浮针埋线联合推拿疗法对神经根型颈椎病疗效及对颈椎活动度、生理曲度变化的影响  

Therapeutic Effect of Floating Acupuncture and Catgut Embedding Combined with Massage Therapy on Cervical Spondylosis of Nerve Root Type and Its Influence on Changes in Cervical Mobility and Physiological Curvature

作　　者：王鹏超 梁兰芳 徐建明 周钰[1] 雷华[1] WANG Peng-chao;LIANG Lan-fang;XU Jian-ming;ZHOU Yu;LEI Hua(Acupuncture and massage department,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830000,China)

机构地区：[1]新疆医科大学第一附属医院针灸推拿科,新疆乌鲁木齐830000

出　　处：《现代生物医学进展》2022年第22期4274-4278,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81960898)。

摘　　要：目的:探讨与分析浮针埋线联合推拿疗法对神经根型颈椎病疗效及对颈椎活动度、生理曲度变化的影响。方法:2019年2月到2021年6月选择在本院诊治的神经根型颈椎病患者105例作为研究对象,根据1:1简单分配原则把患者分为浮针组53例与对照组52例。对照组给予推拿治疗,浮针组在对照组治疗的基础上给予浮针埋线治疗,两组都治疗观察21 d,记录患者颈椎活动度、生理曲度变化情况。结果:治疗后浮针组的总有效率为98.1%,与对照组的86.5%相比有明显提高(P<0.05)。浮针组与对照组治疗后的颈椎活动度评分明显低于治疗前,浮针组与对照组相比也明显降低(P<0.05)。浮针组与对照组治疗后的疼痛视觉模拟评分法(VAS)评分明显低于治疗前,颈椎日本骨科协会评估治疗分数(JOA)评分明显高于治疗前,治疗后浮针组与对照组对比也有明显差异(P<0.05)。浮针组与对照组治疗后的颈椎生理曲度明显高于治疗前,浮针组也明显高于对照组(P<0.05)。结论:浮针埋线联合推拿疗法在神经根型颈椎病患者的应用能促进缓解疼痛,改善颈椎功能,能提高治疗疗效,改善患者的颈椎活动度,还可促进颈椎生理曲度恢复正常。Objective:To explore and analysis the therapeutic effect of floating acupuncture and catgut embedding combined with massage therapy on cervical spondylosis of nerve root type and its influence on the range of motion and physiological curvature of the cervical spine.Methods:From February 2019 to June 2021,105 cases of patients with cervical radiculopathy diagnosed and treated in our hospital were selected as the research subjects.Accorded to the simple allocation principle of 1:1,the patients were divided into the floating needle group with 53 cases and the matched group with 52 cases.The matched group were given tuina therapy,and on the basis of the treatment of the control group,the floating acupuncture group was given floating acupuncture and catgut embedding therapy.Both groups were treated for 21 days,and the changes of cervical spine activity and physiological curvature were recorded.Results:After treatment,the total effective rates of the floating acupuncture group were 98.1%,which were significantly higher than that of the matched group(86.5%)(P<0.05).The cervical spine mobility score after treatment in the floating acupuncture group and the matched group were significantly lower than that before treatment,and the floating acupuncture group were also significantly lower than that in the matched group(P<0.05).The Visual Analogue(VAS)scores of the floating needle group and the matched group after treatment were significantly lower than those before treatment,and the Japanese Orthopaedic Association(JOA)scores of cervical spine were significantly lower It were higher than that before treatment,and there were also difference compared between the floating acupuncture group and the matched group after treatment(P<0.05).The physiological curvature of the cervical spine after treatment in the floating acupuncture group and the matched group were significantly higher than that before treatment,and the floating acupuncture group were also significantly higher than the matched group(P<0.05).Conclusion:The application

关 键 词：浮针埋线 推拿 神经根型颈椎病 颈椎活动度 生理曲度 

分 类 号：R681.55[医药卫生—骨科学] R242[医药卫生—外科学]