联合应用小针刀和骶管冲击治疗交感型颈椎病的疗效  

Efficacy of small needle scalpel combined with sacral injection in treating sympathetic cervical spondylosis

作　　者：杨智杰[1] 陈剑峰[1] 杜建明[1] 

机构地区：[1]南京中医药大学附属无锡市中医医院脊柱科,江苏省214001

出　　处：《江苏医药》2016年第21期2333-2335,共3页Jiangsu Medical Journal

摘　　要：目的观察联合应用小针刀和骶管冲击治疗交感型颈椎病的临床疗效。方法交感型颈椎病患者83例随机分为两组。两组均给予牵引、药物热敷和中频脉冲等常规综合治疗。A组41例,加用骶管冲击及小针刀治疗和手法松解;B组42例,加用推拿手法松解。比较两组临床疗效。结果随访时间:A组为(14.0±3.3)个月,B组为(12.0±5.2)个月。治疗后,A组疗效总优良率90.24%,高于B组的76.20%(P<0.05)。结论在常规综合治疗的基础上,针对交感型颈椎病发病机制中同时存在椎管内及椎管外因素,加用骶管冲击及小针刀治疗能有效提高临床疗效。Objective To observe the efficacy of small needle scalpel combined with sacral injection in treating sympathetic cervical spondylosis. Methods Eighty-three patients with sympathetic cervical spondylosis were randomized into two groups. On the basis of conventional therapy including traction, Chinese medicine fomentation, medium frequency pulse, additional small needle scalpel combined with sacral injection was adopted in group A（41 cases）and additional relieving by manipulation was used in group B（42 cases）. The clinical efficacy was compared between two groups. Results The patients in groups of A and B were followed up for （14.0 ± 3.3）months and （12.0± 5.2）months, respectively. The overall excellent and good rate was higher in group A than that in group B（90. 24% vs. 76. 20%）（P〈0. 05）. Conclusion In allusion to the intraspinal and extraspinal factors responsible for sympathetic cervical spondylosis, based on conventional therapy, combined use of small needle scalpel and sacral injection can effectively improve the clinical efficacy in the treatment of sympathetic cervical spondylosis.

关 键 词：交感型颈椎病 小针刀 骶管冲击疗法 

分 类 号：R681[医药卫生—骨科学]