循经温和灸联合局部药物注射治疗神经根型颈椎病的效果  

Therapeutic Effect of Mild Moxibustion Along the Meridian Combined with Local Drug Injection on Cervical Spondylotic Radiculopathy

作　　者：郭明柯[1] GUO Mingke(Orthopaedics Department,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第二附属医院骨科,河南洛阳471000

出　　处：《河南医学研究》2024年第16期3030-3034,共5页Henan Medical Research

摘　　要：目的探讨循经温和灸联合局部药物注射治疗神经根型颈椎病(CSR)的临床效果。方法按随机数字表法将河南科技大学第二附属医院2021年1月至2022年9月收治的82例CSR患者分为对照组(41例,局部药物注射治疗)和观察组(41例,局部药物注射治疗+循经温和灸治疗),均持续治疗2周。比较两组临床疗效、疼痛程度[简化McGill疼痛问卷(SF-MPQ)]、颈动脉血流速度及颈椎功能[颈椎病临床评价量表(CASCS)、颈椎功能障碍指数(NDI)],统计两组治疗期间不良反应发生情况。结果观察组临床总有效率、颈动脉血流速度、CASCS评分高于对照组,SF-MPQ问卷评分、NDI评分均低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论循经温和灸联合局部药物注射可提高CSR患者的治疗效果,减轻疼痛程度,改善颈动脉血流速度及颈椎功能,且不会增加不良反应。Objective To explore the clinical efficacy of mild moxibustion along the meridian combined with local drug injection in the treatment of cervical spondylotic radiculopathy(CSR).Methods According to the random number table method,82 CSR patients admitted to the Second Affiliated Hospital of Henan University of Science and Technology from January 2021 to September 2022 were divided into a control group(41 cases,treated with local drug injection)and an observation group(41 cases,treated with local drug injection+mild moxibustion along meridians),both of whom received continuous treatment for 2 weeks.The clinical efficacy,pain degree[short form McGill pain questionnaire(SF-MPQ)],carotid artery blood flow velocity and cervical function[clinical assessment scale for cervical spondylosis(CASCS),neck disability index(NDI)]of the two groups were compared,and the adverse reactions during the treatment of the two groups were counted.Results The clinical total effective rate,carotid blood flow velocity and CASCS score in the observation group were higher than those in the control group,while the SF-MPQ questionnaire score and NDI score were lower than those in the control group(P<0.05).The incidence of adverse reactions was compared between the two groups(P>0.05).Conclusion Mild moxibustion along meridians combined with local drug injection can improve the therapeutic effect of CSR patients,relieve pain,improve carotid blood flow velocity and cervical function,and will not increase adverse reactions.

关 键 词：神经根型颈椎病 循经温和灸 药物注射 疗效 

分 类 号：R245.8[医药卫生—针灸推拿学]