颈痛宁联合李氏运动针刺治疗神经根型颈椎病的疗效观察  

Observation Therapeutic Effect of Jingtongning(颈痛宁)Combined with LI's Exercise Acupuncture on Patients with Cervical Spondylotic Radiculopathy

作　　者：黄海燕 李思康 马岚 高大红[2] 丁定明 张正龙 周文俊 俞丽君 HUANG Haiyan;LI Sikang;MA Lan;GAO Dahong;DING Dingming;ZHANG Zhenglong;ZHOU Wenjun;YU Lijun(Wuhu Hospital of Traditional Chinese Medicine,Wuhu Anhui 241000,China;The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei Anhui 230061,China)

机构地区：[1]芜湖市中医医院,安徽芜湖241000 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《中医药导报》2023年第8期53-57,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2022年度省级临床重点专科建设项目(皖卫医秘[2022]105号)。

摘　　要：目的:研究颈痛宁联合李氏运动针刺治疗神经根型颈椎病(CSR)的疗效及对患者颈椎活动度、疼痛评分的影响。方法:将86例CSR患者随机分为常规针刺组(n=41)及联合针刺组(n=45),常规针刺组患者予颈痛宁联合常规针刺疗法,联合针刺组患者予颈痛宁联合李氏运动针刺治疗,比较两组患者的临床疗效、中医证候评分、颈椎活动度及疼痛评分[疼痛评定指数(PRI)、视觉模拟评分(VAS)、现时疼痛强度(PPI)]、颈椎功能障碍评分[颈椎功能障碍指数(NDI)评分、颈椎功能(JOA)评分、颈椎病临床评价量表(CASCS)评分]。结果:联合针刺组总有效率[97.78%(44/45)]高于常规针刺组[80.49%(33/41)],差异有统计学意义(P<0.05);治疗后,两组患者肩颈不适、上肢末端麻木、上肢疼痛中医证候评分均降低(P<0.05),且联合针刺组患者低于常规针刺组(P<0.05);治疗后,两组患者颈椎活动度水平均提高(P<0.05),且联合针刺组患者高于常规针刺组(P<0.05);治疗后,两组患者PPI、VAS、PRI评分均降低(P<0.05),且联合针刺组患者低于常规针刺组(P<0.05);治疗后,两组患者NDI评分均降低,JOA、CASCS评分均升高(P<0.05),且联合针刺组患者NDI评分低于常规针刺组(P<0.05),JOA、CASCS评分高于常规针刺组(P<0.05)。结论:颈痛宁联合李氏运动针刺治疗CSR具有良好的疗效,能缓解中医证候,减轻疼痛、颈椎活动障碍,改善颈椎日常活动能力。Objective:To study the effect of Jingtongning combined with Li's exercise acupuncture on cervical spondylotic radiculopathy(CSR)and its effect on cervical mobility and pain score.Methods:A total of 86 patients with CSR were randomly divided into conventional acupuncture group(n=41)and combined acupuncture group(n=45).The patients in the conventional acupuncture group were treated with Jingtongning combined with conventional acupuncture,and the patients in the combined acupuncture group were treated with Jingtongning combined with Li's exercise acupuncture.The clinical efficacy,TCM syndrome score,cervical spine activity and pain score[pain rating index(PRI),visual analogue scale(VAS),present pain intensity(PPI)],cervical dysfunction score[neck disability index(NDI),Japanese Orthopaedic Association(JOA),Clinical Assessment Scale for Cervical Spondylosis(CASCS)]were compared between the two groups.Results:The total effective rate of the combined acupuncture group[97.78%(44/45)]was higher than that of the conventional acupuncture group[80.49%(33/41)],and the difference was statistically significant(P<0.05).After treatment,the scores of TCM syndromes of shoulder and neck discomfort,upper limb numbness and upper limb pain in the two groups decreased(P<0.05),and those in the combined acupuncture group were lower than the conventional acupuncture group(P<0.05).After treatment,the activity level of cervical vertebra in the two groups was increased(P<0.05),and that in the combined acupuncture group was higher than that in the conventional acupuncture group(P<0.05).After treatment,the scores of PPI,VAS and PRI in the two groups were decreased(P<0.05),and the scores in the combined acupuncture group were lower than those in the conventional acupuncture group(P<0.05).After treatment,the NDI scores of the two groups decreased,and the JOA and CASCS scores increased(P<0.05).The NDI score of the combined acupuncture group was lower than that of the conventional acupuncture group(P<0.05),and the JOA and CASCS scores were higher th

关 键 词：神经根型颈椎病 李氏运动针刺 颈痛宁 颈椎活动度 颈椎功能障碍 临床研究 

分 类 号：R274.33[医药卫生—中医骨伤科学]