银质针联合循经走罐法在神经根型颈椎病患者中医护理中的应用  

Application of silver needles combined with meridian walking and cupping method in traditional Chinese medicine nursing of patients with cervical spondylotic radiculopathy

作　　者：贺龙艳 晁静 陈文睿 王晓艳 HE Long-yan;CHAO Jing;CHEN Wen-rui;WANG Xiao-yan

机构地区：[1]三门峡武强中医院护理部,河南三门峡472000 [2]三门峡武强中医院疼痛科,河南三门峡472000 [3]三门峡市中医院护理部,河南三门峡472000 [4]三门峡市中医院脑外科,河南三门峡472000

出　　处：《中国疗养医学》2025年第1期48-51,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨银质针联合循经走罐法在神经根型颈椎病(CSR)患者中医护理中的应用效果。方法选取2022年3月至2024年2月三门峡武强中医院收治的108例CSR患者,采用随机数字表按1∶1∶1比例分为对照1组、对照2组、联合组,各36例。均实施常规基础护理,在此基础上对照1组给予银质针中医护理,对照2组给予循经走罐法中医护理,联合组给予银质针联合循经走罐法中医护理,护理观察4周。比较三组疼痛视觉模拟法(VAS)评分、颈椎活动度、病情变化程度[颈椎病临床评价量表(CASCS)、颈椎功能障碍指数(NDI)]、不良反应。结果干预2周、4周后,联合组VAS评分低于对照1组、对照2组(P<0.05);干预4周后,联合组颈椎前屈、后伸、左旋、右旋活动度高于对照1组、对照2组(P<0.05);干预4周后,联合组CASCS评分高于对照1组、对照2组,NDI评分低于对照1组、对照2组(P<0.05);联合组不良反应发生率13.89%与对照1组8.33%、对照2组11.11%比较,差异无统计学意义(P>0.05)。结论银质针联合循经走罐法干预能显著改善CSR患者的疼痛程度和颈椎活动度,促进病情恢复,安全性较高。Objective To explore the application effect of silver needles combined with meridian walking and cupping method in traditional Chinese medicine nursing of patients with cervical spondylotic radiculopathy(CSR).Methods 108 CSR patients admitted to Wuqiang Traditional Chinese Medicine Hospital in Sanmenxia from March 2022 to February 2024 were divided into control group 1,control group 2,and combination group in a 1∶1∶1 ratio using random number table,with 36 patients in each group.All patients received routine basic nursing care.On this basis,control group 1 received traditional Chinese medicine nursing with silver needles,control group 2 received traditional Chinese medicine nursing with meridian walking and cupping method,and the combination group received traditional Chinese medicine nursing with silver needles combined with meridian walking and cupping method.The nursing observation lasted for 4 weeks.The pain visual analog scale(VAS)scores,cervical range of motion,degree of disease change(clinical assessment scale for cervical spondylosis[CASCS]score,neck disability index[NDI]),and adverse reactions in the three groups were compared.Results After 2 and 4 weeks of intervention,the VAS scores of the combination group were lower than those of control group 1 and control group 2(P<0.05);After 4 weeks of intervention,the range of motion for cervical flexion,extension,left and right rotation in the combination group was higher than that in control group 1 and control group 2(P<0.05);After 4 weeks of intervention,the CASCS score of the combination group was higher than that of control group 1 and control group 2,and the NDI score was lower than that of control group 1 and control group 2(P<0.05);The incidence of adverse reactions in the combination group was 13.89%,which showed no difference of statistical significance compared to 8.33%in control group 1 and 11.11%in control group 2(P>0.05).Conclusion The combination of silver needles and meridian walking and cupping method in traditional Chinese medicine nursing

关 键 词：银质针 循经走罐法 中医护理 神经根型颈椎病 颈椎活动度 

分 类 号：R248.2[医药卫生—中医临床基础]