浮针扫散治疗神经根型颈椎病(气滞血瘀证)的临床观察  

Clinical Effect of Fu's Subcutaneous Needling on Cervical Spondylotic Radiculopathy with Stagnation of Qi and Blood Stasis

作　　者：李远峰[1] 姜益常[1] 杨雪[1] Li Yuanfeng;Jiang Yichang;Yang Xue(The First Afiliated 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

出　　处：《中国中医急症》2023年第7期1219-1222,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目(国中医药人教函[2022]76号);黑龙江省中医药科研项目(ZHY19-009);黑龙江中医药大学科研基金项目(201829)。

摘　　要：目的 观察浮针扫散治疗神经根型颈椎病(气滞血瘀证)的临床效果。方法 患者82例按照随机数字表法分为治疗组(浮针扫联合三期辨证牵引法)和对照组(针刺联合三期辨证牵引法)各41例。2周为1个疗程,两组均治疗1个疗程。比较两组治疗前后的临床疗效、症状体征及简化McGill疼痛检测量表评分、血清炎症因子指标及血流动力学指标。结果 治疗组总有效率为87.80%,高于对照组的68.29%(P <0.05);两组的症状、体征积分、简化McGill疼痛检测量评分、血清炎性因子的含量、血液流变学指标均较治疗前改善明显(P <0.05);治疗组的症状、体征积分、简化McGill疼痛检测量评分、血清炎性因子的含量、血流变学指标与对照组差异有统计学意义(P <0.05)。结论 浮针扫散颈周患肌联合三期辨证牵引法可明显改善神经根型颈椎病(气滞血瘀证)患者的临床症状,而且有血流动力学和炎性因子支持。Objective:To observe the clinical effect of Fu's subcutaneous needling in the treatment of cervical spondylotic radiculopathy with stagnation of qi and blood stasis.Methods:According to the random number table method,82 patients with cervical spondylotic radiculopathy with stagnation of qi and blood stasis were divided into the treatment group(Fu's subcutaneous needling combined with three-stage differentiation traction)and control group(acupuncture combined with three-stage differentiation traction),41 cases in each group.Two weeks is 1 course of treatment,and both groups were treated for 1 course.The clinical efficacy,symptoms and signs,simpli-fied McGill pain measurement scores,serum inflammatory factor indexes and hemodynamic indexes before and af-ter treatment were compared between the two groups.Results:Affter two weeks of treatment,the clinical efficacy of the two groups was compared,and the treatment group was higher than the control group,the difference was sta-tistically significant(P<0.05).After treatment,the scores of symptoms and signs,the simplified McGill pain mea-surement score,the content of serum inflammatory factors and hemorheology were improved than those before treat-ment,and the differences were statistically significant(P<0.05).The scores of symptoms and signs,simplified Mc-Gill pain measurement score,serum inflammatory factors and hemorheology in the treatment group were improved than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Fu's sub-cutaneous needling combined with three-stage syndrome differentiation traction can significantly improve the clini-cal symptoms of nerve root type patients with stagnation of qi and blood stasis,and it is supported by hemodynam-ics and inflammatory factors,which is worthy of clinical application.

关 键 词：神经根型颈椎病 浮针 三期辨证牵引法 临床疗效 

分 类 号：R681.55[医药卫生—骨科学]