王俊依+蔡剑飞
[摘要] 目的 探讨针灸联合推拿手法治疗治疗神经根型颈椎病的临床疗效及其安全性。 方法 选取于2014年1月～2016年12月在我院接受治疗的300例神经根型颈椎病患者作为研究对象，按随机分配方式分为对照组和治疗组，各150例，对照组给予针灸疗法治疗，治疗组给予针灸联合推拿手法治疗，观察并比较两组患者的临床疗效、治疗前后VAS评分、不良反应等情况。 结果 治疗组总有效率为94.67%，对照组总有效率为83.33%，两组比较差异有显著性意义（P<0.05）；治疗组治疗后VAS评分与对照组比较差异有显著性（P<0.05），两组患者VAS评分治疗前后比较差异均有统计学意义（P<0.05）；两组患者不良反应发生率比较差异无统计学意义（P>0.05）。 结论 针灸联合推拿手法治疗能改善神经根型颈椎病患者肩颈部疼痛、患侧上肢放射痛或麻木感、头晕头痛等症状，具有操作简便、损伤少、恢复快、疗效高等优点，且不良反应发生率低，值得在临床上推广应用。
[关键词] 神经根型颈椎病；针灸；推拿；中医疗法
[中图分类号] R246.9；R274.9 [文献标识码] B [文章编号] 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
神经根型颈椎病指由颈椎椎间盘退行性改变及其继发性病理改变所导致神经根受压而引起的以颈项部及肩背部疼痛、头晕头痛、上肢麻木等为主要表现的颈椎病，是临床上颈椎病中较为常见的类型。近年来随着经济条件的改善，电子产品及家用汽车逐渐普及，人们工作及生活方式发生明显改变，神经根型颈椎病的发病率明显升高，并呈现年轻化趋势，因此，发掘并总结更多治疗方法具有必要性。本研究选取2014年1月～2016年12月在我院治疗的300例神经根型颈椎病患者作为研究对象，探讨针灸联合推拿手法治疗该病的临床疗效及其安全性，现报道如下。
