穴位埋针联合中药热熨治疗神经根型颈椎病气滞血瘀证临床研究  

Clinical Study on Therapy of Needle Embedment in Point Combined with Chinese Herbal Hot Compress for Cervical Spondylotic Radiculopathy with Syndrome of Qi Stagnation and Blood Stasis

作　　者：吴萍 WU Ping

机构地区：[1]杭州市临平区第一人民医院,浙江杭州311100

出　　处：《新中医》2022年第8期188-191,共4页New Chinese Medicine

摘　　要：目的:观察穴位埋针联合中药热熨治疗神经根型颈椎病(CSR)气滞血瘀证的临床疗效。方法:选取110例气滞血瘀型CSR患者,采用随机数字表法分为对照组和观察组各55例。对照组给予牵引治疗,观察组在对照组基础上加用穴位埋针联合中药热熨治疗。比较2组临床疗效及不良反应发生率;比较2组治疗前后颈椎疼痛程度、颈椎功能及血液流变学指标。结果:观察组总有效率94.55%,高于对照组81.82%(P<0.05)。治疗后,2组Northwick Park颈痛量表(NPQ)及颈椎功能障碍指数(NDI)评分均较治疗前降低(P<0.05),观察组NPQ、NDI评分均低于对照组(P<0.05)。治疗后,2组全血高切黏度(HSV)、全血低切黏度(LSV)、血浆黏度(PV)均较治疗前降低(P<0.05),观察组HSV、LSV、PV均低于对照组(P<0.05)。观察组不良反应发生率9.09%,与对照组5.45%比较,差异无统计学意义(P>0.05)。结论:穴位埋针联合中药热熨治疗CSR气滞血瘀证,能明显改善患者的颈椎功能及血液流变学指标,缓解颈痛,且安全性好。Objective:To observe the clinical effect of the therapy of needle embedment in point combined with Chinese herbal hot compress on cervical spondylotic radiculopathy(CSR)with syndrome of qi stagnation and blood stasis.Methods:A total of 110 CSR patients of qi stagnation and blood stasis type were selected and divided into the control group and the observation group by random number table method,with 55 cases in each group.The control group treated with traction,while the observation group was additionally treated with needle embedment in point combined with Chinese herbal hot compress based on the treatment of the control group.The clinical effects and incidence of adverse reactions were compared between the two groups.The degree of cervical pain,cervical function and hemorheology indexes were compared between the two groups before and after treatment.Results:The total effective rate was 94.55%in the observation group,higher than that of 81.82%in the control group(P<0.05).After treatment,the scores of Northwick Park Neck Pain Questionnaire(NPQ)and Neck Disability Index(NDI)in both groups were decreased when compared with those before treatment(P<0.05),and the above two scores in the observation group were lower than those in the control group(P<0.05).After treatment,the whole blood high shear viscosity(HSV),the whole blood low shear viscosity(LSV)and plasma viscosity(PV)in both groups were decreased when compared with those before treatment(P<0.05),while the HSV,LSV and PV in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions was 9.09%in the observation group and 5.45%in the control group,there being no significant difference(P>0.05).Conclusion:The therapy of needle embedment in point combined with Chinese herbal hot compress for CSR patients with syndrome of qi stagnation and blood stasis,can significantly improve the cervical spine function and hemorheology indexes of patients,relieve neck pain,and has great safety.

关 键 词：神经根型颈椎病 气滞血瘀证 穴位埋针 中药热熨 颈痛 颈椎功能 血液流变学 

分 类 号：R246.6[医药卫生—针灸推拿学]