[1]李喜辉,章 涛,刘献强,等.颈七针结合定点旋转扳法治疗神经根型颈椎病的临床疗效[J].医学信息,2023,36(04):123-126.[doi:10.3969/j.issn.1006-1959.2023.04.024]
　LI Xi-hui,ZHANG Tao,LIU Xian-qiang,et al.Clinical Effect of Neck Seven Needles Combined with Fixed-point Rotation Pulling Method in the Treatment of Cervical Spondylotic Radiculopathy[J].Journal of Medical Information,2023,36(04):123-126.[doi:10.3969/j.issn.1006-1959.2023.04.024]
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颈七针结合定点旋转扳法治疗神经根型颈椎病的临床疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年04期
页码:
123-126
栏目:
论著
出版日期:
2023-02-15

文章信息/Info

Title:
Clinical Effect of Neck Seven Needles Combined with Fixed-point Rotation Pulling Method in the Treatment of Cervical Spondylotic Radiculopathy
文章编号:
1006-1959（2023）04-0123-04
作者:
李喜辉; 章 涛; 刘献强; 等
（天津市北辰区中医医院骨二科，天津 300499）
Author(s):
LI Xi-hui; ZHANG Tao; LIU Xian-qiang; et al.
(The Second Department of Orthopedics,Tianjin Beichen Hospital of Traditional Chinese Medicine,Tianjin 300499,China)
关键词:
神经根型颈椎病; 颈七针; 定点旋转扳法; 颈椎功能
Keywords:
Cervical spondylotic radiculopathy; Neck seven needles; Fixed-point rotating pulling method; Cervical spine function
分类号:
R246
DOI:
10.3969/j.issn.1006-1959.2023.04.024
文献标志码:
A
摘要:
目的 研究颈七针结合定点旋转扳法治疗神经根型颈椎病（CSR）的临床疗效。方法 以2022年2月-8月天津市北辰中医医院骨伤科收治的60例CSR患者为研究对象，按照随机数字表法分为对照组（30例）与观察组（30例）。对照组给予定点旋转扳法治疗，观察组应用颈七针结合定点旋转扳法治疗，比较两组临床疗效、中医症状积分（颈肩疼痛、上肢麻木、颈部活动受限）、疼痛视觉模拟（VAS）评分、颈椎功能障碍指数（NDI）。结果 观察组总有效率高于对照组（P＜0.05）；两组治疗后颈肩疼痛、上肢麻木、颈部活动受限症状积分均小于治疗前，且观察组小于对照组（P＜0.05）；两组治疗后组VAS评分、NDI指数低于治疗前，且观察组VAS评分、NDI指数低于对照组（P＜0.05）。结论 颈七针结合定点旋转扳法治疗CSR疗效肯定，可有效减轻患者中医症状，缓解疼痛，改善其颈椎功能。
Abstract:
Objective To study the clinical effect of neck seven needles combined with fixed-point rotation pulling method in the treatment of cervical spondylotic radiculopathy (CSR).Methods A total of 60 patients with CSR admitted to the Department of Orthopedics and Traumatology, Beichen District Hospital of Traditional Chinese Medicine from February to August 2022 were divided into control group (30 cases) and observation group (30 cases) according to the random number table method. The control group was treated with fixed-point rotating pulling method, and the observation group was treated with neck seven needles combined with fixed-point rotating pulling method. The clinical efficacy, TCM symptom scores (neck and shoulder pain, upper limb numbness, neck activity limitation), Visual Analogue Scale (VAS) score, neck disability index (NDI) were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group (P<0.05). After treatment, the scores of neck and shoulder pain, upper limb numbness and neck movement limitation in the two groups were lower than those before treatment, and those in the observation group were lower than those in the control group (P<0.05). The VAS score and NDI index of the two groups after treatment were lower than those before treatment, and the VAS score and NDI index of the observation group were lower than those of the control group (P<0.05).Conclusion The neck seven needles combined with fixed-point rotating pulling method is effective in the treatment of CSR, which can effectively alleviate the symptoms of TCM, relieve pain and improve the function of cervical spine.

