浮针联合辨证牵引法治疗神经根型颈椎病的临床效果  

Clinical effect of floating needle combined with dialectical traction on cervical spondylotic radiculopathy

作　　者：李远峰[1] 王震[1] 张茜 杨雪[2] LI Yuanfeng;WANG Zhen;ZHANG Qian;YANG Xue(Department of Orthopedics and Traumatology,First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China;National Traditional Chinese Medicine Clinical Research Base Project Office,First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院骨伤科,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院国家中医临床研究基地项目办公室,黑龙江哈尔滨150040

出　　处：《中国医药导报》2023年第30期151-154,159,共5页China Medical Herald

基　　金：国家中医药管理局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：目的探讨浮针联合辨证牵引法对神经根型颈椎病患者的临床效果。方法选取2020年5月至2022年12月就诊于黑龙江中医药大学附属第一医院神经根型颈椎病患者70例为研究对象,按照随机数字表法将其分为观察组和对照组,各35例。观察组用浮针联合辨证牵引,对照组用常规针刺联合辨证牵引,疗程均2周。比较两组颈椎曲度[颈椎曲度Bordens法、颈椎曲度指数(CCI)法、颈椎椎体质心测量(CCL)法测量)],检测白细胞介素(IL)-6、IL-8、肿瘤坏死因子-α(TNF-α)炎症反应相关因子和全血黏度低切、全血黏度高切、血浆黏度、纤维蛋白原等血液流变学相关因子水平。结果治疗2周后,观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗2周后,两组颈椎生理曲度小于治疗前,观察组CCI法测量结果小于对照组,差异有统计学意义(P<0.05)。两组颈椎曲度Bordens法、CCL法测量结果比较,差异无统计学意义(P>0.05)。治疗2周后,两组炎症因子表达水平低于治疗前,差异有统计学意义(P<0.05)。治疗2周后,两组炎症因子表达水平比较,差异无统计学意义(P>0.05)。治疗2周后,两组血液流变学相关因子水平低于治疗前,观察组全血黏度低切、血浆黏度、纤维蛋白原低于对照组,差异有统计学意义(P<0.05),两组全血黏度高切比较,差异无统计学意义(P>0.05)。结论浮针联合辨证牵引可明显减轻神经根型颈椎病患者症状,恢复颈椎生理曲度,降低血清中炎症因子和血液流变学相关指标,值得推广。Objective To explore the clinical effect of floating needle combined with dialectical traction on cervical spondylotic radiculopathy.Methods A total of 70 patients with cervical spondylotic radiculopathy admitted to First Affiliated Hospital,Heilongjiang University of Chinese Medicine from May 2020 to December 2022 were selected as the study objects,and they were divided into the observation group and the control group according to random number table method,with 35 cases in each group.The observation group was treated with floating needle combined with dialectical traction,while the control group was treated with conventional acupuncture combined with dialectical traction.The treatment course was two weeks.The cervical curvature of the two groups was compared(cervical curvature Bordens method,cervical curvature index(CCI)method,and cervical vertebra centroid line(CCL)method measurement).The levels of interleukin(IL)-6,IL-8,tumor necrosis factor-α(TNF-α)inflammatory response factors and hemorheological factors such as whole blood viscosity low cut,whole blood viscosity high cut,plasma viscosity,and fibrinogen were detected.Results After two weeks of treatment,the clinical efficacy of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).After two weeks of treatment,the physiological curvature of the cervical spine between the two groups was lower than before treatment,and the measurement result of CCI method in the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the measurement results of cervical curvature between the two groups by Bordens method and CCL method(P>0.05).After two weeks of treatment,the expression level of inflammatory factors in two groups was lower than that before treatment,and the difference was statistically significant(P<0.05).After two weeks of treatment,there was no statistically significant difference in the express

关 键 词：浮针 辨证牵引 颈椎曲度 炎症因子 血液流变学 

分 类 号：R274.9[医药卫生—中西医结合]