筋骨并重治疗神经根型颈椎病的临床疗效观察  

Clinical Observation on the Treatment of Cervical Spondylotic Radiculopathy Based on the Principle of Paying Equal Attention to Sinew and Bones

作　　者：林展鹏 曹亚飞[2] LIN Zhan-Peng;CAO Ya-Fei(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518000 Guangdong,China;Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518000 Guangdong,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518000 [2]深圳市中医院,广东深圳518000

出　　处：《广州中医药大学学报》2021年第9期1836-1839,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：深圳市科创委基础研究项目(编号:JCYJ20150529150715499);深圳市三名工程项目韦贵康国医大师团队项目(编号:SZSM201812066)。

摘　　要：【目的】观察基于"筋骨并重"原则,运用小针刀疗法联合颈椎牵引治疗神经根型颈椎病(CSR)的临床疗效。【方法】将40例CSR患者随机分为治疗组和对照组,每组各20例。对照组给予颈椎牵引治疗,治疗组给予小针刀疗法联合颈椎牵引治疗,疗程为3周。观察2组患者治疗前后颈椎功能障碍指数(NDI)和视觉模拟量表(VAS)评分的变化情况,并评价2组患者的临床疗效和安全性。【结果】(1)治疗3周后,治疗组的总有效率为95.0%(29/20),对照组为75.0%(25/20);组间比较(秩和检验),治疗组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的NDI评分和VAS评分均较治疗前明显降低(P<0.05),且治疗组的降低作用均明显优于对照组,组间差值比较,差异均有统计学意义(P<0.05)。(3)观察过程中,2组患者均未出现严重不良反应情况。【结论】小针刀疗法联合颈椎牵引治疗CSR患者疗效满意,可明显缓解症状,改善颈椎功能,且具有较高的安全性。Objective To observe the clinical efficacy of small needle-knife therapy combined with cervical traction for the treatment of cervical spondylotic radiculopathy(CSR)based on the principle of paying equal attention to sinew and bones. Methods Forty patients with CSR were randomly divided into treatment group and control group,with 20 patients in each group. Both groups were given cervical traction treatment,while treatment group was given additional small needle-knife therapy. The course of treatment lasted for 3 weeks. The changes of neck disability index(NDI)and visual analogue scale(VAS)scores in the two groups were observed before and after treatment, and the clinical efficacy and safety of the two groups were evaluated after treatment. Results(1)After 3 weeks of treatment,the total effective rate was 95.0%(29/20)in the treatment group and was 75.0%(25/20)in the control group. The intergroup comparison by rank sum test showed that the curative effect of the treatment group was significantly superior to that of the control group, and the difference was statistically significant(P< 0.05).(2)After treatment,the NDI scores and VAS scores of the two groups were significantly lower than those before treatment(P< 0.05),and the effect on reducing the scores in the treatment group was significantly superior to that in the control group, the differences between the two groups being statistically significant(P< 0.05).(3)During the observation,there was no severe adverse reaction found in the two groups.Conclusion Small needle-knife therapy combined with cervical traction exerts satisfactory effect in treating patients with CSR through relieving symptoms and improving cervical function,showing higher safety.

关 键 词：神经根型颈椎病 小针刀疗法 颈椎牵引 筋骨并重 

分 类 号：R246.2[医药卫生—针灸推拿学]