铍针改善颈椎前路术后轴性症状的临床疗效观察  

Clinical Observation of Beryllium Needle in Improving Axial Symptoms after Anterior Cervical Surgery

作　　者：郭泽权 钱嘉铭 祝永刚[3] 陈超 郑皓云 李春根 孙旗 柳根哲[3] GUO Zequan;QIAN Jiaming;ZHU Yonggang;CHEN Chao;ZHENG Haoyun;LI Chungen;SUN Qi;LIU Genzhe(Beijing University of Chinese Medicine,Beijing 100105,China;Jiangxi University of Chinese Medicine,Nanchang 330004,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学,北京100105 [2]江西中医药大学 [3]首都医科大学附属北京中医医院

出　　处：《中国中医骨伤科杂志》2024年第11期32-35,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：北京市首都卫生发展科研专项项目(2022-2-4191)。

摘　　要：目的:观察铍针改善颈椎前路术后轴性症状的临床疗效。方法:选取2020年7月至2023年7月接受颈椎前路术后出现轴性症状的62例患者,随机分为铍针组和理疗组(各31例)。铍针组患者采用铍针治疗,间隔3 d治疗1次,3次为1个疗程。理疗组患者采用中、低频电子脉冲治疗,1次/d, 20 min/次,2周为1个疗程。分别于治疗前、治疗后、治疗后第3个月比较两组患者视觉模拟量表(VAS)评分、轴性症状评定及压痛值,并判定两组患者临床疗效。结果:总有效率方面,铍针组患者治疗后的总有效率达96.77%,高于理疗组患者的87.10%;治疗后第3个月铍针组患者总有效率达93.55%,理疗组患者为83.87%,但铍针组患者显愈率高于理疗组患者。轴性症状评定改善的优良率方面,铍针组患者优良率由治疗前的32.26%改善到58.06%,治疗后第3个月为54.84%;理疗组患者优良率由治疗前的35.48%改善到48.39%,治疗后第3个月为41.94%。两组患者治疗后及治疗后第3个月VAS评分与治疗前比较明显降低,差异有统计学意义(P<0.05);压痛值高于治疗前,差异有统计学意义(P<0.05);同时,VAS评分及压痛值均显示铍针组患者改善颈椎前路术后轴性症状疗效优于理疗组患者,差异有统计学意义(P<0.05)。结论:铍针能够改善患者颈椎前路术后轴性症状,且疗效显著。Objective:To observe the clinical efficacy of beryllium needle in improving axial symptoms after anterior cervical surgery.Methods:62 patients with axial symptoms who underwent anterior cervical surgery from July 2020 to July 2023 were selected and randomly divided into beryllium needle group and physiotherapy group,with 31 patients in each group.Beryllium needle group was treated with beryllium needle once every 3 d,3 times for 1 course.The medium and low frequency electronic pulse therapy was used in the physiotherapy group,once a day,once for 20 min,2 weeks as a course of treatment.The visual analogue scale(VAS)scores,axial symptom assessment and tenderness values of the two groups were compared before treatment,after treatment and 3 months after treatment,respectively,and the clinical efficacy of the two groups was determined.Results:The total effective rate was 96.77%in the beryllium needle group after treatment,which was higher than 87.10%in the physiotherapy group.The total effective rate was 93.55%in the beryllium needle group and 83.87%in the physiotherapy group at 3 months after treatment,but the significant recovery rate in the beryllium needle group was higher than that in the physiotherapy group.The rate of axial symptoms was improved from 32.26%before treatment to 58.06%after treatment in beryllium needle group and 54.84%at 3 months after treatment.In the physiotherapy group,the rate improved from 35.48%before treatment to 48.39%after treatment,and 41.94%at 3 months after treatment.VAS score after treatment and 3 months after treatment was significantly lower than that before treatment(P<0.05),and tenderness value was higher than that before treatment(P<0.05).Meanwhile,VAS score and tenderness value showed that beryllium needle group was better than physiotherapy group in improving axial symptoms after anterior cervical surgery(P<0.05).Conclusion:Beryllium needle can improve axial symptoms after anterior cervical surgery,and the efficacy is significant.

关 键 词：颈椎前路 轴性症状 铍针 

分 类 号：R681.5[医药卫生—骨科学]