针灸推拿改善神经根型颈椎病疼痛的程度和对颈椎活动度的影响  

The Effect of Acupuncture and Massage on Improving the Degree of Pain of Cervical Spondylotic Radiculopathy and on the Activity of Cervical Vertebra

作　　者：翁劲松 WENG Jinsong(Department of Rehabilitation Medicine,Fujian Provincial Geriatic Hospital,Fuzhou,Fujian,350003,China)

机构地区：[1]福建省老年医院康复医学科,福建福州350003

出　　处：《中外医疗》2025年第1期149-152,共4页China & Foreign Medical Treatment

摘　　要：目的探讨针灸推拿治疗方案在神经根型颈椎病患者中的应用价值。方法选取2021年2月-2024年2月福建省老年医院收治的200例神经根型颈椎病患者作为研究对象,根据不同治疗方法将患者分为对照组与干预组,各100例。对照组采用中药熏蒸治疗,干预组在此基础上联合针灸推拿治疗方案。对比两组的治疗效果、中医证候积分、疼痛程度、颈椎活动度。结果干预组治疗总有效率为96.00%(96/100),高于对照组的87.00%(87/100),差异有统计学意义(χ^(2)=5.207,P<0.05)。治疗后,两组患者的中医证候积分和疼痛评分均低于干预前,且干预组低于对照组,差异均有统计学意义(P均<0.05)。治疗后,两组患者颈椎前屈、后伸和旋转角度均增大,干预组大于对照组,差异均有统计学意义(P均<0.05)。结论针灸推拿治疗神经根型颈椎病疗效确切,能减轻疼痛程度、缓解临床症状,进一步改善颈椎活动度。Objective To explore the application value of acupuncture and massage therapy in patients with cervical spondylotic radiculopathy.Methods A total of 200 patients with cervical spondylotic radiculopathy admitted to Fujian Provincial Geriatric Hospital from February 2021 to February 2024 were selected as the research objects.According to different treatment methods,the patients were divided into control group and intervention group,with 100 cases in each group.The control group was treated with traditional Chinese medicine fumigation,and the intervention group was treated with acupuncture and massage on this basis.The therapeutic effect,traditional Chinese medicine syn-drome score,pain degree and cervical vertebra activity were compared between the two groups.Results The total effec-tive rate of treatment in the intervention group was 96.00%(96/100),which was higher than 87.00%(87/100)in the control group,and the difference was statistically significant(χ^(2)=5.207,P<0.05).After treatment,the traditional Chi-nese medicine syndrome scores and pain scores of the two groups were significantly reduced,and the intervention group was lower than the control group,the differences were statistically significant(all P<0.05).After treatment,the cervical flexion,extension and rotation angles of the two groups were increased,and the intervention group was greater than the control group,the differences were statistically significant(all P<0.05).Conclusion Acupuncture and massage is effective in the treatment of cervical spondylotic radiculopathy.It can reduce the degree of pain,relieve clinical symptoms,and further improve the activity of cervical spine.

关 键 词：神经根型颈椎病 中药熏蒸 针灸推拿 颈椎活动度 

分 类 号：R246.9[医药卫生—针灸推拿学]