针灸联合中药薰药治疗神经根型颈椎病的效果分析  

Effect of acupuncture combined with traditional Chinese medicine fumigation in the treatment of cervical spondylosis of nerve root type

作　　者：付高峰 谷千江 杨乾骨 姜瑞 卢新平 Fu Gaofeng;Gu Qianjiang;Yang Qiangu;Jiang Rui;Lu Xinping(Department of Orthopaedics I,Luoyang Branch of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Luoyang 471000,China;Department of OrthopaedicsⅢ,Luoyang Branch of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Luoyang 471000,China;Department of Neurology,Luoyang Branch of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Luoyang 471000,China)

机构地区：[1]北京中医药大学东直门医院洛阳医院骨一科,洛阳471000 [2]北京中医药大学东直门医院洛阳医院骨三科,洛阳471000 [3]北京中医药大学东直门医院洛阳医院神经内科,洛阳471000

出　　处：《中国实用医刊》2024年第22期109-112,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨针灸联合中药薰药对神经根型颈椎病(CSR)的治疗效果。方法队列研究。抽取2020年6月至2023年6月北京中医药大学东直门医院洛阳医院收治的CSR患者86例,采用掷硬币法随机分为常规组和中医组,每组43例。常规组给予常规治疗,中医组在常规组基础上给予针灸联合中药薰药治疗。比较两组临床疗效、疼痛评分、证候积分、颈椎日本骨科学会(JOA)评分、颈椎功能障碍指数(NDI)评分、颈椎活动度、血液循环情况。结果中医组总有效率(95.35%,41/43)高于常规组(74.42%,32/43),P<0.05。治疗后,中医组颈痛、头痛、上肢麻痛评分低于常规组(P<0.05)。治疗后,中医组疼痛、麻木、眩晕评分低于常规组(P<0.05)。治疗后,中医组颈椎JOA评分高于常规组,NDI评分低于常规组(P<0.05)。治疗后,中医组颈椎旋转活动度、颈椎前屈活动度高于常规组(P<0.05)。治疗后,中医组基底动脉血流速度、舒张末期流速、收缩峰值流速高于常规组(P<0.05)。结论针灸联合中药薰药治疗CSR效果确切,可减轻疼痛,改善血液循环、颈椎活动度和功能障碍。ObjectiveTo investigate the therapeutic effect of acupuncture combined with traditional Chinese medicine fumigation on cervical spondylotic radiculopathy(CSR).MethodsA total of 86 patients with CSR treated in Luoyang Branch of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine from June 2020 to June 2023 were selected for the cohort study,and they were randomly divided into normal group and Chinese medicine group by coin tossing method,with 43 cases in each group.The normal group was given routine treatment,and the traditional Chinese medicine group was treated by acupuncture combined with traditional Chinese medicine fumigation based on the treatment of the normal group.The clinical efficacy,pain score,syndrome score,cervical Japanese Orthopaedic Association(JOA)score,neck disability index(NDI)score,cervical spine activity and blood circulation were compared between the two groups.ResultsThe total effective rate of the traditional Chinese medicine group was 95.35%(41/43),higher than the 74.42%(32/43)of the normal group(P<0.05).After treatment,the scores of neck pain,headache and upper limb numbness in the traditional Chinese medicine group were lower than those in the normal group(P<0.05).After treatment,the scores of pain,numbness and vertigo in the traditional Chinese medicine group were lower than those in the normal group(P<0.05).After treatment,the JOA score of cervical spine in the traditional Chinese medicine group was higher than that in the normal group,and the NDI score was lower than that in the normal group(P<0.05).After treatment,the cervical spine rotation activity and cervical spine flexion activity in the traditional Chinese medicine group were higher than those in the normal group(P<0.05).After treatment,the blood flow velocity,end diastolic velocity and peak systolic velocity of basilar artery in the traditional Chinese medicine group were higher than those in the normal group(P<0.05).ConclusionsAcupuncture combined with traditional Chinese medicine fumigation is effective

关 键 词：颈椎病 神经根型 针灸 中药薰药 

分 类 号：R274.9[医药卫生—中西医结合]