傍刺法联合整脊推拿治疗神经根型颈椎病气滞血瘀证临床研究  

Clinical Study on Straight and Side Needling Method Combined with Spinal Tuina for Cervical Spondylotic Radiculopathy with Qi Stagnation and Blood Stasis Syndrome

作　　者：周爱珍 陈筱 王立新 李正祥 李思斌 ZHOU Aizhen;CHEN Xiao;WANG Lixin;LI Zhengxiang;LI Sibin(Wenling Traditional Chinese Medicine Hospital,Wenling Zhejiang 317500,China)

机构地区：[1]温岭市中医院,浙江温岭317500

出　　处：《新中医》2025年第2期96-101,共6页New Chinese Medicine

基　　金：浙江省科技计划项目(2022S00087)。

摘　　要：目的:观察傍刺法联合整脊推拿治疗神经根型颈椎病(CSR)气滞血瘀证的临床疗效。方法:选取2022年1月—2023年12月在温岭市中医院治疗的183例CSR气滞血瘀证患者,按随机数字表法分为对照1组、对照2组及联合组,每组61例。对照1组予傍刺法治疗,对照2组予整脊推拿治疗,联合组予傍刺法联合整脊推拿治疗。3组均治疗4周。比较3组临床疗效、中医证候积分、颈椎生理曲度、颈椎活动度、McGill疼痛问卷评分及疼痛介质水平。结果:治疗4周后,总有效率联合组93.44%(57/61),均高于对照1组75.41%(46/61)、对照2组73.77%(45/61)(P<0.017)。3组中医证候积分均较治疗前降低(P<0.05),联合组中医证候积分均低于对照1组、对照2组(P<0.05)。3组颈椎生理曲度均较治疗前增大(P<0.05),联合组颈椎生理曲度均大于对照1组、对照2组(P<0.05)。3组颈椎前屈、后伸、左右侧屈、左右旋转活动度均较治疗前增大(P<0.05),联合组颈椎前屈、后伸、左右侧屈、左右旋转活动度均大于对照1组、对照2组(P<0.05)。3组疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现时疼痛强度(PPI)评分均较治疗前降低(P<0.05),联合组PRI、VAS、PPI评分均低于对照1组、对照2组(P<0.05)。3组前列腺素E2、P物质水平均较治疗前降低(P<0.05),联合组前列腺素E2、P物质水平均低于对照1组、对照2组(P<0.05)。结论:傍刺法联合整脊推拿可缓解CSR气滞血瘀证患者的颈部症状、体征,改善颈椎活动度,疗效优于仅使用傍刺法或整脊推拿治疗。Objective:To observe the clinical effect of straight and side needling method combined with spinal tuina on cervical spondylotic radiculopathy(CSR)with qi stagnation and blood stasis syndrome.Methods:A total of 183 cases of CSR patients with qi stagnation and blood stasis syndrome treated at Wenling Traditional Chinese Medicine Hospital from January 2022 to December 2023 were divided into the control group 1,the control group 2,and the combination group,using a random number table method,with 61 patients in each group.The control group 1 was treated with straight and side needling method,and the control group 2 was treated with spinal tuina therapy,and the combination group was treated with straight and side needling method combined with spinal tuina.All the three groups were treated for four weeks.Compared the clinical effect,traditional Chinese medicine(TCM)syndrome scores,cervical physiological curvature,cervical mobility,McGill pain questionnaire scores,and pain mediators levels in the three groups.Results:After four weeks of treatment,the total effective rate was 93.44%(57/61)in the combination group,which were higher than those of 75.41%(46/61)in the control group 1 and the 73.77%(45/61)in the control group 2(P<0.017).The TCM syndrome scores in the three groups were decreased when compared with those before treatment(P<0.05),and the TCM syndrome scores in the combination group were lower than those of the control group 1 and the control group 2(P<0.05).The cervical physiological curvatures in all the three groups were increased when compared with those before treatment(P<0.05),and the cervical physiological curvature in the combination group was greater than those in the control group 1 and the control group 2(P<0.05).The range of motion for cervical flexion,extension,lateral flexion,and rotation in all three groups were increased when compared with those before treatment(P<0.05),and the range of motion for cervical flexion,extension,lateral flexion,and rotation in the combination group were greater than th

关 键 词：神经根型颈椎病 气滞血瘀证 傍刺法 整脊推拿 颈椎活动度 疼痛 

分 类 号：R246.2[医药卫生—针灸推拿学]