T形超微针刀术结合手法治疗中青年颈型颈椎病的临床研究  

Clinical Study of T-Shaped Ultramicro Needle Knife Surgery Combined with Manual Therapy on the Treatment of Cervical Spondylosis of Cervical Type in Young and Middle-Aged Patients

作　　者：陈晨 钟木森 暴纪谦 樊光亚 董黎强 樊树峰 罗娅 魏浩 CHEN Chen;ZHONG Musen;BAO Jiqian;FAN Guangya;DONG Liqiang;FAN Shufeng;LUO Ya;WEI Hao(Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005,China;Second Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310052,China;Hangzhou Yuhang District Second People's Hospital Wuchang Branch,Hangzhou 311100,China)

机构地区：[1]浙江中医药大学附属第二医院,杭州310005 [2]浙江中医药大学第二临床医学院 [3]杭州市余杭区第二人民医院五常分院

出　　处：《中国中医骨伤科杂志》2024年第11期21-26,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：2022年度浙江省中医药科技计划项目(2022ZB152)。

摘　　要：目的:观察在人体弓弦力学解剖系统理论指导下利用T形超微针刀术结合手法治疗中青年颈型颈椎病患者的临床疗效。方法:选取自2022年1月至2023年10月收治的中青年颈型颈椎病患者80例,其中男41例,女39例;年龄为21~38岁,平均为(29.41±5.19)岁。随机分为两组,40例口服塞来昔布治疗(对照组),40例采用T形超微针刀术结合手法治疗(观察组)。分别测量治疗前、治疗1个月后、治疗结束1个月后的颈痛量表评分、颈曲值参数等指标,评定治疗1个月后及治疗结束1个月后的临床疗效。同时两组患者在治疗期间给予颈椎保健宣教,并配合每日1次颈椎操,配发符合人体工程学的乳胶颈椎枕,每晚使用。结果:使用重复测量的方差分析进行统计分析,结果表明与治疗前相比,两组患者治疗1个月后及治疗结束1个月后颈痛量表评分及颈曲值均呈现总体下降趋势,差异有统计学意义(P<0.05),较治疗前有改善,治疗期间两项指标改善明显,治疗结束1个月后随访期间两项指标与治疗结束时变化不明显,对照组颈痛量表评分略有上升。治疗1个月后及治疗结束1个月后,观察组的颈痛量表评分及颈曲值均优于对照组,差异有统计学意义(P<0.05)。观察组患者治疗1个月后总有效率为100.0%,高于对照组的87.5%,差异有统计学意义(P<0.05);治疗结束1个月后,观察组总有效率为95.0%,优于对照组的77.5%,差异有统计学意义(P<0.05),观察组的短期疗效及长期疗效均优于对照组。结论:在人体弓弦力学解剖系统理论指导下利用T形超微针刀术结合手法治疗中青年颈型颈椎病患者,能恢复颈椎曲度,改善颈椎疼痛及功能,加快患者重回正常的工作及生活,且安全价廉,值得临床推广应用。Objective:To observe the clinical efficacy of T-shaped ultramicro needle knife surgery combined with manual therapy in treating cervical spondylosis of cervical type patients of middle-aged and young adults under the guidance of the human bowstring mechanics anatomical system theory.Methods:80 patients with cervical spondylosis of cervical type of middle-aged and young adults,including 41 males and 39 females,aged 2138 years old,mean(29.41±5.19)years old,were selected from January 2022 to October 2023.They were randomly divided into two groups:40 cases were treated with oral celecoxib(control group),and 40 cases were treated with T-shaped ultramicro needle knife combined with manual therapy(observation group).The Northwick Park neck pain questionnaire(NPQ)score and neck curve value were measured before treatment,after one month of treatment,and one month after the end of treatment.The clinical efficacy was evaluated after one month of treatment and one month after the end of treatment.At the same time,the two groups of patients were given cervical health education during treatment combined with cervical spine exercises once a day,and provided with ergonomic latex cervical spine pillows,which were used every night.Results:The result of repeated measure ANOVA showed that compared with before treatment,both groups showed a general downward trend in NPQ scores and neck curve values after one month of treatment and one month after the end of treatment(P<0.05),which were improved compared with that before treatment.During the treatment period,the two indexes showed significant improvement.But there was no significant change in the two indexes at follow-up one month after the end of treatment,and the NPQ scores in the control group showed a slight increase.After one month of treatment and one month after the end of treatment,the NPQ scores and neck curve values in the observation group were better than those in the control group(P<0.05).After one month of treatment,the total effective rate of the observation group pati

关 键 词：人体弓弦力学解剖系统 T形超微针刀术 手法治疗 颈型颈椎病 颈椎曲度 

分 类 号：R681.5[医药卫生—骨科学]