矩阵针法治疗神经根型颈椎病伴项韧带钙化的临床疗效观察  

Clinical effects of matrix acupuncture on cervical spondylotic radiculopathy with nuchal ligament calcification

作　　者：徐彦龙[1] 张洪涛[1] 徐秀梅[2] 安彬 陈红梅 XU Yan-long;ZHANG Hong-tao;XU Xiu-mei;AN Bin;CHEN Hong-mei(Department of Acupuncture and Moxibustion,Gansu Provincial Hospital of TCM,Lanzhou 730050,China;Department of Rehabilitation Medicine,Gansu Provincial Hospital of TCM,Lanzhou 730050,China;Graduate School,Gansu University of Chinese Medicine,Lanzhou 730030)

机构地区：[1]甘肃省中医院针灸一科,兰州730050 [2]甘肃省中医院康复医学科,兰州730050 [3]甘肃中医药大学研究生院,兰州730030

出　　处：《针刺研究》2022年第6期544-548,共5页Acupuncture Research

基　　金：甘肃省中医药管理局课题(No.GZK-2017-28)。

摘　　要：目的:观察矩阵针法对神经根型颈椎病伴项韧带钙化患者的颈椎功能障碍、临床疗效及项韧带钙化灶大小的影响。方法:将120例神经根型颈椎病伴项韧带钙化的患者随机分为矩阵针法组和常规针刺组,每组60例。矩阵针法组取穴为阿是穴、天柱(双侧)、风池(双侧)、大杼(双侧)、肩中俞(双侧)及患侧肩井、天宗、曲池、手三里、外关、合谷;常规针刺组取穴为颈(C)3—C7夹脊穴及患侧肩井、天宗、曲池、手三里、外关、合谷、阿是穴。两组均每次治疗30min,每周治疗6d休息1d,连续治疗4周。每周比较两组颈椎功能障碍指数量表(NDI)评分变化、临床疗效及项韧带钙化灶体积。结果:与本组治疗前比较,两组治疗4周后NDI评分降低、项韧带钙化灶体积缩小(P<0.05)。与常规针刺组比较,矩阵针法组治疗1周、2周、3周、4周NDI评分降低、项韧带钙化灶体积缩小(P<0.05),治疗2周、3周、4周愈显率明显提高(P<0.05)。结论:矩阵针法和常规针刺治疗神经根型颈椎病伴项韧带钙化在降低NDI评分、缩小项韧带钙化灶体积方面均有作用,但矩阵针法较常规针刺临床疗效具有明显优势。Objective To observe the effects of matrix acupuncture on the neck disability index(NDI)score,clinical efficacy,and the calcification size of the nuchal ligament in patients of cervical spondylotic radiculopathy with nuchal ligament calcification.Methods A total of 120cases were randomly divided into a matrix acupuncture group and a routine acupuncture group,with 60cases in each group.In the matrix acupuncture group,Ashi-point,bilateral Tianzhu(BL10),bilateral Fengchi(GB20),bilateral Dazhu(BL11),bilateral Jianzhongshu(SI15),and Jianjing(GB21),Tianzong(SI11),Quchi(LI11),Shousanli(LI10),Waiguan(TE5),and Hegu(LI4)at the affected side were selected.In the routine acupuncture group,C3—C7Jiaji points at the neck and Jianjing(GB21),Tianzong(SI11),Quchi(LI11),Shousanli(LI10),Waiguan(TE5),Hegu(LI4),and Ashi-point at the affected side were selected.The patients in the two groups were treated 30min once,six days a week,for a total of four weeks.The NDI scores,clinical efficacies,and calcification sizes of nuchal ligament were compared between the two groups every weekend.Results After four weeks of treatment,the NDI scores and calcification volumes of nuchal ligament decreased in both groups(P<0.05).Compared with the routine acupuncture group,the matrix acupuncture group showed decreased NDI scores and reduced calcification volumes of nuchal ligament at the 1^(st),2^(nd),3^(rd),and 4^(th) weeks of treatment(P<0.05).The cure and marked effective rate in the matrix acupuncture group at the 2^(nd),3^(rd),and 4^(th) weeks of treatment were superior to those of the routine acupuncture group(P<0.05).Conclusion The matrix acupuncture group and the routine acupuncture group are effective in reducing the NDI score and calcification size of nuchal ligament in patients of cervical spondylotic radiculopathy with nuchal ligament calcification.However,matrix acupuncture has obvious advantages over routine acupuncture.

关 键 词：神经根型颈椎病 项韧带钙化 矩阵针法 

分 类 号：R245.31[医药卫生—针灸推拿学]