针刺结合运动疗法治疗神经根型颈椎病的疗效及对血液流变学的影响  

Efficacy of Acupuncture Combined with Exercise Therapy in Treatment of CSR and Its Influence to Hemorheology

作　　者：侯建鹏[1] 王博仑 刘鹏[1] 刘建伟[1] 高俊虎[1] 关吉臣[2] 韩旭[1] 孙冬颖 HOU Jianpeng;WANG Bolun;LIU Peng;LIU Jianwei;GAO Junhu;GUAN Jichen;HAN Xu;SUN Dongying(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Harbin Normal University,Harbin 150500,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]哈尔滨师范大学,黑龙江哈尔滨150500

出　　处：《针灸临床杂志》2022年第7期20-23,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金联合引导项目,编号:LH2019H057。

摘　　要：目的:探讨针刺结合运动疗法治疗神经根型颈椎病(CSR)的疗效,并观察此治疗方案对血液流变学的影响。方法:选择符合纳入标准的神经根型颈椎病患者89例,按照随机数字表随机分为治疗组和对照组,对照组采用常规针刺方法(选择双侧风池穴、双侧天柱穴、双侧完骨穴以及风府穴)进行治疗,治疗组在常规针刺疗法的基础上加用运动疗法,7 d为1个疗程,共治疗两个疗程。观察治疗前后中医证候积分、血液流变学和颈椎病评分的变化情况。结果:治疗组总有效率84.44%(38/45)高于对照组的总有效率77.27%(34/44),但两组总有效率经统计学分析,差异无统计学意义。治疗14 d后,两组患者自觉症状、体格检查、日常活动评分、中医证候积分与血液流变学指标均较治疗前有明显改善,差异具有统计学意义(P<0.05);且治疗组优于对照组,差异具有统计学意义(P<0.05)。结论:在针刺治疗的基础上结合运动疗法可以明显改善神经根型颈椎病的临床症状,改善血液流变学指标。Objective:To investigate the curative effect of acupuncture combined with exercise therapy in the treatment of cervical spondylotic radiculopathy(CSR),and to observe its influence to hemorheology.Methods:86 patients with CSR were randomly divided into the treatment group and the control group,with 43 cases in each group.The control group was treated with conventional needling bilateral Fengchi(GB20),bilateral Tianzhu(BL10),bilateral Wangu(GB12)and Fengfu(DU16);on which basis,the treatment group was also treated with exercise therapy.Both groups were treated for 14 days.TCM syndrome score,hemorheology and cervical spondylosis score were observed before and after the treatment.Results:The total effective rate of the treatment group was 84.44%(38/45),which was higher than 77.27%(34/44)of the control group,however,there was no statistical difference in the total effective rate between the two groups(P>0.05).Subjective symptoms,physical examination,daily activity score,TCM syndrome score and hemorheology indexes were all improved after the treatment compared with those before the treatment in the two groups(P<0.05);of which the improvements were more significant in the treatment group than those in the control group(P<0.05).Conclusion:Acupuncture combined with exercise therapy can significantly improve clinical symptoms of CSR and improve hemorheological indexes.

关 键 词：神经根型颈椎病 针刺 运动疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]