摘要
目的 探讨杵针疗法在气滞血瘀证神经根型颈椎病患者中的应用效果。方法 选择2020年11月至2021年4月常州市中医医院收治的气滞血瘀证神经根型颈椎病患者85例,根据随机数字表法分为对照组42例和观察组43例。对照组采用针刺配合颈椎牵引治疗,观察组采用杵针疗法配合颈椎牵引治疗,疗程均为2周。比较两组临床症状积分、临床疗效及睡眠质量。结果 治疗后2周,两组肩颈臂疼痛、颈部压痛、颈项活动不利、上肢活动不利、肢体麻木感、腱反射、上肢肌力、压顶试验、臂丛神经牵拉试验积分和总积分均低于治疗前,且观察组肩颈臂疼痛、肢体麻木感、压顶试验、臂丛神经牵拉试验积分和总积分均低于对照组,差异有统计学意义(P<0.05)。观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后2周,两组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分和总分均低于治疗前,且观察组睡眠效率评分和总分均低于对照组,差异有统计学意义(P<0.05)。结论 杵针疗法有助于改善气滞血瘀证神经根型颈椎病患者的临床症状,提高治疗效果,改善睡眠质量。
Objective To investigate the application effect of pestle needle therapy in nerve-root type cervical spondylosis patients with qi stagnation and blood stasis syndrome. Methods A total of 85 nerve-root type cervical spondylosis patients with qi stagnation and blood stasis syndrome treated in Changzhou Traditional Chinese Medicine Hospital from November 2020 to April 2021 were selected and divided into control group(42 cases) and observation group(43 cases) according to random number table method. The control group was treated with acupuncture combined with cervical traction, and the observation group was treated with pestle needle therapy combined with cervical traction, with a course of treatment of two weeks. The clinical symptom score, clinical efficacy, and sleep quality between the two groups were compared. Results Two weeks after treatment, the scores of shoulder neck arm pain, neck tenderness, neck mobility, upper limb mobility, limb numbness, tendon reflex, upper limb muscle strength, coping test, brachial plexus traction test, and total scores in two groups were lower than those before treatment, the scores of shoulder neck arm pain, limb numbness, coping test, brachial plexus traction test and total scores in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). Clinical efficacy of the observation group was better than that of the control group, the difference was statistically significant(P<0.05). Two weeks after treatment, sleep quality, sleep latency, sleep time, sleep efficiency, sleep disorder, hypnotic drugs, daytime dysfunction scores, and total scores of the two groups were lower than those before treatment, sleep efficiency score and total score in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion Pestle needle therapy can help to improve the clinical symptoms, treatment effect and sleep quality of nerve-root type cervical spondylosis patients with qi stagnation and blood stasis syndrome.
作者
许小霞
郑瑶洁
吴彩兰
XU Xiaoxia;ZHENG Yaojie;WU Cailan(Department of Rehabilitation,Changzhou Traditional Chinese Medicine Hospital,Jiangsu Province,Changzhou213003,China)
出处
《中国医药导报》
CAS
2023年第3期139-142,共4页
China Medical Herald
基金
江苏省中医药局科技项目(YB201951)。
关键词
神经根型颈椎病
杵针疗法
颈椎牵引
临床疗效
睡眠质量
Nerve-root type cervical spondylosis
Pestle needle therapy
Cervical traction
Clinical efficacy
Sleep quality
