小针刀联合温针灸治疗神经根型颈椎病疗效分析  

Clinical Efficacy of Acupotomy Combined with Warm Needling Therapy for Cervical Radiculopathy

作　　者：张新颖[1] 毛光兰[1] ZHANG Xinying;MAO Guanglan(The Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453000,Henan,China)

机构地区：[1]新乡医学院第三附属医院,河南新乡453000

出　　处：《实用中医内科杂志》2024年第5期124-126,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20220805)。

摘　　要：目的 探讨小针刀联合温针灸治疗神经根型颈椎病的临床疗效。方法 选取新乡医学院第三附属医院2020年1月—2022年1月收治的神经根型颈椎病患者85例,按治疗方式不同分为观察组45例和对照组40例,对照组给予常规温针灸治疗,观察组给予小针刀联合温针灸治疗。比较两组临床疗效,治疗前后简化McGill疼痛评分、颈部残障指数(NDI)评分、血清炎性指标。结果 治疗后,观察组治疗总有效率高于对照组(P<0.05)。两组患者的PRI感觉分、PRI情绪分、VAS评分、PPI均下降,观察组均低于对照组(P<0.05);两组NDI均下降,观察组低于对照组(P<0.05);两组IL-1、IL-1β、IL-6、TNF-α水平均降低(P<0.05),观察组均低于对照组患者(P<0.05)。结论 小针刀联合温针灸治疗神经根型颈椎病的疗效显著,能有效缓解疼痛,降低炎性因子。Objective To explore the clinical efficacy of acupotomy combined with warm needling therapy for cervical radiculopathy.Methods Eighty-five patients with cervical radiculopathy in The Third Affiliated Hospital of Xinxiang Medical College from January 2020 to January 2022 were enrolled,and classified into two groups according to different treatment methods.Control group(n=40)received conventional needling therapy,while observation group(n=45)received acupotomy combined with warm needling therapy.Then the clinical efficacy rate,Simplified McGill pain score,neck disability index,and Serum inflammatory markers were observed in both groups.Results After treatment,the overall efficacy rate of observation group was higher(P<0.05).The sensory-PRI,affective-PRI,VAS and PPI scores showed a decrease in both groups after treatment(P<0.05),and observation group scored were lower(P<0.05).There was a decrease in neck disability index in both groups after treatment(P<0.05),and the decrease was more notable in observation group than in control group(P<0.05).Serum levels of IL-1,IL-1β,IL-6 and TNF-αshowed a decrease in both groups after treatment,and the serum levels of four inflammation factors were lower in observation group than in control group(P<0.05).Conclusion Application of acupotomy combined with warm needling therapy for cervical radiculopathy can effectively alleviate the pain,in terms of the reduction in PRI,VAS,PPI and neck disability index.

关 键 词：针刀 温针灸 神经根型颈椎病 

分 类 号：R255.6[医药卫生—中医内科学]