中医浮针治疗对神经根型颈椎病患者疼痛程度及中医症状积分的影响  

Effect of Traditional Chinese Medicine Floating Needle Therapy on Pain Degree and TCM Symptom Score in Patients with Cervical Spondylotic Radiculopathy

作　　者：唐臻一 王博韬 TANG Zhenyi;WANG Botao(Department of Orthopaedics and Traumatology,Tianjin Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300499,China)

机构地区：[1]天津市北辰区中医医院骨伤科,天津300499

出　　处：《医学信息》2025年第7期116-119,共4页Journal of Medical Information

基　　金：天津市北辰区科技计划项目(编号:SHGY-2023021、SHGY-2023024)。

摘　　要：目的分析中医浮针治疗对神经根型颈椎病(CSR)患者疼痛程度及中医症状积分的影响。方法选取2021年4月-2024年4月天津市北辰区中医医院骨伤科收治的96例CSR患者,经随机数字表法分为对照组(48例)与浮针组(48例)。对照组行常规颈椎牵引治疗,浮针组在其基础上应用中医浮针治疗,比较两组治疗效果、疼痛程度[视觉模拟评分法(VAS)、疼痛强度简易描述量表(VRS)]、中医症状积分(颈肩不适、上肢麻木、活动限制)、颈椎功能[颈椎JOA评分、颈椎病临床评价量表(CASCS)]。结果浮针组临床总有效率(97.92%)高于对照组(85.42%)(P<0.05);与对照组比较,浮针组治疗后VAS评分、VRS评分、中医症状积分(颈肩不适、上肢麻木、活动限制)更低,JOA评分、CASCS评分更高(P<0.05)。结论中医浮针治疗可提升CSR治疗效果,改善患者疼痛及中医症状,有利于颈椎功能的恢复。Objective To analyze the effect of traditional Chinese medicine floating needle therapy on pain degree and TCM symptom score in patients with cervical spondylotic radiculopathy(CSR).Methods Using random number table method,a total of 96 patients with CSR admitted to Department of Orthopedics and Traumatology,Tianjin Beichen District Hospital of Traditional Chinese Medicine from April 2021 to April 2024 were selected and divided into control group(48 patients)and floating needle group(48 patients).The control group was treated with conventional cervical traction,and the floating needle group was treated with traditional Chinese medicine floating needle on the basis of the control group.The therapeutic effect,pain degree[Visual Analogue Scale(VAS),pain intensity simple description scale(VRS)],TCM symptom score(neck and shoulder discomfort,upper limb numbness,activity limitation),cervical spine function[cervical spine JOA score,Cervical Spondylosis Clinical Evaluation Scale(CASCS)]were compared between the two groups.Results The total effective rate of the floating needle group(97.92%)was higher than that of the control group(85.42%)(P<0.05).Compared with the control group,the VAS score,VRS score and TCM symptoms(neck and shoulder discomfort,upper limb numbness,activity limitation)in the floating needle group were lower,the JOA score and CASCS score were higher after treatment(P<0.05).Conclusion Traditional Chinese medicine floating needle therapy can improve the therapeutic effect of CSR,improve the pain and TCM symptoms of patients,and is conducive to the recovery of cervical spine function.

关 键 词：浮针 神经根型颈椎病 疼痛程度 中医症状积分 颈椎功能 

分 类 号：R681.5[医药卫生—骨科学]