针刀压敏点联合芍药甘草汤治疗气血两虚兼血瘀型神经根型颈椎病的疗效  

Efficacy Analysis of Acupuncture Pressure-Sensitive Points Combined with Shaoyao Gancao Decoction on the Treatment of Cervical Spondylotic Radiculopathy of Qi and Blood Deficiency and Blood Stasis Type

作　　者：张乐[1] 杨嘉 黄承军[1] ZHANG Le;YANG Jia;HUANG Chengjun(The Third Affiliated Hospital of Guangxi University of Chinese Medicine(Liuzhou Hospital of Traditional Chinese Medicine),Liuzhou 545001,Guangxi China)

机构地区：[1]广西中医药大学第三附属医院(柳州市中医医院),广西柳州545001

出　　处：《中国中医骨伤科杂志》2022年第9期31-35,42,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广西壮族自治区卫生厅中医药科技专项课题(GZKZ-Z1106)。

摘　　要：目的:探讨针刀压敏点联合芍药甘草汤治疗气血两虚兼血瘀型神经根型颈椎病(CSR)的疗效。方法:选择2019年10月至2021年7月本院收治的130例气血两虚兼血瘀型神经根型颈椎病患者,随机分为两组,对照组采用芍药甘草汤治疗,观察组采用针刀压敏点联合芍药甘草汤治疗。比较两组颈肩痛疼痛程度、颈椎症状和功能障碍程度、睡眠和生活质量、炎症因子以及不良反应。结果:最终120例完成治疗,进入结果分析,每组各60例。两组患者疼痛视觉模拟量表(VAS)评分、Northwick Park颈痛问卷(NPQ)评分、颈椎功能障碍指数(NDI)评分、匹茨堡睡眠质量指数量表(PSQI)评分、血清白细胞介素(IL)-6、IL-1β、肿瘤坏死因子-α(TNF-α)水平较治疗前降低,差异有统计学意义(P<0.05);颈椎病临床评价量表(CASCS)评分及健康状况调查简表(SF-36)评分较治疗前增高,差异有统计学意义(P<0.05)。观察组治疗后VAS评分、NPQ评分、NDI评分、PSQI评分、血清IL-6、IL-1β、TNF-α水平低于对照组,差异有统计学意义(P<0.05);CASCS评分、SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论:与芍药甘草汤治疗比较,针刀压敏点联合芍药甘草汤可显著改善神经根型颈椎病疼痛程度和临床症状,降低颈椎障碍程度,提高睡眠和生活质量,可能与针刀压敏点联合芍药甘草汤显著的抗炎效果有关。Objective:To explore the efficacy of acupuncture pressure-sensitive points combined with Shaoyao gancao decoction on the treatment of cervical spondylotic radiculopathy(CSR)of Qi and blood deficiency and blood stasis type.Methods:A total of 130 CSR patients with Qi and blood deficiency and blood stasis type from October 2019 to July 2021 were selected and randomly divided into two groups.The control group were treated with Shaoyao liquorice decoction,and the observation group were treated with acupotomy pressure sensitive point combined with Shaoyao liquorice decoction.The degree of neck and shoulder pain,cervical symptoms and dysfunction,sleep and quality of life,inflammatory factors and adverse reactions were compared between the two groups.Results:120 cases were treated and entered the results analysis,with 60 cases in each group.The visual analog scale(VAS)and northwick park neck pain questionnaire(NPQ)scores,cervical spine dysfunction index(NDI)scores,Pittsburgh sleep quality index(PSQI)scores,serum interleukin(IL-6),IL-1β,tumor necrosis factor-α(TNF-α)levels in both groups decreased than those before treatment(P<0.05);CASCS scores and SF-36 scores increased than those before treatment(P<0.05).After treatment,VAS scores,NPQ scores,NDI scores,PSQI scores,serum IL-6,IL-1βand TNF-αlevels in observation group were lower than those in control group(P<0.05);CASCS scores and SF-36 scores were higher than those in control group(P<0.05).Conclusion:Compared with Shaoyao liquorice decoction,acupotomy pressure sensitive point combined with Shaoyao liquorice decoction can significantly improve the degree of CSR pain and clinical symptoms,reduce the degree of cervical spine disorder,improve sleep and life quality,which may be related to the significant anti-inflammatory effect of acupotomy pressure sensitive point combined with Shaoyao liquorice decoction.

关 键 词：神经根型颈椎病 芍药甘草汤 针刀 压敏点 

分 类 号：R255.3[医药卫生—中医内科学] R255.6[医药卫生—中医学]