摘要
目的:探究气滞血瘀证神经根型颈椎病(CSR)应用经筋理论指导下针刺联合理筋整复手法治疗的效果。方法:选取本院2021年6月—2024年6月收治的CSR(气滞血瘀证)患者106例纳入研究,按随机数字表法分成对照组和试验组,各53例。对照组予以理筋整复手法治疗,在此基础上试验组加用基于经筋理论针刺治疗,时长为4周。比较两组疗效、中医症候评分、血清疼痛炎症指标、血液流变学指标、颈椎功能、36项生活质量调查问卷(SF-36)评分和不良反应发生率的差异。结果:治疗后,试验组总有效率93.34%(50/53),高于对照组的77.36%(41/53),差异具有统计学意义(P<0.05);两组颈项疼痛、动则加剧、痛处不移评分及次症总分均低于同组治疗前,且试验组低于对照组,差异具有统计学意义(P<0.05);两组血清P物质(SP)、前列腺素E2(PGE2)、C反应蛋白(CRP)、白细胞介素(IL)-1β水平、纤维蛋白原(FIB)、血浆黏度(PV)、全血低切黏度(LSV)与高切黏度(HSV)均低于同组治疗前,且试验组低于对照组,差异具有统计学意义(P<0.05);两组Northwick Park颈痛量表(NPQ)、颈椎活动度(CROM)与颈椎功能障碍指数(NDI)评分均低于同组治疗前,且试验组低于对照组,差异具有统计学意义(P<0.05);两组SF-36量表各维度评分均高于同组治疗前,且试验组高于对照组,差异具有统计学意义(P<0.05);两组治疗期间未见明显不良反应发生。结论:基于经筋理论针刺联合理筋整复手法治疗气滞血瘀证CSR的疗效显著,能有效缓解中医症状,调节疼痛炎症因子及血液流变学指标水平,提高颈椎功能及生活质量。
Objective:To explore the curative effect of acupuncture based on meridian sinew theory combined with regulating sinew and reconditioning manipulation in treatment of cervical spondylotic radiculopathy(CSR)of Qi stagnation and blood stasis syndrome.Methods:A total of 106 patients with CSR of Qi stagnation and blood stasis syndrome were randomly divided into the control group and the trial group,with 53 patients in each group.The control group was treated with regulating sinew and reconditioning manipulation;on which basis,the trial group was also treated with acupuncture based on meridian sinew.Both groups were treated for 4 weeks.Curative effect,TCM symptoms scores,serum pain inflammatory indexes,hemorheology indexes,cervical vertebra function,scores of SF-36 and incidence of adverse reactions were compared between the two groups.Results:The total effective rate was 94.34%(50/53)in the trial group,which was higher than 77.36%(41/53)in the control group(P<0.05).The scores of neck pain,aggravation in movement and fixed pain,and the scores of secondary symptoms were decreased after the treatment than those before the treatment in both groups,and the scores were lower in the trail group than those in the control group(P<0.05).The serum levels of SP,PGE2,CRP,IL-1β,FIB and PV,as well as LSV and HSV were all decreased after the treatment compared to those before the treatment in both groups,which were lower in the trial group than those in the control group(P<0.05).The scores of NPQ,CROM and NDI were all decreased after the treatment compared to those before the treatment in both groups,which were lower in the trial group than those in the control group(P<0.05).The scores of SF-36 were increased after the treatment compared to those before the treatment in both groups,which were higher in the trail group than those in the control group(P<0.05).There were no obvious adverse reactions in either group during the treatment.Conclusion:Curative effect of acupuncture based on meridian sinew theory combined with regulating sinew and reconditioning manipulation is significant in treatment of CSR of Qi stagnation and blood stasis syndrome,which can effectively relieve TCM symptoms,regulate levels of pain inflammatory factors and hemorheology indexes,and improve cervical vertebra function and quality of life of the patients.
作者
陈桂泉
吴伟鹏
汤兴华
CHEN Guiquan;WU Weipeng;TANG Xinghua(73th Group Military Hospital of People's Liberation Army,Xiamen 361000,China;Nanping People's Hospital,Nanping 353000,China)
出处
《针灸临床杂志》
2025年第6期24-30,共7页
Journal of Clinical Acupuncture and Moxibustion
基金
福建省南平市科研基金,编号:N2015Y04。
关键词
神经根型颈椎病
气滞血瘀证
经筋理论
针刺
理筋整复手法
Cervical spondylotic radiculopathy
Qi stagnation and blood stasis syndrome
Meridian sinew theory
Acupuncture
Regulating sinew and reconditioning manipulation
