痛点针刀闭合松解联合颈椎椎间孔注射治疗神经根型颈椎病的疗效观察  

Observation on the curative effect of pain-point needle-knife closure and relaxation combined with cervical intervertebral foramen injection in the treatment of cervical spondylotic radiculopathy

作　　者：熊应宗[1] 朱俊琛[1] 龚悦诚 王超[1] 郑智文[1] XIONG Ying-zong;ZHU Jun-chen;GONG Yue-cheng;WANG Chao;ZHENG Zhiwen(The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei Anhui 230038;Anhui University of Traditional Chinese Medicine,Hefei Anhui 230031)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230038 [2]安徽中医药大学,安徽合肥230031

出　　处：《按摩与康复医学》2022年第1期31-33,37,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：安徽中医药大学校级自然科学研究项目(2019fyyb14)。

摘　　要：目的:观察痛点针刀闭合松解联合颈椎椎间孔注射治疗神经根型颈椎病的临床疗效。方法:选取符合神经根型颈椎病纳入标准的患者90例,通过随机数字表法将患者随机分为针刀组、注射组和联合组,每组30例,分别采取痛点针刀闭合松解、颈椎椎间孔注射和针刀松解与椎间孔注射联合治疗。治疗前、治疗2周及3个月随访时分别采用疼痛视觉模拟量表(VAS)评价神经根型颈椎病疼痛程度、采用颈椎功能障碍指数量表(NDI)评价颈椎功能情况,并于3个月随访时观察两组临床疗效。结果:治疗2周及3个月随访时三组患者VAS评分、NDI评分均较治疗前降低(P<0.05),治疗2周及3个月随访时,联合组VAS及NDI评分均优于针刀组和注射组(P<0.05),且针刀组与注射组之间比较,差异无统计学意义(P>0.05);三组临床疗效差异有统计学意义(P<0.05)。结论:三组治疗方案均能减轻神经根型颈椎病的疼痛、改善颈椎功能,痛点针刀闭合松解联合颈椎椎间孔注射的疗效优于两者的单一疗法,能更好地改善颈椎疼痛和功能。Objective:To observe the clinical efficacy of pain point needle-knife closure and relaxation combined with cervical intervertebral foramina injection in the treatment of cervical spondylotic radiculopathy.Methods:Ninety patients with radiculopathy cervical spondylosis were selected.The patients were randomly divided into needle-knife group,injection group and combination group by random number table method,30 cases in each group.Cervical foraminal injection and needle knife release combined with foraminal injection.Before treatment,2 weeks of treatment and 3 months of follow-up,the visual analogue scale(VAS)was used to evaluate the pain degree of cervical spondylotic radiculopathy,and the cervical spine disability index(NDI)was used to evaluate the cervical spine.Functional status,and observe the clinical efficacy of the two groups.Results:After 2 weeks of treatment and 3 months of follow-up,the VAS scores and NDI scores of the three groups were lower than before treatment(P<0.05).After 2 weeks of treatment and 3 months of follow-up,the VAS and NDI scores of the combined group were better than those of acupuncture.There was no statistically significant difference between the knife group and the injection group(P<0.05)and the needle knife group and the injection group(P>0.05);the comparison of the clinical efficacy distribution between the two groups was statistically significant(P<0.05).Conclusion:The three treatments can all reduce the pain of cervical spondylotic radiculopathy and improve the function of the cervical spine.The effect of the pain point needle knife closure and release combined with cervical intervertebral foramina injection is better than the two monotherapy,which can better improve the cervical spine pain and function.

关 键 词：神经根型颈椎病 痛点针刀闭合松解 颈椎间孔注射 疗效 

分 类 号：R245[医药卫生—针灸推拿学]