颈夹脊穴深刺联合颈百劳穴隔姜灸治疗气滞血瘀型神经根型颈椎病的临床研究  

Clinical Study on Deep Needling EX-B2 Combined with Ginger-Separated Moxibustion Treating CSR of Qi Stagnation and Blood Stasis Pattern

作　　者：王怀泽 苏毅[1] 熊应宗[1] 马幸福[1] 朱俊琛[1] WANG Huaize;SU Yi;XIONG Yingzong;MA Xingfu;ZHU Junchen(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2025年第1期51-56,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省中医药传承创新科研项目,编号:2022CCZC02;长三角名中医工作室(詹红生工作室),编号:皖中医药发展秘(2023)16号;安徽省“十四五”省级中医优势特色专科,编号:皖中医药服务秘(2021)71号;安徽中医药大学临床科研项目,编号:2021efylc31;安徽中医药大学第二附属医院人才支持计划,编号:0500-48-52。

摘　　要：目的:观察颈夹脊穴深刺联合颈百劳穴隔姜灸治疗神经根型颈椎病的临床疗效。方法:选取2022年12月—2023年12月就诊于安徽中医药大学第二附属医院骨伤科的60例神经根型颈椎病患者,随机分为对照组和观察组。对照组进行颈百劳穴隔姜灸治疗;观察组采用颈夹脊穴深刺联合颈百劳穴隔姜灸治疗。两组均治疗2周。观察两组治疗后的临床疗效,比较两组治疗前、后及随访1个月的Northwick Park颈痛量表(NPQ)评分、简化麦吉尔疼痛问卷(SF-MPQ)评分及颈部动脉血流动力学。结果:治疗2周及随访1个月,两组Northwick Park颈痛量表NPQ评分、简化麦吉尔疼痛问卷SF-MPQ评分较治疗前均明显下降,差异具有统计学意义(P<0.05),观察组评分优于对照组,差异具有统计学意义(P<0.05);颈部动脉平均血流速度较治疗前均增加,差异具有统计学意义(P<0.05),观察组平均血流速度优于对照组,差异具有统计学意义(P<0.05);治疗后,观察组优良率为90.00%(27/30),高于对照组的66.67%(20/30),差异具有统计学意义(P<0.05)。结论:颈夹脊穴深刺联合颈百劳穴隔姜灸治疗神经根型颈椎病疗效显著,可明显缓解患者的疼痛、颈部功能及活动度,增加颈部动脉平均血流速度,是一种有效、安全的治疗方式。Objective:To observe the clinical effect of deep needling Jinjiaji points(EX-B2)combined with ginger-separated moxibustion at Jingbailao point(EX-HN30)in treatment of cervicalspondylotic radiculopathy(CSR).Methods:60 patients with CSR were randomly divided into the control group and the observation group.The control group was treated with ginger-separated moxibustion at EX-HN30;on which basis,the observation group was also treated with deep needling EX-B2.Both groups were treated for 2 weeks.Clinical efficacy was observed in the two groups.Scores of Northwick Park Neck Pain Scale(NPQ)and Simplified McGill Pain Questionnaire(SF-MPQ),as well as neck arterial hemodynamics were compared before the treatment,after the treatment and during the one-month follow-up in the two groups.Results:After two weeks of the treatment and during the one-month follow-up,the scores of NPQ and SF-MPQ were significantly decreased compared with those before the treatment in both groups(P<0.05),and the scores of the observation group were better than those of the control group(P<0.05);the average blood flow velocity of the neck artery was higher than that before the treatment in both groups(P<0.05),which was better in the observation group than that in the control group(P<0.05).The excellent and good rate of the observation group was 90.00%(27/30),which was higher than 66.67%(20/30)of the control group(P<0.05).Conclusion:Deep needling EX-B2 combined with ginger-separated moxibustion at EX-HN30 was efficient and safe in treatment of CSR,which can significantly relieve pain,neck function and mobility,and increase average blood flow velocity of neck arteries.

关 键 词：神经根型颈椎病 颈夹脊 深刺 颈百劳 隔姜灸 

分 类 号：R246.2[医药卫生—针灸推拿学]