小针刀联合星状神经节阻滞以及正骨手法治疗神经根型颈椎病的应用及疗效观察  

Application and Curative Effect Observation of Small Needle Knife Combined with Stellate Ganglion Block Combined with Bone-setting Manipulation in the Treatment of Cervical Spondylotic Radiculopathy

作　　者：李鑫 王正璞 吕建龙 LI Xin;WANG Zhengpu;LV Jianlong(Aksu Traditional Chinese Medicine Hospital Aksu,Xinjiang 843000)

机构地区：[1]阿克苏地区中医医院,新疆阿克苏843000

出　　处：《智慧健康》2025年第3期68-71,共4页Smart Healthcare

摘　　要：目的探究小针刀联合星状神经节阻滞以及正骨手法治疗神经根型颈椎病的应用及疗效观察。方法本研究以神经根型颈椎病患者为观察对象,共计100例,数据收集时间为2023年4月—2024年4月。研究采用随机数字表法进行分组,每组50例患者。其中,观察组接受小针刀联合星状神经节阻滞以及正骨手法治疗;对照组患者则接受针灸与正骨手法的联合治疗。在治疗结束后,将两组CASCS评分、治疗效果、VAS和ROM评分、血液流变学指标、颈椎活动度做比较。结果观察组CASCS评分治疗后高于对照组(P<0.05)。与对照组相比,观察组的治疗总有效率更高(P<0.05)。观察组VAS和ROM评分在治疗后均低于对照组(P<0.05)。与对照组血液流变学指标相比,观察组数据更占据优势(P<0.05)。观察组颈椎活动度在治疗后均高于对照组(P<0.05)。结论小针刀联合星状神经节阻滞以及正骨手法治疗效果显著,能促进患者症状的改善,还能减轻其疼痛感,值得研究和推广。Objective To explore the application and curative effect of small needle knife combined with stellate ganglion block combined with bone-setting manipulation in the treatment of cervical spondylotic radiculopathy.Methods A total of 100 patients with cervical spondylotic radiculopathy were observed in this paper.The time period was from April 2023 to April 2024.They were divided into groups by random number table method.The observation group was treated with small needle knife combined with stellate ganglion block combined with bone-setting manipulation.50 cases in the control group were treated with acupuncture combined with bone-setting manipulation.After treatment,the CASCS score,therapeutic effect,VAS and ROM score,hemorheology index and cervical spine activity were compared between the two groups.Results The CASCS score of the observation group was higher than that of the control group after treatment(P<0.05).Compared with the control group,the total effective rate of treatment in the observation group was higher(P<0.05).The VAS and ROM scores of the observation group were lower than those of the control group after treatment(P<0.05).Compared with the hemorheological indexes of the control group,the data of the observation group were more dominant(P<0.05).The cervical spine activity of the observation group was higher than that of the control group after treatment(P<0.05).Conclusion Small needle knife combined with stellate ganglion block and bone-setting manipulation has a significant effect,which can promote the improvement of patients'symptoms and reduce their pain.It is worthy of research and promotion.

关 键 词：神经根型颈椎病 小针刀 星状神经节阻滞 正骨手法 疗效 

分 类 号：R681.5[医药卫生—骨科学]