目的:观察热敏灸联合神经根阻滞术治疗神经根型颈椎病临床疗效。方法:将68例神经根型颈椎病患者随机分成2组,观察组35例采用热敏灸联合神经根阻滞治疗,对照组33例采用普通针刺治疗,进行疗效评价。结果:治疗后,愈显率观察组91.43%,对照组60.61%,2组临床疗效愈显率比较,差异有统计学意义(P〈0.01),观察组优于对照组。2组治疗前后白细胞介素-6(IL-6)水平及疼痛视觉模拟评分法(VAS)评分分别比较,差异均有统计学意义(P〈0.05);2组治疗后IL-6水平和VAS评分比较,差异均有统计学意义(P〈0.05),观察组疗效优于对照组。结论:热敏灸联合神经根阻滞术治疗神经根型颈椎病临床疗效确切,该疗法是一种安全快捷、短期速效和长期续效的中西医结合介入疗法,值得应用。
Objective:To observe the clinical effect of thermal sensitive moxibustion combined with nerve root blockade for cervical spondylotic radiculopathy. Methods:Selected 68 patients with cervical spondylotic radiculopathy and divided them into two groups. The 35 cases of the observation group was given thermal sensitive moxibustion combined with nerve root blockade,while the 33 cases of the control group was given routine acupuncture. Evaluated the curative effect. Results:After treatment,obvious effective rate was 91.43% and 60.61% in the observation group and the control group respectively,the difference being significant(P〈0.01),and the curative effect of the observation group was better than that of the control group. Comparing interleukin-6(IL-6) level and visual analogue scale(VAS) score of the two groups before and after treatment respectively,the difference was significant(P〈0.05). Comparing IL-6 level and VAS score of the two groups after treatment,the difference being significant(P〈0.05),and the curative effect of the observation group was better than that of the control group. Conclusion:thermal sensitive moxibustion combined with nerve root blockade has accurate curative effect in treating cervical spondylotic radiculopathy. It is a kind of safe and efficient integrated Chinese and western medicine therapy with available short-term effect and sustainable long term effect,which is worth of application.