不同刺络放血疗法对神经根型颈椎病外周血TNF-?的影响  

Effect of Different Collateral Bleeding Methods on TNF-α in Peripheral Blood of Cervical Spondylosis of Nerve Root Type

作　　者：程波[1] 潘国良 董晓薇 鞠建平 金鹏 唐斌 CHENG Bo;PAN Guo-liang;DONG Xiao-wei;JU Jian-ping;JIN Peng;TANG Bin(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine,Shanghai 200437, China;Shanghai Pudong Hospital,Shanghai 201399,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市浦东医院,上海201399

出　　处：《上海针灸杂志》2018年第3期311-315,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市卫计委项目(201440059);上海中医药事业发展三年行动计划(ZY3-LCPT-1-1007);上海市浦东新区中医特色专科建设项目(PDZYXK-1-2014009)

摘　　要：目的通过观察患者外周血TNF-?水平,研究三棱针散刺与梅花针(七星针)叩刺这两种刺络方式在治疗神经根型颈椎病之间的区别。方法 60例神经根型颈椎病患者随机分为三棱针组和梅花针组。三棱针组采用三棱针散刺,梅花针组采用梅花针扣刺。两组均每周治疗1次,共治疗4次。观察两组治疗前后血清TNF-?水平变化,并比较临床疗效。结果两组治疗前后血清TNF-?水平比较,具有显著性差异(P<0.05),但两组治疗后血清TNF-?水平比较差异无统计学意义(P>0.05)。两组临床疗效比较,差异无统计学意义(P>0.05)。结论三棱针组和梅花针组均能明显减少神经根型颈椎病外周血TNF-?浓度,两者之间没有明显区别。Objective To study the difference between scattered prick with three-edge needle and tapping prick with plum-blossom needle(seven-star needle)in treating cervical spondylosis of nerve root type by observing the content of serum tumor necrosis factor-α(TNF-α)in patients'peripheral blood.Method Sixty patients with cervical spondylosis of nerve root type were randomized into a three-edge needle group and a plum-blossom needle group.The three-edge needle group was intervened by scattered prick with three-edge needle,while the plum-blossom needle group was intervened by plum-blossom needle.The two groups were treated once a week,for4weeks in total.The level of TNF-αin serum of the two groups was measured before and after the treatment,and the clinical efficacies were compared.Result The level of serum TNF-αchanged significantly after the treatment in both groups(P<0.05),but there was no significant between-group difference in comparing the level of serum TNF-αafter the intervention(P>0.05).The between-group difference in the clinical efficacy was statistically insignificant(P>0.05).Conclusion Both three-edge needle and plum-blossom needle can significantly down-regulate the content of serum TNF-αin peripheral blood,and there is no noticeable difference between the two methods.

关 键 词：三棱针疗法 刺络拔罐疗法 梅花针疗法 颈椎病 神经根型 肿瘤坏死因子Α 

分 类 号：R246.2[医药卫生—针灸推拿学]