基于筋骨并重理论的棍针拨筋疗法治疗神经根型颈椎病患者的临床疗效  

Clinical efficacy of Gunzhen Bojin therapy for the treatment of patients with cervical spondylotic radiculopathy based on the muscle⁃joint equal emphasis theory

作　　者：李少香 李丽彬[1] 蒲圆金 钟远鸣[1] 梁桥 黄莉[1] 钟绵森 LI Shaoxiang;LI Libin;PU Yuanjin;ZHONG Yuanming;LIANG Qiao;HUANG Li;ZHONG Miansen(Department of Spinal Traumatology,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China;Graduate School,Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China)

机构地区：[1]广西中医药大学第一附属医院脊柱骨伤科,广西南宁市530023 [2]广西中医药大学研究生院,广西南宁市530001

出　　处：《广西医学》2024年第12期1886-1890,共5页Guangxi Medical Journal

基　　金：国家自然科学基金(82260942);广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20230089)。

摘　　要：目的探讨基于筋骨并重理论的棍针拨筋疗法治疗神经根型颈椎病患者的临床疗效。方法选取64例神经根型颈椎病患者,随机分为对照组与观察组,每组32例。对照组采用常规治疗(颈椎牵引治疗+健康宣教),观察组在常规治疗的基础上联合应用棍针拨筋疗法。比较两组患者治疗前、治疗5 d后、治疗10 d后的简化McGill疼痛量表评分[疼痛分级指数(PRI)评分、疼痛视觉模拟量表(VAS)评分、现有疼痛强度(PPI)评分]、颈椎功能障碍指数(NDI),评价两组治疗10 d后的临床疗效。结果两组的PRI评分、VAS评分和NDI比较,差异有统计学意义(P<0.05),而两组的PPI评分比较,差异无统计学意义(P>0.05),两组的PRI评分、VAS评分、PPI评分和NDI有随时间变化的趋势(P<0.05),分组与时间有交互作用(P<0.05),进一步行单独效应分析结果显示,治疗5 d后、治疗10 d后,观察组的PRI评分、VAS评分、PPI评分和NDI低于对照组(P<0.05)。观察组愈显率高于对照组(P<0.05)。结论在常规治疗基础上,联合应用棍针拨筋疗法能更显著地改善神经根型颈椎病患者的疼痛症状和颈椎功能,治疗效果更优,值得临床应用推广。Objective To investigate the clinical efficacy of Gunzhen Bojin therapy for the treatment of patients with cervical spondylotic radiculopathy based on the muscle⁃joint equal emphasis theory.Methods A total of 64 patients with cervical spondylotic radiculopathy were selected,and they were randomly assigned to control group or observation group,with 32 cases in each group.The control group received routine therapy(cervical traction therapy+health education),based on which the observation group received combined application of Gunzhen Bojin therapy.The simplified McGill pain scale score in terms of pain rating index(PRI)score,Visual Analogue Scale(VAS)score,present pain intensity(PPI)score,and neck disability index(NDI)before treatment,after 5 and 10 days of treatment were compared between patients of the two groups,and clinical efficacy after 10 days of treatment was evaluated in both groups.Results There were statistically significant differences in PRI score,VAS score,and NDI between the two groups(P<0.05),whereas there was no statistically significant difference in PPI score between the two groups(P>0.05).PRI,VAS and PPI score,as well as NDI of both groups depicted a trend with changes over time(P<0.05).There was interaction effect between grouping and time(P<0.05).The results of further separate effects analysis revealed that after 5 and 10 days of treatment,the observation group exhibited lower scores of PRI,VAS and PPI,and lower NDI as compared with the control group(P<0.05).The recovery effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion On the basis of routine therapy,combined application of Gunzhen Bojin therapy can more prominently ameliorate pain symptom and cervical function of patients with cervical spondylotic radiculopathy,exerting superior therapeutic effect,and being worthy of clinical application and promotion.

关 键 词：神经根型颈椎病 筋骨并重理论 棍针拨筋疗法 气滞血瘀证 临床效果 

分 类 号：R245[医药卫生—针灸推拿学]