针刀干预激痛点联合颈舒颗粒治疗神经根型颈椎病急性期临床研究  

Clinical Observation of Acupotomy Intervention on MTrPs Combined with Jingshu Granules in The Treatment of Acute Cervical Radiculopathy

作　　者：任树军[1] 张明岳 杨亚锋 徐培福 黄柄祥 李远峰[1] 高曦[1] Ren Shujun;Zhang Mingyue;Yang Yafeng;Xu Peifu;Huang Bingxiang;Li Yuanfeng;Gao Xi(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中国中医急症》2023年第2期230-232,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY19-009);黑龙江省自然科学基金项目(LH2021H092)。

摘　　要：目的观察针刀干预激痛点联合颈舒颗粒治疗神经根型颈椎病急性期的临床效果。方法选取70例患者随机分为治疗组与对照组各35例。治疗组采取针刀干预激痛点联合颈舒颗粒治疗,对照组予以颈舒颗粒口服治疗。记录两组治疗前、治疗后、随访1个月以及随访3个月视觉模拟评分量表(VAS)评分、匹兹堡睡眠质量指数量表(PSQI)评分和功能障碍指数量表(NDI)评分。记录治疗前、治疗后以及随访3个月颈椎生理曲度和临床疗效。运用SPSS21统计学软件对所收集数据资料分析处理。结果治疗组和对照组临床总有效率分别是91.43%和85.71%(P<0.05),并且治疗后、随访1个月以及随访3个月后治疗组VAS、PSQI和NDI评分均低于对照组(P<0.05),治疗后和随访3个月颈椎曲度高于对照组(P<0.05)。结论针刀干预激痛点联合颈舒颗粒治疗神经根型颈椎病急性期可以明显改善疼痛程度、睡眠质量以及颈椎生理曲度。Objective:To observe the clinical effect of acupotomy intervention on myofascial trigger points(MTrPs)combined with Jingshu Granules to treat cervical radiculopathy at acute stage.Methods:A total of 70patients were randomly divided into treatment group and control group,with 35 patients in each group.The treatment group was treated with acupotomy intervention on MTrPs and Jingshu Granules,while the control group was only treated with Jingshu Granules.The VAS,PSQI and NDI scores were recorded pretreatment,after treatment,at1 month and 3 months after treatment in both groups and the physiologic curve and clinical effect of cervical spine were recorded before and after treatment,and at 3 months after treatment.SPSS21 statistical software was used to analyze the collected data.Results:The total clinical effective rate was 91.43%in the treatment group and85.71%in the control group(P<0.05).The scores of VAS,PSQI and NDI in the treatment group were lower than those in the control group aftertreatment,at 1 month and 3 months after treatment(P<0.05).The cervical curvature was higher than that in the control group after treatment and at 3 months after treatment(P<0.05).Conclusion:Acupotomy intervention on MTrPs combined with Jingshu Granules can obviously improve the degree of pain,the quality of sleep and the physiological curvature of cervical spine in the acute stage of cervical radiculopathy.

关 键 词：神经根型颈椎病 急性期 针刀 激痛点 颈舒颗粒 

分 类 号：R681.55[医药卫生—骨科学]