Myoton PRO评估浮针联合通络活血方对气滞血瘀型神经根型颈椎病上斜方肌性能的改善  

Assessment of Myoton PRO on Floating Needling Combined with Tongluo Huoxue Formula on Performance of Upper Trapezius Muscle in Patients with Cervical Radiculopathy of Qi Stagnation and Blood Stasis Pattern

作　　者：陈龙 张晚霞 李念东 张钊源 郑周杭 张宇[2] CHEN Long;ZHANG Wanxia;LI Niandong;ZHANG Zhaoyuan;ZHENG Zhouhang;ZHANG Yu(Guangzhou University of Chinese Medicine,Guangzhou 510000,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510000,China)

机构地区：[1]广州中医药大学,广东广州510000 [2]广东省第二中医院,广东广州510000

出　　处：《针灸临床杂志》2025年第3期20-24,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：广东省自然科学基金,编号:2021A1515011723;广东省企联合基金,编号:2022A1515220093。

摘　　要：目的:观察浮针联合通络活血方对气滞血瘀型神经根型颈椎病患者上斜方肌肌肉性能的改善。方法:将50例患者分为试验组和对照组,每组25例。对照组予消炎止痛、营养神经和改善肌肉紧张等常规治疗;试验组予浮针联合通络活血汤治疗。1周为1个疗程,共3个疗程。记录治疗前及治疗后患者颈椎颈部疼痛及颈部功能评分、上斜方肌的肌张力、肌肉硬度和肌肉弹性等指标。然后对两组的数据进行统计学分析,比较两组上述指标的差异。结果:两组的基本资料比较差异无统计学意义(P>0.05);两组治疗方式均能改善神经根型颈椎病患者的症状,但试验组效果更优;两组治疗前VAS、NPQ评分,差异无统计学意义(P>0.05),治疗后VAS、NPQ比较,差异具有统计学意义(P<0.05);治疗前两组上斜方肌肌肉张力、肌肉硬度和肌肉弹性差异无统计学意义(P>0.05),治疗后差异具有统计学意义(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论:浮针联合通络活血方能降低CSR患者上斜方肌的肌张力、肌肉硬度,可增加肌肉弹性,改善CSR患者的颈椎功能和临床症状,疗效优于常规西药治疗。Objective:To observe the effect of floating needling combined with Tongluo Huoxue Formula on performance of upper trapezius muscle in patients with cervical radiculopathy of Qi stagnation and blood stasis pattern.Methods:50 patients were divided into the study group and the control group,with 25 patients in each group.The control group received conventional treatment,including anti-inflammatory medication,nerotrophic support,and muscle tension relief;whereas the study group was treated with floating needle combined with Tongluo Huoxue Formula.The treatment duration was three courses of three weeks.Cervical pain and neck function scores,muscle tension,muscle hardness and muscle elasticity of the upper trapezius muscle were recorded before and after the treatment.The data of the two groups were statistically analyzed to compare the differences of the above indicators between the two groups.Results:There were no statistical differences in the basic data between the two groups(P>0.05).Both groups of treatment can improve the symptoms of patients with CSR,but the therapeutic effect of the study group was more significant.There were no statistical differences in the scores of VAS and NPQ between the two groups before the treatment(P>0.05);significant differences were shown in the scores of VAS and NPQ between the two groups after the treatment(P<0.05).There were no statistical differences in the muscle tension,muscle hardness and muscle elasticity of the upper trapezius muscle between the two groups before the treatment(P>0.05),which were significantly different in the two groups after the treatment(P<0.05).There was no statistical difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Floating needling combined with Tongluo Huoxue Formula can reduce the muscle tension and hardness of the upper trapezius muscle and increase the muscle elasticity in CSR patients.The cervical function and clinical symptoms of CSR patients were improved,and the efficacy was better than that of conventio

关 键 词：神经根型颈椎病 Myoton PRO 气滞血瘀 上斜方肌 浮针 通络活血方 

分 类 号：R246.2[医药卫生—针灸推拿学]