目的 观察热敏灸与温针疗法治疗椎动脉型颈椎病的临床疗效差异.方法 将120例椎动脉型颈椎病患者随机分为热敏灸组和温针组,每组60例.两组均在针刺双侧风池、完骨、天柱、及大椎、百会穴的基础上,热敏灸组在颈项部、肩胛部探寻出热敏点后加施回旋、雀啄、往返的温和灸,温针组加施普通艾灸.结果 平均治疗20次后,两组治疗均有效果,治疗前后比较差异均有统计学意义(P〈0.05),但热敏灸组在总分项、眩晕项、颈肩痛项和愈显率方面明显优于温针组(P〈0.05).结论 热敏灸较温针治疗椎动脉型颈椎病更能明显减轻患者眩晕和疼痛症状,提高治疗效果.
ObjectiveTo compare the efficacies between heat-sensitive moxibustion and warm needling in treating cervical spondylosis of vertebroarterial type.MethodTotally 120 patients with cervical spondylosis of vertebroarterial type were randomized into a heat-sensitive moxibustion group and a warm needling group, 60 in each group. In addition to acupuncture at bilateral Fengchi (GB20), Wangu (GB12), Tianzhu (BL10), Dazhui (GV14) and Baihui (GV20), the heat-sensitive moxibustion group was given mild moxibustion to the heat-sensitive points in cervical and scapular regions, while the warm needling group was given regular moxibustion.ResultGenerally, after 20 treatment sessions, efficacy wasfound in both groups, and there were significant differences in both groups after intervention (P<0.05), while the improvements of integral score, dizziness, cervical and shoulder pain, and the recovery and markedly-effective rate in the heat-sensitive moxibustion group were significantlysuperiorto t