腹针结合筋结点针刺治疗神经根型颈椎病的临床研究  

Clinical Study of Abdominal Acupuncture Combined with Needling Myofascial Trigger Point in Treatment of CSR

作　　者：朱健 卢明诚 ZHU Jian;LU Mingcheng(Liuan Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine,Liuan 237000,China)

机构地区：[1]安徽中医药大学附属六安市中医院,安徽六安237000

出　　处：《针灸临床杂志》2025年第4期29-32,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽中医药大学临床科研项目,编号:2024LC010。

摘　　要：目的:探究腹针结合筋结点针刺治疗神经根型颈椎病(CSR)的临床疗效。方法:按照随机数字表法将安徽中医药大学附属六安市中医院自2022年5月—2024年4月收治的102例CSR患者分为观察组和对照组,每组51例。对照组接受常规治疗,观察组接受腹针结合筋结点针刺治疗,比较两组临床疗效、颈部疼痛、颈椎功能与颈椎活动度。结果:治疗后,观察组总有效率、颈椎病临床评价量表(CASCS)评分、左侧屈、右侧屈、左旋转和右旋转度均显著高于对照组,差异具有统计学意义(P<0.05),疼痛程度各量表评分、阻力指数(RI)均显著低于对照组,差异具有统计学意义(P<0.05)。结论:腹针结合筋结点针刺治疗CSR疗效显著,可有效减轻颈部疼痛程度,改善颈椎功能,提高肩颈活动度。Objective:To explore the clinical effect of abdominal acupuncture combined with needling myofascial trigger point in treatment of cervical spondylotic radiculopathy(CSR).Methods:102 patients with CSR were randomly divided into the observation group and the control group,with 51 cases in each group.The control group received conventional treatment whereas the observation group received abdominal acupuncture combined with needling myofascial trigger point.The clinical efficacy,neck pain,cervical spine function and range of motion were compared between the two groups.Results:The total effective rate,the scores of Clinical Assessment Scale for Cervical Spondylosis(CASCS),as well as the ranges of left flexion,right flexion,left rotation and right rotation were all significantly higher in the observation group than those in the control group after the treatment(P<0.05).The pain scores and resistance index(RI) were significantly lower in the observation group than those in the control group after the treatment(P<0.05).Conclusion:Abdominal acupuncture combined with needling myofascial trigger point is markedly effective in treating CSR,which can effectively alleviate neck pain,improve cervical spine function and increase range of motion of neck and shoulder.

关 键 词：神经根型颈椎病 腹针 筋结点针刺 疼痛 颈椎功能 

分 类 号：R246.2[医药卫生—针灸推拿学]