电针颈三针配合牵引疗法治疗神经根型颈椎病的临床研究  

Clinical Study on Cervical Three-Needle Electroacupuncture Combined with Traction Therapy in Treatment of Cervical Spondylotic Radiculopathy

作　　者：张飞雄 张瑾[2] 任海滨 黄慧敏 叶海英 江伟杰 吴钊细 ZHANG Fei-Xiong;ZHANG Jin;REN Hai-Bin;HUANG Hui-Min;YE Hai-Ying;JIANG Wei-Jie;WU Zhao-Xi(Dept.of Rehabilitation Medicine,Heyuan People’s Hospital,Heyuan 517000 Guangdong,China;The Third Hospital Affiliated to Sun Yat-Sen University,Guangzhou 510060 Guangdong,China;Zhuhai Hospital,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 519000 Guangdong,China)

机构地区：[1]广东省河源市人民医院康复医学科,广东河源517000 [2]中山大学附属第三医院,广东广州510060 [3]广东省中医院珠海医院,519000

出　　处：《广州中医药大学学报》2021年第10期2163-2168,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研资助项目(编号:2008048);广东省医学科学技术研究基金项目(编号:B2017115)。

摘　　要：【目的】观察电针颈三针配合牵引疗法治疗神经根型颈椎病的临床疗效。【方法】将136例神经根型颈椎病患者随机分为观察组与对照组,每组各68例,对照组给予牵引疗法联合西药口服治疗,观察组在对照组治疗的基础上,给予颈三针电针治疗,均连续治疗2周。治疗2周后,观察2组患者治疗前后视觉模拟量表(VAS)评分及Northwick park颈痛量表(NPQ)评分的变化情况,比较2组患者治疗前后肌电图仪上肢F波传导速度的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗后,2组患者的VAS及NPQ评分均明显改善(P<0.05),且观察组在改善VAS及NPQ评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的肌电图F波传导速度均明显改善(P<0.05),且观察组在改善肌电图F波传导速度方面明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组总有效率为91.18%(62/68),对照组为73.53%(50/68)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】电针颈三针配合牵引疗法治疗神经根型颈椎病,能够有效地修复患者神经根受压的情况,从而改善患者的疼痛症状,提高患者的生活质量,临床疗效显著。Objective To observe the clinical effect of cervical three-needle electroacupuncture combined with traction therapy in the treatment of cervical spondylotic radiculopathy.Methods A total of 136 patients with cervical spondylotic radiculopathy were randomly divided into observation group and control group,68 cases in each group.The control group was given traction therapy combined with oral use of western medicine,and the observation group was given cervical three-needle electroacupuncture treatment on the basis of the treatment in the control group,the treatment lasting for 2 consecutive weeks.After 2 weeks of treatment,the changes of visual analogue scale(VAS)scores and Northwick Park neck pain scale(NPQ)scores in the two groups were observed before and after treatment.The changes of EMG upper limb F wave conduction velocity in the two groups were compared before and after treatment,and the clinical effect of the two groups was evaluated.Results(1)After treatment,VAS and NPQ scores in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving VAS and NPQ scores,the difference being statistically significant(P<0.05).(2)After treatment,the conduction velocity of EMG F wave in the two groups was significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the conduction velocity of EMG F wave,the difference being statistically significant(P<0.05).(3)The total effective rate of the observation group was 91.18%(62/68),and that of the control group was 73.53%(50/68).The curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).Conclusion Cervical three-needle electroacupuncture combined with traction therapy in the treatment of cervical spondylotic radiculopathy is effective for repairing the nerve root compression in patients,so as to improve the pain symptoms and the quality of life of patients.

关 键 词：电针 颈三针 神经根型颈椎病 牵引疗法 临床研究 

分 类 号：R246.9[医药卫生—针灸推拿学]