摘要
目的:观察调督理筋针刺法治疗气滞血瘀型神经根型颈椎病的临床疗效。方法:将120例气滞血瘀型神经根型颈椎病患者按照随机数字表法分为观察组和对照组,每组各60例。对照组给予西医常规治疗联合颈痛颗粒,观察组在对照组治疗的基础上联合调督理筋针刺法。比较两组患者的临床疗效、不良反应发生率及治疗前后中医证候积分、椎动脉血流速度、炎症因子水平、康复效果评分[颈椎病临床评价量表(cervical spondylosis clinical assessment scale, CASCS)、麦吉尔疼痛问卷简表(short-form of mcgill pain questionnaire, SF-MPQ)、颈椎功能障碍指数(neck disability index, NDI)]变化情况。结果:观察组有效率为93.33%,高于对照组的78.33%,差异具有统计学意义(P<0.05)。两组患者治疗后颈痛僵硬、痛有定处、肢体麻木、舌质紫暗等中医证候积分均低于本组治疗前,且治疗后观察组低于对照组(P<0.05)。两组患者治疗后椎动脉血流速度、CASCS评分、SF-MPQ评分及NDI评分均高于本组治疗前,且治疗后观察组高于对照组(P<0.05)。两组患者治疗后炎症因子低于本组治疗前,且治疗后观察组低于对照组(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:调督理筋针刺法治疗气滞血瘀型神经根型颈椎病,能够减轻患者中医证候,改善椎动脉血流速度,降低炎症因子水平,提高康复效果。
Objective:To observe the clinical efficacy of acupuncture method of regulating GV and tendons on cervical spondylotic radiculopathy with syndrome of qi stagnation and blood stasis.Methods:A total of 120 patients with qi stagnation and blood stasis type cervical spondylotic radiculopathy were randomly divided into the observation group and the control group according to the random number table method,with 60 cases in each group.The control group was treated with conventional Western medicine combined with Neck Pain Granules,while the observation group was treated with the acupuncture method of regulating GV and tendons on the basis of the control group′s treatment.The clinical efficacy,adverse reaction rate,changes in TCM syndrome scores,vertebral artery blood flow velocity,inflammatory factor levels,and rehabilitation effect scores[including cervical spondylosis clinical assessment scale(CASCS),short-form of McGill pain questionnaire(SF-MPQ),neck disability index(NDI)]before and after treatment were compared between the two groups.Results:The effective rate of the observation group was 93.33%,which was higher than that of the control group(78.33%),and the difference was statistically significant(P<0.05).After treatment,the TCM syndrome scores,such as neck pain and stiffness,fixed pain location,limb numbness,and dark purple tongue in both groups were lower than those before treatment,and the observation group′s above scores were lower than those of the control group(P<0.05).The vertebral artery blood flow velocity,CASCS score,SF-MPQ score,and NDI score in both groups were higher than those before treatment,and the observation group′s above indicators were higher than those of the control group(P<0.05).The inflammatory factor levels in both groups were lower than those before treatment,and the observation group′s above levels were lower than those of the control group(P<0.05).However,there was no statistically significant difference in the adverse reaction rate between the two groups(P>0.05).Conclusion:The acupuncture method of regulating GV and tendons can alleviate TCM syndromes,improve vertebral artery blood flow velocity,reduce inflammatory factor levels,and enhance rehabilitation effects in patients with qi stagnation and blood stasis type cervical spondylotic radiculopathy.
作者
王子亮
苏宁
贺孝勇
WANG Ziliang;SU Ning;HE Xiaoyong(The Second People′s Hospital of Henan Province,Zhengzhou,Henan,China,451191)
出处
《河南中医》
2025年第9期1435-1440,共6页
Henan Traditional Chinese Medicine
基金
河南省医学科技攻关计划联合共建项目(LHGJ20190847)。
关键词
神经根型颈椎病
气滞血瘀证
调督理筋针刺法
颈痛颗粒
cervical spondylotic radiculopathy
syndrome of qi stagnation and blood stasis
acupuncture method of regulating GV and tendons
Neck Pain Granules
