广西医学

目的探讨针刺壮医脐环穴治疗气滞血瘀型神经根型颈椎病的临床效果。方法选取60例气滞血瘀型神经根型颈椎病患者作为研究对象，随机分为针刺壮医脐环穴组与常规针刺组，每组30例。给予常规针刺组常规针刺治疗，给予针刺壮医脐环穴组针刺壮医脐环穴联合常规针刺治疗，两组均治疗2周。比较两组治疗前后疼痛视觉模拟量表（VAS）评分、田中靖久症状量表评分，治疗效果及治疗期间不良反应发生情况。结果两组患者的疼痛VAS评分、田中靖久症状量表评分差异有统计学意义（P＜0.05），两组患者的疼痛VAS评分、田中靖久症状量表评分有随时间延长而变化的趋势（P＜0.05），其中，首次治疗后、治疗1周后及治疗2周后，针刺壮医脐环穴组患者的疼痛VAS评分低于常规针刺组，田中靖久症状量表评分高于常规针刺组(P＜0.05)。针刺壮医脐环穴组总有效率为93.33%，高于常规针刺组的70.00%（P＜0.05）。两组治疗过程中均未出现不良反应。结论针刺壮医脐环穴联合常规针刺治疗气滞血瘀型神经根型颈椎病患者的疗效显著，可有效改善患者的疼痛症状及颈椎功能，效果优于单一常规针刺治疗，且安全性较高。

ObjectiveTo explore the clinical effect of acupuncture for Zhuang Medicine Qihuan acupoint for the treatment of cervical spondylotic radiculopathy in qi stagnation and blood stasis type. MethodsA total of 60 patients with cervical spondylotic radiculopathy in qi stagnation and blood stasis type were selected as the research subjects, and they were randomly divided into acupuncture for Zhuang Medicine Qihuan acupoint group or routine acupuncture group, with 30 cases in each group. Patients in the routine acupuncture group received routine acupuncture for treatment, and the acupuncture for Zhuang Medicine Qihuan acupoint group employed acupuncture for Zhuang Medicine Qihuan acupoint combined with routine acupuncture therapy. Both groups received treatment for 2 weeks. The pre- and post-treatment Visual Analogue Scale (VAS) score for pain, Yasuhisa Tanaka symptom scale score, clinical effect, and the occurrence of adverse reactions during treatment were compared between patients of the two groups. ResultsThere were statistically significant differences in VAS score for pain and Yasuhisa Tanaka symptom scale score between the two groups (P＜0.05). Both groups exhibited a tendency of changes of VAS score for pain and Yasuhisa Tanaka symptom scale score over time (P＜0.05), therein, after the first treatment, 1 and 2 weeks of treatment, patients of the acupuncture for Zhuang Medicine Qihuan acupoint group obtained a lower VAS score for pain, whereas a higher Yasuhisa Tanaka symptom scale score as compared with the routine acupuncture group (P＜0.05). The total effective rate of the acupuncture for Zhuang Medicine Qihuan acupoint group was higher than that of the routine acupuncture group (93.33% vs. 70.00%, P＜0.05). No adverse reactions of both groups during treatment occurred. ConclusionAcupuncture for Zhuang Medicine Qihuan acupoint combined with routine acupuncture for the treatment of cervical spondylotic radiculopathy in qi stagnation and blood stasis type exerts significant efficacy, which can effectively ameliorate patients′ pain symptom and cervical function, exerting superior effects to single routine acupuncture therapy, with a relatively high safety.