调督理筋针配合循经点刺治疗气滞血瘀型神经根型颈椎病临床观察  

Clinical Observation of the Treatment of Cervical Spondylotic Radiculopathy with Qi Stagnation and Blood Stasis Syndrome by Acupuncture for Regulating GV and Tendons Combined with Quick Pricking Along the Affected Meridian

作　　者：闫利敏 闫素敏 YAN Li-min;YAN Su-min(The First Affiliated Hospital of Henan University,Kaifeng,Henan,China,475000)

机构地区：[1]河南大学第一附属医院,河南开封475000

出　　处：《河南中医》2023年第5期767-771,共5页Henan Traditional Chinese Medicine

基　　金：河南省科技攻关计划项目(LHGJ20210572)。

摘　　要：目的:观察调督理筋针配合循经点刺治疗气滞血瘀型神经根型颈椎病的临床疗效。方法:本研究选取2018年6月至2022年8月河南大学第一附属医院收治的神经根型颈椎病患者126例,辨证为气滞血瘀证,按照随机数字表法分为观察组与对照组,每组63例。对照组给予普通针刺疗法治疗,观察组给予调督理筋针配合循经点刺治疗。观察两组患者治疗前后疼痛视觉模拟评分(visual analogue score,VAS)、中医证候积分、颈椎功能障碍指数(neck disability index,NDI)评分变化情况及临床疗效。结果:观察组治疗后中医证候评分低于对照组,差异具有统计学意义(P<0.05);观察组治疗后VAS评分低于对照组,差异具有统计学意义(P<0.05);观察组治疗后NDI评分低于对照组,差异具有统计学意义(P<0.05);观察组有效率为90.48%,对照组有效率为73.02%,观察组有效率高于对照组,差异具有统计学意义(P<0.05)。结论:调督理筋针配合循经点刺治疗气滞血瘀型神经根型颈椎病,能够改善患者中医证候、颈椎功能障碍,缓解疼痛。Objective:To observe the clinical efficacy of acupuncture for regulating GV and tendons combined with quick pricking along the affected meridian on cervical spondylotic radiculopathy with qi stagnation and blood stasis syndrome.Methods:This study selected 126 patients with cervical spondylotic radiculopathy admitted to The First Affiliated Hospital of Henan University from June 2018 to August 2022,who were diagnosed with qi stagnation and blood stasis syndrome.They were randomly divided into the observation group and the control group,with 63 cases in each group.The control group was treated with ordinary acupuncture,while the observation group was treated with acupuncture for regulating GV and tendons combined with quick pricking along the affected meridian.Then the changes of visual analog score(VAS),TCM syndrome scores,neck disability index(NDI)score,and clinical efficacy of two groups before and after treatment were observed.Results:After treatment,the TCM syndrome scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);The VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);The NDI score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The effective rate of the observation group was 90.48%,while that of the control group was 73.02%.The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture for regulating GV and tendons combined with quick pricking along the affected meridian can improve TCM syndrome,cervical dysfunction,and relieve pain in patients with cervical spondylotic radiculopathy with qi stagnation and blood stasis syndrome.

关 键 词：神经根型颈椎病 气滞血瘀证 调督理筋针 循经点刺 

分 类 号：R274.981.55[医药卫生—中西医结合]