| 陈艳红,陈敏,方汉萍,等.运用内热针治疗神经根型颈椎病的临床疗效观察.骨科,2015,6(1): 42-44. |
| 运用内热针治疗神经根型颈椎病的临床疗效观察 |
| Clinical efficacy of heat acupuncture treatment for radicular cervical spondylosis |
| 投稿时间：2014-10-29 |
| DOI：10.3969/j.issn.1674-8573.2015.01.012 |
| 中文关键词: 神经根型颈椎病 内热针 治疗结果 |
| 英文关键词: Cervicalspondylotic radiculopathy Heat needle Treatment outcome |
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| 中文摘要: |
| 目的 观察并比较内热针及电针治疗神经根型颈椎病的临床疗效的差异。方法 选取2012年4月至2014年6月在太和医院康复科就诊的68例神经根型颈椎病患者，根据性别、年龄、病程、疼痛视觉模拟量表（visual analogue scale, VAS）评分、临床颈椎病评价量表(clinical assessment scale for cervical spondylosis，CASCS)评分进行配对，每对研究对象分别随机归入内热针组及电针组。内热针组行内热针治疗，电针组行电针治疗，采用日本骨科协会（Japanese Orthopaedic Association，JOA）评分和改善率进行疗效评定。结果 治疗前两组的JOA评分差异无统计学意义 (P>0.05)；治疗后，内热针组JOA评分中的主观症状评分、临床体征、日常活动受限情况比治疗前明显增加，而电针组仅日常活动受限比治疗前改善。内热针组治疗后JOA评分各项指标和治疗总有效率均明显优于电针组，差异有统计学意义(P<0.05)。结论 内热针能有效改善神经根型颈椎病的临床症状、体征，提高日常生活能力，其疗效优于传统的电针治疗。 |
| 英文摘要: |
| Objective To investigate and compare the efficacy of the heat acupuncture vs. electro-acupuncture treatment for radicular cervical spondylosis. Methods Sixty-eight cases of radicular cervical spondylosis in the rehabilitation center of Taihe Hospital were collected from Apr. 2012 to Jun. 2014, and randomly divided into two groups (the heat acupuncture group and the electro-acupuncture group) based on sex, age, duration, VAS score and CASCS score. The heat acupuncture group was treated with heat-acupuncture, and the electro-acupuncture group with electro-acupuncture. After a full treatment session, the efficacy was assessed based on JOA scores (including signs and symptoms, clinical manifestations, the ability to perform daily tasks and hold a job) and the improvement rate of symptoms. Results JOA score between the two groups before the treatment showed no significant difference (P>0.05). After the treatment session, the scores of subjective complaint, clinical manifestations and the extent of limitation of daily activities of heat acupuncture group were increased significantly. Meanwhile, the electroacupuncture group only made mild improvement in performing daily tasks. There was significant difference in subjective complaints, clinical signs and daily activities between the heat-acupuncture group and electro-acupuncture group after the treatment. The total effective rate in heat-acupuncture group was significantly higher than in electro-acupuncture group (P<0.05). Conclusion The heat acupuncture can effectively improve the clinical symptoms, signs and daily activities of patients with radicular cervical spondylosis, and its efficacy is superior to the traditional electro-acupuncture treatment. |
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