针刺颈夹脊穴联合颈椎矫正康复手法治疗神经根型颈椎病的临床效果研究  

Clinical Effect of Acupuncture at Jiaji Point of Neck Combined with Correction and Rehabilitation Manipulation of Cervical Vertebra in Intervention of Cervical Radiculopathy

作　　者：于海良 屈毅楠 曾佳豪 高思阳 张铁军 韩鹏 荀莉晓 YU Hailiang;QU Yinan;ZENG Jiahao;GAO Siyang;ZHANG Tiejun;HAN Peng;XUN Lixiao(Department 6 of recuperation,Xingcheng special service recuperation center of strategic support force,Huludao,Liaoningg 125001)

机构地区：[1]战略支援部队兴城特勤疗养中心疗养六科,辽宁葫芦岛125001

出　　处：《中国伤残医学》2024年第8期83-86,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察针刺颈夹脊穴联合颈椎矫正康复手法对神经根型颈椎病患者的临床效果及其对颈椎功能的影响.方法:选择2019年8月—2021年9月在战略支援部队兴城特勤疗养中心接受康复治疗的62例神经根型颈椎病患者为研究对象,采用随机数字表法将研究对象分为对照组和观察组,每组31例.对照组采用颈椎矫正康复手法治疗,观察组采用针刺颈夹脊穴联合颈椎矫正康复手法治疗.比较2组治疗总有效率、疼痛视觉模拟(VAS)评分、颈椎功能评定量表(ASCS)评分及颈椎活动度评分.结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗后2周、1、3个月,2组VAS及ASCS评分均较治疗前降低,且观察组均低于对照组,差异有统计学意义(P<0.05).治疗后,观察组颈椎生理曲度C值和颈椎活动度均优于对照组,组间差异有统计学意义(P<0.05).结论:针刺颈夹脊穴联合颈椎矫正康复手法治疗神经根型颈椎病效果优于单纯应用颈椎矫正康复手法,能够改善颈椎功能及僵硬疼痛症状,且长期随访疗效稳定,利于颈椎恢复正常生理曲度,安全性高.Objective:To observe the effect of acupuncture at Jiaji point of the neck combined with correction and rehabilitation manipulation of the cervical spine on the clinical efficacy and cervical spine function of patients with cervical radiculopathy.Methods:62 patients with cervical radiculopathy who received rehabilitation treatment in Xingcheng special service recuperation center of strategic support forces from August 2019 to September 2021 were selected as the study objects,and the subjects were divided into a control group and an observation group,with 31 cases in each group by random number table method.The control group was treated with cervical correction and rehabilitation technique,and the observation group was treated with acupuncture combined with cervical correction and rehabilitation technique.After treatment,the effective rate of treatment,the improvement of cervical functional Rating scale(ASCS)score,the change of visual analog scale(VAS)score,and the change of cervical physiological curvature were compared.Cervical motion score was used to score cervical motion,and the incidence of adverse reactions was statistically recorded.Results:The effective rate of treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).At 2 weeks,1 and 3 months after treatment,VAS and ASCS scores in 2 groups were lower than before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the physiological curvature C value and cervical motion of the observation group were better than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The effect of acupuncture on cervical Jiaji point combined with cervical spine correction and rehabilitation manipulation in the treatment of cervical radiculopathy is better than that of simple cervical spine correction and rehabilitation manipulation,whic

关 键 词：神经根型颈椎病 颈椎矫正手法 夹脊穴 颈椎曲度 

分 类 号：R493[医药卫生—康复医学]