参考文献/References:

[1]王艳俊,罗新明,王少展,等.化痰通络汤联合项七针治疗椎动脉型颈椎病的疗效及对血清SOD、NSE和椎-基底动脉血流动力学的影响[J].上海中医药大学学报,2019,33(1):42-45,55.[2]邓真,沈知彼,詹红生,等.石氏定位旋扳法治疗神经根型颈椎病的疗效观察[J].中国中医骨伤科杂志,2020,28(5):5-9.[3]Wei X,Wang S,Li L,et al.Clinical Evidence of Chinese Massage Therapy (Tui Na) for Cervical Radiculopathy:A Systematic Review and Meta-Analysis[J].Evidence-Based Complementray and Alternative Medicine,2017,1(9):9519285.[4]郭倩,杜朝晖,郭伟.颈七针治疗神经根型颈椎病临床研究[J].中国中医药信息杂志,2019,26(3):25-28.[5]丁金磊,余方辉,邴兴红,等.项七针联合刺血疗法治疗椎动脉型颈椎病临床观察[J].河北中医,2020,42(5):751-755.[6]刘强,莫冰峰,文毅,等.仰卧位后伸定点旋转扳法对颈型颈椎病的治疗效果及机制[J].山东医药,2017,57(12):98-100.[7]陈黎明,许根荣,郭盛君,等.仰卧定点复位法治疗神经根型颈椎病中手法发力方向对疗效的影响[J].中华中医药杂志,2020,35(4):2189-2192.[8]王强,曾庆云,郑利君,等.神经根型颈椎病应用王氏改良颈椎旋转扳法治疗前后影像学改变[J].山东医药,2020,60(8):80-82.[9]Zhang Y,Han X,Wang Y,et al.Yunmen (LU 2) combined with neck-seven-acupoint acupuncture for arm numbness caused by cervical spondylotic radiculopathy: A case report[J].Medicine,2021,100(22):e26151.[10]李远栋,苏瑾,李嘉钰,等.定点侧屈旋扳整颈手法联合颈痛颗粒治疗神经根型颈椎病的临床研究[J].辽宁中医杂志,2020,47(3):120-123.[11]董俊峰,李翠.黄芪桂枝五物汤联合针灸推拿治疗神经根型颈椎病的效果分析[J].反射疗法与康复医学,2022,3(10):35-37.[12]李婕,谢玮,范伟强,等.“颈七针”治疗神经根型颈椎病疗效观察[J].上海针灸杂志,2018,37(2):222-225.[13]王明明,蔡圣朝,魏宝强,等.针刺“项七针”治疗椎动脉型颈椎病临床疗效观察[J].中国针灸,2018,38(9):925-929.[14]Kagawa E,Nimura A,Nasu H,et al.Fibrous Connection Between Cervical Nerve and Zygapophysial Joint and Implication of the Cervical Spondylotic Radiculopathy: An Anatomic Cadaveric Study[J].Spine,2020,46(13):E704-E709.[15]沈知彼,王辉昊,王宽,等.颈椎定位旋转扳法对不同曲度颈椎内部结构应力的影响[J].中医正骨,2018,30(3):8-12.[16]韩芳苗,徐兆辉,张万标,等.定点旋转复位手法对神经根型颈椎病椎间孔面积的影响[J].中国中医骨伤科杂志,2021,29(8):54-57.[17]孔令严,王家虹,李宇.针刺联合手法与理疗治疗神经根型颈椎病的疗效比较[J].颈腰痛杂志,2018,39(2):229-230.[18]刘春志,杨利学.定位牵旋复位法治疗神经根型颈椎病的临床疗效[J].广西医学,2021,43(17):2130-2132,2137.[19]陈卫华.针刀联合旋转端提手法在神经根型颈椎病的临床应用[J].颈腰痛杂志,2017,38(5):488-489.[20]Chunxiao R,Guowu C.Exploration on Clinical Effect of Traditional Chinese Medicine Rehabilitation to Treat Cervicalspondylotic Radiculopathy[J].International Technology Management,2017,1(6):19-21.

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更新日期/Last Update: 1900-01-01