针刺手三针及颈夹脊治疗神经根型颈椎病临床研究
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R246.9;R681.5

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Clinical Study on Acupuncture at Three Points Along Three Yang Meridians of Hand and Cervical Jiaji Point for Cervical Spondylotic Radiculopathy
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    摘要:

    目的:观察针刺手三针及颈夹脊治疗神经根型颈椎病(CSR) 的临床疗效。方法:选取68 例CSR 患者,按随机数字表法分为研究组和对照组各34 例。研究组、对照组分别有4 例、5 例患者脱落。对照组给予针刺颈夹脊治疗,研究组给予针刺手三针及颈夹脊治疗,2 组均连续治疗7 d。比较2 组临床疗效及治疗前后简化McGill 疼痛问卷(SF-MPQ)、健康调查简表(SF-36)、田中靖久颈椎病症状量表20 分法评分和血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6) 水平。结果:研究组总有效率为100%,对照组总有效率为79.31%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH) 评分均较治疗前升高,研究组上述8 项评分均升高更明显,差异均有统计学意义(P<0.05)。治疗后,2 组疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现有疼痛强度(PPI) 评分及总分均较治疗前降低,研究组上述3 项细则评分及总分均降低更明显,差异均有统计学意义(P<0.05)。治疗后,2 组症状、体征、工作和生活能力、手的功能评分及总分均较治疗前升高,研究组上述4 项细则评分及总分均上升更明显,差异均有统计学意义(P<0.05)。治疗后,2 组血清TNF-α、IL-6 水平均较治疗前降低,研究组血清TNF-α、IL-6 水平均降低更明显,差异均有统计学意义(P<0.05)。结论:针刺手三针及颈夹脊治疗CSR,可有效改善患者的症状体征,提升其生活质量,降低促炎因子水平。

    Abstract:

    Abstract:Objective:To observe the clinical effect of acupuncture at three points along three yang meridians of the hand and cervical Jiaji point(Ex-B2) for cervical spondylotic radiculopathy(CSR). Methods:A total of 68 CSR patients were selected and divided into the study group and the control group according to the random number table method, 34 cases in each group. Four patients discontinued the study in the study group and five patients in the control group. The control group was given acupuncture at cervical Jiaji point(Ex-B2), and the study group was additionally given acupuncture at three points along three yang meridians of the hand based on the treatment of the control group. Both groups were continuously treated for seven days. Before and after treatment, the scores of the Short- Form McGill Pain Questionnaire(SF- MPQ), Short Form 36-Item Health Survey(SF-36) and Tanaka Yasuku Cervical Spondylosis Symptoms Scale with 20 points as well as the levels of tumor necrosis factor- α(TNF- α) and interleukin- 6(IL- 6) in serum were compared between the two groups. The clinical effect was compared between the two groups. Results:The total effective rate was 100% in the study group and 79.31% in the control group, the difference being significant(P<0.05). After treatment, the scores of physical functioning(PF), role physical(RP), bodily pain(BP), general health(GH), vitality(VT), social functioning(SF), role emotional(RE) and metal health (MH) in the two groups were increased when compared with those before treatment;the increase of the above eight scores in the study group was more significant,differences were significant(P<0.05). After treatment, the scores of Pain Rating Index(PRI), Visual Analogue Scale(VAS) and Present Pain Intensity(PPI) as well as the total score in the two groups were decreased when compared with those before treatment;the decrease of the above three scores with detailed rules as well as the total score in the study group was more significant,differences were significant(P<0.05). After treatment, the scores of symptoms and signs, activities of working and daily living, and the hand function as well as the total score were increased when compared with those before treatment,the increase of the above four scores with detailed rules as well as the total score in the study group was more significant,differences were significant(P<0.05). After treatment, the levels of TNF-α and IL-6 in serum in the two groups were decreased when compared with those before treatment;the decrease of the two levels in the study group was more significant, differences were significant(P<0.05). Conclusion: The therapy of acupuncture at three points along three yang meridians of the hand and cervical Jiaji point(Ex- B2) for CSR,can effectively improve symptoms and signs, promote the quality of life, and reduce the level of pro-inflammatory factors.

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田贵红.针刺手三针及颈夹脊治疗神经根型颈椎病临床研究[J].新中医,2020,52(17):114-117

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  • 在线发布日期: 2020-09-06
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