毫针速刺法松解肌筋膜改善神经根型颈椎病患者上肢功能障碍的疗效观察  

Observation on the therapeutic effect of fast filiform needling method on improving upper limb dysfunction in patients with cervical spondylotic radiculopathy

作　　者：李志伟[1] 何雷 张磊[1] 刘宝林 黄谦[1] Li Zhiwei;He Lei;Zhang Lei;Liu Baolin;Huang Qian(Acupuncture and Massage Department,Lianyungang Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Lianyungang 222000,China;Yilu Township Health Center in Guanyun County,Lianyungang 222000,China)

机构地区：[1]南京中医药大学连云港附属医院针推科,连云港222000 [2]灌云县伊芦乡卫生院,连云港222000

出　　处：《国际医药卫生导报》2024年第14期2390-2394,共5页International Medicine and Health Guidance News

基　　金：江苏省科技厅重点研发计划(BE2021680);江苏省“双创博士”人才计划(JSSCBS20211636);连云港市卫生科研项目(QN202004、QN202006);连云港市老龄健康科研项目(L202316)。

摘　　要：目的观察毫针速刺法松解肌筋膜改善神经根型颈椎病患者上肢功能障碍的治疗效果。方法本研究为随机对照试验,纳入2021年1月至2022年12月南京中医药大学连云港附属医院收治的72例神经根型颈椎病患者,以区组随机方法进行分组。试验组36例中男20例,女16例,年龄(47.94±6.16)岁,病程(27.25±9.49)个月;对照组36例中男18例,女18例,年龄(46.73±5.14)岁,病程(26.02±7.58)个月。试验组采用毫针速刺法治疗,针对颈项部软组织损伤部位予以穿透性松解刺激,隔日1次,并与推拿治疗交替进行,各治疗6次;对照组予传统针刺治疗,每日1次,6次为1个疗程,每隔1个疗程休息1 d,共治疗2个疗程。分别于治疗前1 d、治疗结束后第1天比较两组患者的田中靖久颈椎症状评分、颈椎功能障碍指数(NDI),并评定两组临床疗效。采用t检验、χ^(2)检验。结果与治疗前1 d比较,治疗结束后第1天两组患者的田中靖久颈椎症状评分均升高[试验组(14.93±2.74)分比(9.70±2.45)分,对照组(12.70±2.93)分比(9.40±2.01)分],NDI评分均降低[试验组(15.92±4.21)分比(38.19±5.86)分,对照组(25.46±3.84)分比(36.76±7.25)分],差异均有统计学意义(均P<0.05);且试验组各评分改善程度均优于对照组[田中靖久颈椎症状评分(5.23±1.89)分比(3.30±1.25)分,NDI评分(22.27±4.67)分比(11.30±3.97)分,均P<0.05]。试验组患者的治疗总有效率高于对照组[91.7%(33/36)比72.2%(26/36)],差异有统计学意义(χ^(2)=4.560,P=0.032)。结论毫针速刺法松解肌筋膜治疗能够缓解神经根型颈椎病患者的临床症状,减轻患者痛苦,并实现对上肢功能的良性调节,降低疾病对生活能力的影响,相对传统针刺治疗方案具有一定优势,值得在临床上进一步推广应用。Objective To observe the therapeutic effect of fast filiform needling method to improve the upper limb dysfunction in patients with cervical spondylotic radiculopathy.Methods This study was a randomized controlled trial.A total of 72 patients with cervical spondylotic radiculopathy admitted to Lianyungang Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from January 2021 to December 2022 were divided into two groups according to the block randomization method.In the experimental group,there were 20 males and 16 females,aged(47.94±6.16)years,with the course of disease of(27.25±9.49)months.In the control group,there were 18 males and 18 females,aged(46.73±5.14)years,with the course of disease of(26.02±7.58)months.The experimental group was treated with fast filiform needling method,and the penetrating release stimulation was given to the neck soft tissue injury site,once every other day,and alternately with massage treatment,6 times in each group.The control group was treated with traditional acupuncture,once a day,6 times as a course of treatment,and rested for 1 day every other course of treatment,for a total of 2 courses of treatment.The Tanaka Jingjiu cervical symptom score and cervical dysfunction index(NDI)were compared between the two groups 1 day before treatment and 1 day after treatment,and the clinical efficacies of the two groups were evaluated.t test andχ^(2) test were used.Results Compared with those 1 day before treatment,the Tanaka Jingjiu cervical symptom scores in both groups were increased on the 1st day after treatment[(14.93±2.74)points vs.(9.70±2.45)points in the experimental group and(12.70±2.93)points vs.(9.40±2.01)points in the control group],but the NDI scores were decreased[(15.92±4.21)points vs.(38.19±5.86)points in the experimental group and(25.46±3.84)points vs.(36.76±7.25)points in the control group],with statistically significant differences(all P<0.05).The improvement of scores of the experimental group was better than that of the control group[

关 键 词：神经根型颈椎病 毫针速刺法 肌筋膜松解 上肢功能 

分 类 号：R246.9[医药卫生—针灸推拿学]