夹脊穴电针配合雷火灸法治疗风寒湿型神经根型颈椎病的临床观察  

Clinical Observation of Jiaji Electroacupuncture Combined with Thunder Fire Moxibustion in the Treatment of Cervical Spondylotic Radiculopathy of Wind-Cold-Dampness Type

作　　者：张宜默 张莉 于春鹏 李琳 周佳 ZHANG Yi-mo;ZHANG Li;YU Chun-peng;LI Lin;ZHOU Jia(Department of Traditional Chinese Medicine,Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar Heilongjiang 161000;Department of Neurology,Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar Heilongjiang 161000;Department of Emergency Medicine,Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar Heilongjiang 161000;Department of Treating Diseases,Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar Heilongjiang 161000)

机构地区：[1]齐齐哈尔中医医院国医堂,黑龙江齐齐哈尔161000 [2]齐齐哈尔中医医院神经内二科,黑龙江齐齐哈尔161000 [3]齐齐哈尔中医医院急诊内科,黑龙江齐齐哈尔161000 [4]齐齐哈尔中医医院治未病科,黑龙江齐齐哈尔161000

出　　处：《世界中西医结合杂志》2021年第9期1577-1580,1588,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：黑龙江省中医药科研项目(ZHY2020-012)。

摘　　要：目的观察夹脊穴电针配合雷火灸法治疗风寒湿型神经根型颈椎病的疗效。方法选取2018年6月—2018年12月期间在齐齐哈尔中医医院就诊的98例风寒湿型神经根型颈椎病患者,随机分为对照组(49例)和观察组(49例),两组患者均给予止痛、解痉、营养神经治疗,对照组给予夹脊穴电针治疗,观察组在对照组的治疗基础上给予雷火灸法治疗,两组患者均连续治疗2周。所有患者均在治疗前后,采用简化MPQ疼痛问卷和颈椎功能障碍指数量表(Neck Disability Index,NDI)进行疼痛评分和颈椎功能评定,采用酶联免疫(ELASA)法检测外周静脉血血浆中白细胞介素-1(interleukin-1,IL-1)、白细胞介素6(interleukin-6,IL-6)、白细胞介素8(interleukin-8,IL-8)和肿瘤坏死因子α(tumor necrosis factor-α,TNF-α)水平,并且记录治疗过程中发生的不良反应。结果与治疗前比较,两组患者治疗后MPQ、NDI评分均明显下降,且治疗后观察组降低程度优于对照组,差异有统计学意义(P<0.05);两组患者外周血血浆中IL-1、IL-6、IL-8、TNF-α水平均明显下降,且观察组下降水平优于对照组,两组比较,差异有统计学意义(P<0.05);两组患者不良反应发生情况比较,差异无统计学意义(P>0.05)。结论夹脊穴电针配合雷火灸法治疗风寒湿型神经根型颈椎病能有效减轻患者疼痛、改善颈椎活动度,其机制可能与夹脊穴电针配合雷火灸法能够抑制炎症因子IL-1、IL-6、IL-8及TNF-α水平有关。Objective To observe the therapeutic effect of Jiaji electroacupuncture combined with thunder fire moxibustion on cervical spondylosis of nerve root type of wind-cold-dampness type.Methods 98 cases of cervical spondylotic radiculopathy of wind-cold-dampness type who received treatment at Qiqihar hospital of traditional Chinese medicine from June 2018 to December 2018 were randomly divided into control group(49 cases)and observation group(49 cases).Both groups were given analgesic,antispasmodic and nerve nutrition therapy.The control group was given Jiaji point electroacupuncture on the basis of basic treatment,while the observation group was given thunder fire moxibustion on the basis of the control group.Both groups were treated for 2 weeks.Before and after treatment,the simplified MPQ pain questionnaire and cervical dysfunction index scale(Neck Disability Index,NDI)were used to evaluate the pain score and cervical function.The expression of interleukin-1(IL-1),interleukin-6(IL-6),interleukin-8(IL-8)and tumor necrosis factor-α(TNF-α)levels in plasma of peripheral venous blood were detected by enzyme-linked immunosorbent assay(ELASA)kit.Adverse reactions occurred during treatment were recorded.Results Compared with before treatment,the MPQ and NDI scores of the two groups of patients decreased significantly after treatment,and the decrease in the observation group was better than that of the control group after treatment,and the difference was statistically significant(P<0.05).The levelsof IL-1,IL-6,IL-8,and TNF-αdecreased significantly,and the decrease level of the observation group was better than that of the control group.The difference between the two groups was statistically significant(P<0.05).The safety of the two groups of patients Evaluation,the difference was not statistically significant(P>0.05).Conclusion Electric acupuncture at Jiaji points combined with thunder fire moxibustion can relieve pain and improve cervical spine degree in patients with cervical spondylotic radiculopathy of wind-cold-damp

关 键 词：神经根型颈椎病 风寒湿型 夹脊穴电针 雷火灸法 疼痛评分 颈椎活动度 

分 类 号：R246.9[医药卫生—针灸推拿学]