世界中医药

目的：研究针刺联合艾灸治疗颈椎病颈痛的临床疗效。方法：选取2015年1月至2016年12月上海市杨浦区市东医院骨伤科收治的颈椎病患者117例，分为3组，针灸观察组39例，针刺观察组38例，灸法观察组40例，针灸观察组采用针刺和灸法相结合治疗，针刺观察组合灸法观察组分别单独采用针刺和艾灸治疗，在不同时间点上分别观察记录3组的视觉模拟评分法(Visual Analogue Scale，VAS)、颈痛量表(Northwick Park Neck Pain Questionnaire，NPQ)、McGill疼痛量表(McGill pain Questionaire，MPQ)并计算有效率。结果：治疗时和治疗后针灸观察组VAS值均显著低于针刺观察组和灸法观察组(P<0.05)；针灸观察组的MPQ、NPQ评分均低于针刺观察组和灸法观察组；治疗结束时的短期有效率针灸观察组92.3%，针刺观察组89.4%，灸法观察组87.5%，3组差别无统计学意义(P>0.05)，3个月后的长期有效率针灸观察组87.2%，针刺观察组76.2%，灸法观察组75%，前针灸观察组与针刺观察组和灸法观察组比较，有效率显著提高(P<0.05)。结论：针刺联合艾灸治疗效果显著优于针刺和灸法单独治疗，且安全性和持续性较好，值得推广。

English Summary:

To study the clinical effect of acupuncture combined with moxibustion in the treatment of neck pain caused by cervical spondylosis. Methods:A total of 117 patients with cervical spondylosis who were admitted in our hospital from January 2015 to December 2016 were divided into three groups, with 39 for acupuncture moxibustion group, 38 for acupuncture group, and 40 for moxibustion group. The patients in acupuncture moxibustion group were treated with acupuncture combined with moxibustion, while patients in acupuncture group were treated with acupuncture only. Visual analogue scale (VAS), Northwick park neck pain questionnaire (NPQ), McGill pain questionaire (MPQ) were observed and recorded and the efficiency were calculated in three groups at different time points. Results:The results showed that VAS in acupuncture moxibustion group were significantly lower than those in acupuncture group and moxibustion group (P<0.05) both in and after the treatment. It showed that acupuncture combined with moxibustion could relieve neck pain instantly. MPQ, NPQ scores in acupuncture moxibustion group were lower than the acupuncture group and moxibustion group. The short-term efficiency was 92.3% in acupuncture moxibustion group, 89.4% in acupuncture group and 87.5% in moxibustion group when the treatment ended, and the results did not show significant difference (P>0. 05). The long-term efficiency of acupuncture moxibustion group was 87.2%, 76.2% in acupuncture group, and 75% in moxibustion group, and the efficiency in the former group was significantly higher than the other two groups (P<0.05). Conclusion:The clinical effects of acupuncture combined with moxibustion were significantly better than acupuncture or moxibustion alone, with good safety and persistence, which is worth promoting.

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