腹针联合解结针法治疗神经根型颈椎病的临床疗效及对颈肩部疼痛的影响  

Clinical efficacy of abdominal acupuncture combined with knot-untying acupuncture in the treatment of cervical spondylotic radiculopathy and its effect on neck and shoulder pain

作　　者：郑春华 罗正 陈燕 ZHENG Chun-hua;LUO Zheng;CHEN Yan(Department of Traditional Chinese Medicine Physiotherapy,Wuzhou Maternal and Child Health Hospital,Wuzhou Guangxi 543002,China;Department of Traditional Chinese Medicine,Wuzhou Red Cross Hospital,Wuzhou Guangxi 543000,China)

机构地区：[1]梧州市妇幼保健院中医理疗科,广西梧州543002 [2]梧州市红十字会医院中医科,广西梧州543000

出　　处：《临床和实验医学杂志》2023年第5期507-510,共4页Journal of Clinical and Experimental Medicine

基　　金：广西壮族自治区中医药局自筹经费科研课题(编号:GZZC2019272)。

摘　　要：目的探讨腹针联合解结针法治疗神经根型颈椎病的临床疗效及对颈肩部疼痛的影响。方法将2019年10月至2021年7月梧州市妇幼保健院收治的100例神经根型颈椎(CSR)病患者纳入本次前瞻性研究,根据随机数字表法分为对照组(n=50)和研究组(n=50),对照组患者接受针灸+推拿治疗,研究组患者接受腹针和解结针法治疗。治疗持续3个月。比较2组的临床疗效、治疗前后简化McGill疼痛问卷表(SF-MPQ)[疼痛分级指数(PRI)、疼痛视觉模拟评分法(VAS)、现有疼痛强度(PPI)]评分、颈椎功能障碍指数(NDI)评分和随访6个月的复发情况。结果研究组治疗总有效率为94.00%,相比于对照组的(80.00%)显著提高,差异有统计学意义(P<0.05)。研究组治疗后的PRI评分、VAS评分、PPI评分分别为(3.08±0.52)、(7.04±2.01)和(1.82±0.30)分,较对照组[(4.12±0.67)、(10.23±2.56)和(2.48±0.39)分]显著下降,差异均有统计学意义(P<0.05)。研究组治疗后的NDI评分为(19.54±3.67)分,较对照组[(25.27±4.26)分]显著下降,差异有统计学意义(P<0.05)。研究组治疗结束后随访6个月的复发率为2.00%,较对照组(14.00%)显著下降,差异有统计学意义(P<0.05)。结论腹针联合解结针法治疗CSR患者的临床疗效显著,可有效缓解肩颈部疼痛程度,改善颈椎功能,且复发率较低。Objective To investigate the clinical efficacy of abdominal acupuncture combined with knot-untying acupuncture in the treatment of cervical spondylotic radiculopathy(CSR)and its effect on neck and shoulder pain.Methods One hundred patients with cervical radicular cervical spondylosis(CSR)treated in Wuzhou Maternal and Child Health Hospital from October 2019 to July 2021 were included in this prospective study and divided into the control group(n=50)and the study group(n=50)according to the random number table method.The patients in the control group were treated with acupuncture+massage,and the patients in the study group were treated with abdominal acupuncture and knot-untying acupuncture.The treatment lasted for 3 months.The clinical efficacy,simplified McGill pain questionnaire(SF-MPQ)[including pain grading index(PRI),pain visual analogue scale(VAS),existing pain intensity(PPI)],neck disability index(NDI)scores before and after treatment and recurrence after 6 months follow-up were compared.Results The total effective rate in the study group was 94.00%,which was much higher than that in the control group(80.00%),the difference was statistically significant(P<0.05).The PRI score,VAS score and PPI score of the study group after treatment were(3.08±0.52),(7.04±2.01)and(1.82±0.30)pionts,respectively,which were lower than those of the control group[(4.12±0.67),(10.23±2.56)and(2.48±0.39)pionts],the differences were statistically significant(P<0.05).The NDI scores of the study group after treatment were(19.54±3.67)pionts,which was lower than those of the control group[(25.27±4.26)pionts],the differences was statistically significant(P<0.05).After 6 months follow-up,the recurrence rate in the study group was 2.00%,which was lower than that in the control group(14.00%),the difference was statistically significant(P<0.05).Conclusion Abdominal acupuncture combined with knot-untying acupuncture is effective in the treatment of patients with CSR,which can effectively relieve shoulder and neck pain,improve cervical

关 键 词：腹针 解结针法 神经根型颈椎病 颈肩部疼痛 颈椎功能障碍 

分 类 号：R246.9[医药卫生—针灸推拿学]