“筋骨并重”思想指导下的推拿手法联合颈夹脊穴龙虎交战针法治疗神经根型颈椎病的临床研究  

Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy by Massage Combined with Dragon and Tiger Fighting Acupuncture at Cervical Jiaji Point Under the Guidance of the Idea of"Equal Emphasis on Muscles and Bones"

作　　者：兰俊超 梁子威 苏嘉宝 何炎坤 林浩嘉 LAN Jun-chao;LIANG Zi-wei;SU Jia-bao;HE Yan-kun;LIN Hao-jia(Clinical Medical College of Acupuncture and Rehabilitation,Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong,510403,China;Department of Acupuncture,Dongguan Hospital of Traditional Chinese Medicine,Dongguan,Guangdong,523000,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510403 [2]东莞市中医院针灸科,广东东莞523000

出　　处：《现代生物医学进展》2022年第15期2888-2892,共5页Progress in Modern Biomedicine

基　　金：广东省教育厅特色创新项目(2016KQNCX027)。

摘　　要：目的:探讨“筋骨并重”思想指导下的推拿手法联合颈夹脊穴龙虎交战针法治疗神经根型颈椎病(CSR)的治疗效果。方法:选取2020年1月到2021年5月期间在东莞市中医院针灸科接受诊治的CSR患者108例,参照随机数字表法分成对照组与观察组,各54例。对照组接受常规治疗、“筋骨并重”思想指导下的推拿手法治疗,观察组在对照组的基础上联合颈夹脊穴龙虎交战针法治疗,两组均治疗2周。对比两组疗效、中医证候总积分、视觉模拟评分法(VAS)、颈椎病临床评价量表(CASCS)评分、颈部生物学相关参数及血液流变学。结果:观察组的临床总有效率为94.44%(51/54),高于对照组的74.07%(40/54),差异有统计学意义(P<0.05)。两组治疗2周后中医证候总积分、VAS评分下降,且观察组较对照组低;CASCS评分升高,且观察组高于对照组(P<0.05)。两组治疗2周后左旋转、右旋转颈功能活动度和前屈、后伸颈部肌力升高,且观察组高于对照组(P<0.05)。两组治疗2周后全血黏度高切、纤维蛋白原、血浆黏度、全血黏度低切下降,且观察组低于对照组(P<0.05)。结论:“筋骨并重”思想指导下的推拿手法联合颈夹脊穴龙虎交战针法治疗CSR患者,可有效改善其临床症状,减轻疼痛,恢复颈部脊椎功能,改善血液流变学,疗效确切。Objective:To explore the therapeutic effect of massage combined with dragon and Tiger fighting acupuncture at cervical jiaji point under the guidance of the idea of"equal emphasis on muscles and bones"in the treatment of cervical spondylotic radiculopathy(CSR).Methods:108 CSR patients who were admitted to the Acupuncture Department of Dongguan Hospital of Traditional Chinese Medicine from January 2020 to May 2021 were selected,and they were divided into control group and observation group according to random number table method,with 54 patients in each group.The control group received conventional treatment and massage treatment guidance of the idea of"equal emphasis on muscles and bones",and the observation group was treated with dragon and Tiger fighting acupuncture at cervical jiaji point on the basis of the control group.Both groups were treated for 2 weeks.The efficacy,TCM syndrome score,visual analogue scale(VAS),clinical assessment scale for cervical spondylosis(CASCS)score,neck biological parameters and hemorheology were compared between the two groups.Results:The total clinical effective rate of the observation group was 94.44%(51/54),which was higher than 74.07%(40/54)of the control group(P<0.05).2 weeks after treatment,the total TCM syndrome score and VAS score of the two groups decreased,and the observation group was lower than the control group.CASCS score was higher,and the observation group was higher than the control group(P<0.05).2 weeks after treatment,the left and right rotation neck functional activity and the forward flexion and backward extension neck muscle strength were increased in both groups,and the observation group was higher than the control group(P<0.05).2 weeks after treatment,whole blood viscosity hypershearing,fibrinogen,plasma viscosity and whole blood viscosity hyposhearing decreased in both groups,and the observation group was lower than the control group(P<0.05).Conclusion:Under the guidance of the idea of"equal emphasis on muscles and bones",massage combined with dragon and

关 键 词：“筋骨并重”思想指导下的推拿手法 颈夹脊穴龙虎交战针法 神经根型颈椎病 疗效 

分 类 号：R681.55[医药卫生—骨科学] R245[医药卫生—外科学] R244.13[医药卫生—临床医学]