多功能套针浮刺疗法治疗神经根型颈椎病——一项随机对照观察研究  

Multi-functional Trocar and Floating Needling Therapy for Cervical Spondylotic Radiculopathy:a Randomized Controlled Observation

作　　者：陈英华[1] 李俊峰 王浩宇 孙玮 秦瑞琦 苗悦 吴琳 苏晓庆 侯国文 杨建宇[4] Chen Yinghua;Li Junfeng;Wang Haoyu;Sun Wei;Qin Ruiqi;Miao Yue;Wu Lin;Su Xiaoqing;Hou Guowen;Yang Jianyu(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Graduate School of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Beijing Trocar-Acupuncture Chinese Medicine Research Institute of WFAS,Beijing 100027,China;Guangming Journal of Traditional Chinese Medicine,Beijing 100045,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学研究生院,哈尔滨150040 [3]北京世界针联套针中医研究院,北京100027 [4]光明中医杂志社,北京100045

出　　处：《世界科学技术-中医药现代化》2022年第6期2507-2512,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金委员会面上项目(82074530):基于Glu/NMDAR/BDNF通路探讨针刺对血管性痴呆大鼠的内源性保护机制,负责人:陈英华。

摘　　要：目的评价多功能套针浮刺疗法对神经根型颈椎病的临床疗效。方法选取256例神经根型颈椎病患者,按随机数字表法分为观察组与对照组各128例。观察组应用多功能套针浮刺疗法进行干预,对照组为常规针刺治疗。两组患者均治疗7天。分别于治疗前后观察两组患者的简化McGill疼痛问卷(SFMPQ)、国际标准颈椎功能障碍指数(NDI)和田中靖久颈椎病症状20分法量表评分,并于治疗结束后3个月观察复发率。结果两组患者治疗后的SF-MPQ量表评分、NDI量表评分及田中靖久颈椎病症状20分法评分与治疗前相比均有改善(P<0.05),且观察组优于对照组(P<0.05);两组患者于治疗后3个月随访,SF-MPQ量表评分与治疗后相比均有改善,且观察组优于对照组(P<0.05);观察组临床疗效总有效率为96.88%,愈显率为81.25%;对照组总有效率为78.13%,愈显率为46.88%,观察组优于对照组(P<0.05)。结论应用多功能套针浮刺疗法治疗神经根型颈椎病临床疗效显著,见效较快,可有效降低其复发率,且作用稳定,效果持久,值得临床推广应用。Objective To evaluate the clinical effect of multi-functional trocar floating needling therapy on cervical spondylotic radiculopathy.Methods We selected 256 patients with radiculopathy of cervical spondylosis and divided them into observation group and control group with 128 cases each by random number table.The observation group was given multi-functional trocar floating acupuncture therapy,and conventional acupuncture therapy was given to the control group,7 days as a course of treatment.We observed the simplified McGill Pain Questionnaire(SF-MPQ),International Standard Cervical Dysfunction Index(NDI),and Tanaka Yasuhisa′s 20-point Cervical Spondylopathy Symptom Scale scores of the two groups before and after treatment,and observed 3 months after the end of treatment recurrence rate.Results After treatment,the SF-MPQ scale score,NDI scale score,and Tanaka Yasuji′s 20-point cervical spondylosis scores were improved compared with before treatment(P<0.05),and the performance of the observation group was better than the control(P<0.05).The two groups of patients were followed up for 3 months after treatment,and the SF-MPQ scale scores were improved compared with those after treatment,and the parents of observation group was better than the control(P<0.05).The total effective rate of clinical curative effect in the observation group was 96.88%,and the cure rate was 81.25%.The total effective rate in the control group was 78.13%,and the cure rate was 46.88%.The observation group was better than the control group(P<0.05).Conclusion The application of multi-functional trocar floating acupuncture therapy in the treatment of cervical spondylotic radiculopathy has a significant clinical effect,quick effect,can effectively reduce the recurrence rate,and the effect is durable and stable.It is worthy of clinical application.

关 键 词：颈椎病 神经根型 多功能套针 浮刺疗法 

分 类 号：R246[医药卫生—针灸推拿学]