO Zhenqin   CHEN Min   XIE Su   LUO Nengxian

Department of Traditional Chinese Medicine， the Affiliated Hospital of Guizhou Medical University， Guizhou， Guiyang 550001， China

[Abstract] Objective To explore the efficacy of Baimai Ointment for scraping combined with moxibustion in the treatment of cervical spondylosis. Methods A total of 200 patients with cervical spondylosis admitted to the Outpatient Department of Traditional Chinese Medicine of the Affiliated Hospital of Guizhou Medical University from October 2017 to October 2020 were selected as research objects. They were divided into the observation group and the control group according to the treatment methods received， each group has 100 cases. The observation group was treated with Baimai Ointment for scraping combined with moxibustion， while the control group was treated with traditional scraping combined with moxibustion. After 3 weeks of treatment， the scores of Neck pain questionnaire（NPQ）， Neck disabilitv index （NDI） and clinical efficacy were compared between the two groups before and after treatment. Results After treatment， the scores of NPQ and NDI of the two groups were lower than those before treatment（P<0.05）， and the scores of NPQ and NDI were lower in the observation group than those in the control group， with statistically significant differences（P<0.05）. The total effective rate of the observation group was 90.00%， which was significantly higher than 80.00% of the control group， with statistically significant difference（P<0.05）. Conclusion Baimai Ointment as medium for scraping combined with moxibustion has obvious efficacy on patients with cervical spondylosis， with little pain and high acceptance by patients.

[Key words] Baimai Ointment; scraping; moxibustion; cervical spondylosis

隨着信息技术的发展，电子产品的广泛运用，久坐、缺乏锻炼、长时间低头等，使颈椎长时间处于屈曲状态，颈部肌肉、韧带过度牵拉、退变，颈椎曲度变化，使椎体增生，项韧带钙化等[1]，造成严重的颈部不适，甚至出现头晕、心慌、手麻等症状，严重影响工作效率和生活质量，而随着生活节奏加快，颈椎病也越来越普遍化和年轻化[2]。虽然针灸等疗法对颈椎病的治疗已有确切的疗效，但是由于针刺容易给患者带来一定的心理压力，所以其疗法具有一定的局限性。采用安全有效，操作简便，易于让患者接受的治疗方法，将会给颈椎病患者带来极大的帮助。白脉软膏是藏医传统古验方，具有舒筋通络功效[3]，本研究将其用于刮痧配合灸法治疗颈椎病，取得较好效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年10月至2020年10月贵州医科大学附属医院中医科门诊收治的颈椎病确诊患者200例。纳入标准：以中医药管理局颁布的《中医病症诊断疗效标准》[4]作为诊断及分型标准;排除标准：①检测部位有外伤、皮肤溃烂或肿瘤等疾病患者;②非康复诊疗范围的其他型颈椎病。200例患者根据治疗方法分为对照组与观察组，每组各100例。观察组中，男37例，女63例;年龄 25～65岁，平均（44.6±4.4）岁;病程6个月～10年，平均（4.2±0.8）年;其中，50例为颈型颈椎病，25例为椎动脉型颈椎病，15例为神经根型颈椎病，10例为混合型颈椎病。对照……