调督理筋针法联合温针灸对神经根型颈椎病的疗效  

Curative Effect of Regulating Du Meridian and Tendons Acupuncture Combined with Needle Warming Moxibustion on Cervical Spondylosis of Nerve Root Type

作　　者：金好 张浩 巩慧慧 翟荣慧[1] JIN Hao;ZHANG Hao;GONG Huihui;ZHAI Ronghui(Tai'an Central Hospital(Tai'an Central Hospital and Taishan Medical and Health Center,affiliated with Qingdao University),Tai'an 271000,Shandong,China)

机构地区：[1]泰安市中心医院(青岛大学附属泰安市中心医院、泰山医养中心),山东泰安271000

出　　处：《辽宁中医杂志》2023年第8期200-203,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：山东省医药卫生科技发展计划项目(2015GWZ20249)。

摘　　要：目的探讨调督理筋针法联合温针灸治疗神经根型颈椎病的疗效及对血清白细胞三烯D4(leukotriene D4,LTD4)、丙二醛(malonaldehy-de,MDA)和肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平影响。方法选取2020年1月—2021年12月来该院治疗的神经根型颈椎病患者84例,采用随机数表法分为对照组(44例)和观察组(40例),对照组给予温针灸疗法,观察组在此基础上给予调督理筋针法,对比两组治疗后中医证候评分、疗效、颈椎功能障碍指数(neck disability index,NDI)评分、简式McGiu疼痛问卷(short-form mcgill pain questionnaire,SF-MPQ)评分和颈椎病临床评价量表(clinical assessment scale for cervical spondylosis,CASCS)评分、椎-基底动脉血流动力学指标水平及血清LTD4、MDA和TNF-α水平变化。结果两组治疗后NDI评分和SF-MPQ评分较治疗前均明显降低(P<0.05),CASCS评分较治疗前均明显升高(P<0.05),且观察组改善更显著(P<0.05);两组治疗后血清LTD4、MDA和TNF-α水平较治疗前显著降低(P<0.05);且观察组血清LTD4、MDA和TNF-α水平与对照组相比较降低更明显(P<0.05);两组治疗后平均血流速度(mean flow relocity,VM)和收缩期峰值血流速度(systolic peak flow velocity,VS)较治疗前显著升高(P<0.05),搏动指数(pulse index,PI)和阻力指数(resistamce index,RI)较治疗前显著降低(P<0.05);且观察组与对照组相比较改善更明显(P<0.05);观察组治疗有效率较对照组明显较高(P<0.05);两组治疗后活动不利、颈肩部麻木或疼痛、上肢麻木评分较治疗前显著降低(P<0.05);且观察组活动不利、颈肩部麻木或疼痛、上肢麻木评分与对照组相比较降低更显著(P<0.05)。结论采用调督理筋针法联合温针灸治疗神经根型颈椎病具有较好的疗效,可降低血清LTD4、MDA和TNF-α水平。Objective To investigate the efficacy of regulating Du meridian and tendons acupuncture combined with needle warming moxibustion in the treatment of cervical spondylotic radiculopathy and the effects on serum levels of leukotriene D4(LTD4),malondialdehyde(MDA)and tumor necrosis factor-α(TNF-α).Methods A total of 84 patients with cervical spondylotic radiculopathy who came to the hospital for treatment from January 2020 to December 2021 were selected and divided into control group(44 cases)and observation group(40 cases)by random number table method.The control group was given warm acupuncture,and the observation group was given regulating Du meridian and tendons acupuncture on this basis.The symptom scores,curative effect,neck disability index(NDI)score,short-form mcgill pain(SF-MPQ)score,clinical assessment scale for cervical spondylosis(CASCS)score,vertebra-basal artery hemodynamics index and serum levels of LTD4,MDA and TNF-α were compared.Results After treatment,NDI score and SF-MPQ score in both groups were significantly lower than those before treatment(P<0.05).CASCS score was significantly higher than that before treatment(P<0.05),and the improvement in the observation group was more significant(P<0.05).The levels of LTD4,MDA and TNF-α in serum of two groups were significantly decreased after treatment compared with those before treatment(P<0.05).The levels of LTD4,MDA and TNF-α in the observation group were significantly lower(P<0.05).After treatment,mean flow(VM)and systolic peak flow velocity(VS)in two groups were significantly increased compared with those before treatment(P<0.05),while pulse index(PI)and resistance index(RI)were significantly decreased(P<0.05).The improvement of the observation group was more obvious(P<0.05).The effective rate of the observation group was significantly higher(P<0.05).After treatment,the scores of adverse activity,neck and shoulder numbness or pain,and upper limb numbness in both groups were significantly lower(P<0.05).Compared with those of the control group,the

关 键 词：调督理筋针法 温针灸 神经根型颈椎病 

分 类 号：R681.55[医药卫生—骨科学]