后路经皮内镜微创介入联合针刺治疗神经根型颈椎病的疗效分析及对颈椎关节活动度的影响  

Analysis of Therapeutic Efficacy and Impact on Cervical Spine Joint Mobility of Posterior Percutaneous Endoscopic Minimally Invasive Intervention Combined with Acupuncture in the Treatment of Cervical Spondylotic Radiculopathy

作　　者：高文静[1] 高文涛 张君[1] GAO Wen-jing;GAO Wen-tao;ZHANG Jun(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,Henan;Henan Medical College,Zhengzhou,450000,Henan)

机构地区：[1]郑州大学第二附属医院,河南郑州450000 [2]河南医学高等专科学校,河南郑州450000

出　　处：《黔南民族医专学报》2024年第3期268-271,共4页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:明确后路经皮内镜微创介入联合针刺治疗在神经根型颈椎病治疗中的应用价值。方法:依据简单随机法对60例神经根型颈椎病患者分组;对照组(n=30)行后路经皮内镜微创介入治疗,观察组(n=30)行后路经皮内镜微创介入联合针刺治疗;以症状、体征、颈椎功能评分及颈椎活动度为评价指标,比较两组的治疗效果。结果:治疗后4周、8周,观察组症状、体征评分均高于对照组(P<0.05),观察组颈椎功能评分均低于对照组(P<0.05),观察组颈椎活动度(屈伸、旋转)均高于对照组(P<0.05)。结论:后路经皮内镜微创介入联合针刺治疗可以有效改善神经根型颈椎病患者的症状、体征,提高颈椎功能,增加颈椎活动度,该联合治疗方式值得临床推广应用。Objective:To determine the application value of posterior percutaneous endoscopic minimally invasive intervention combined with acupuncture in the treatment of cervical spondylotic radiculopathy(CSR).Methods:A total of 60 patients with CSR were divided into two groups using simple randomization.The control group(n=30)underwent posterior percutaneous endoscopic minimally invasive intervention,while the observation group(n=30)received both posterior percutaneous endoscopic minimally invasive intervention and acupuncture treatment.The therapeutic effects were compared between the two groups using symptom scores,physical signs,cervical function scores,and cervical range of motion(ROM)as evaluation indicators.Results:At 4 and 8 weeks after treatment,the observation group had higher symptom and physical sign scores than the control group(P<0.05).The cervical function scores were lower in the observation group compared to the control group(P<0.05).Furthermore,the cervical ROM(flexion-extension and rotation)was higher in the observation group than in the control group(P<0.05).Conclusion:Posterior percutaneous endoscopic minimally invasive intervention combined with acupuncture can effectively improve symptoms and physical signs, enhance cervical function, and increase cervical ROM in patients with CSR. This combined treatment approach is worthy of clinical promotion and application.

关 键 词：神经根型颈椎病 后路经皮内镜微创介入 针刺 关节活动度 

分 类 号：R681.55[医药卫生—骨科学]