分经辨证针刺治疗神经根型颈椎病患者45例的疗效分析

目的 为了提高神经根型颈椎病的治疗效果，分析和探讨采用分经辨证针灸治疗的价值和意义。方法 选取2016年2月至2017年2月来我院治疗的神经根型颈椎病患者90例，根据随机数字表法分为两组（每组45例），试验组采取分经辨证针灸即颈项部病经上的"六合"穴联合病经同侧的络穴及其对侧表里经的络穴进行治疗，对照组采取常规取穴方案治疗，比较不同治疗措施对疗效的影响，观察两组治疗前后神经根型颈椎病20分量表评分和视觉模拟评分（VAS）。结果 试验组和对照组均能取得治疗效果，但和对照组相比试验组患者总有效率明显占据优势，两组比较差异有统计学意义（P<0.05）；试验组和对照组患者治疗后其神经根型颈椎病20分量表评分和VAS评分均有所改善，且试验组改善更显著，两组比较差异有统计学意义（P<0.05）。结论 神经根型颈椎病患者通过分经辨证针灸方案治疗，疗效可靠，能够显著改善患者临床症状，值得推广应用。

Clinical Effect of 45 Cases of Nerve Root Type Cervical Spondylosis Treated by Acupuncture and Moxibustion with Differentiation of Symptoms and Signs

Objective To improve the therapeutic effect of nerve root type of cervical spondylosis, the value and significance of acupuncture and moxibustion with differentiation and differentiation were analyzed and discussed. Methods According to the relevant requirements of random number table method, 90 cases of nerve root type cervical spondylosis patients from February 2016 to February 2017 in our hospital were randomly divided into two groups, 45 cases in each group. The experiment group was treated with acupuncture and moxibustion (Liuhe and luo-connecting points) with differentiation of symptoms and signs, the control group was treated with conventional treatment. The 20 scores acupuncture and visual analogue scale (VAS) of nerve root type cervical spondylosis in the two groups before and after treatment were observed. Results The experiment group and the control group could achieve the therapeutic effect, and the experiment group was statistically better than the control group (P<0.05). The 20 scores acupuncture and VAS of nerve root type cervical spondylosis in the two groups were improved, and the experiment group was more obvious, the difference in the two groups was statistically significant (P<0.05). Conclusion Acupuncture and moxibustion with differentiation of symptoms and signs in treatment of nerve root type cervical spondylosis patients has reliable curative effect. It could improve the clinical symptoms of patients, and is worthy of application.