摘要
目的:观察施氏整颈三步九法联合针刺颈夹脊穴治疗神经根型颈椎病(CSR)患者的效果。方法:选取2019年5月至2021年5月该院收治的100例CSR患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各50例。对照组采用针刺颈夹脊穴治疗,研究组在对照组基础上加用施氏整颈三步九法治疗,比较两组治疗总有效率、视觉模拟评分法(VAS)评分、CSR生命质量量表评分和血清炎性因子[肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、超敏C反应蛋白(hs-CRP)]水平。结果:研究组治疗总有效率为88.00%,明显高于对照组的56.00%,差异有统计学意义(P<0.05);治疗后,研究组CSR生命质量量表各维度评分高于对照组,VAS评分和血清TNF-α、IL-1β、hs-CRP水平均低于对照组,差异有统计学意义(P<0.05)。结论:施氏整颈三步九法联合针刺颈夹脊穴治疗CSR患者可提高治疗总有效率和生命质量评分,降低VAS评分和炎性因子水平,效果优于单纯针刺颈夹脊穴治疗。
Objective:To observe effects of Shi’s three steps and nine methods of cervical manipulation combined with acupuncture at cervical Jiaji points in treatment of patients with cervical spondylotic radiculopathy(CSR).Methods:A prospective study was conducted on 100 CSR patients admitted to the hospital from May 2019 to May 2021.They were divided into study group and control group according to the random number table method,50 cases in each group.The control group was treated with acupuncture at cervical Jiaji points,while the study group was treated with Shi’s three steps and nine methods of neck-rectification on the basis of the control group.The total effective rate,the pain visual analogue scale(VAS)score,the CSR quality of life scale score,and the serum inflammatory factors[tumor necrosis factor(TNF)-α,interleukin(IL)-1β,high-sensitivity C-reactive protein(hs-CRP)]levels were compared between the two groups.Results:The total effective rate in the study group was 88.00%,which was significantly higher than 56.00%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of each dimension of CSR quality of life scale in the study group were higher than those in the control group;the VAS score and the serum levels of TNF-α,IL-1βand hs-CRP were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:Shi’s three steps and nine methods of cervical manipulation combined with acupuncture at cervical Jiaji points can improve the total effective rate and the quality of life scores of the CSR patients,and reduce the pain VAS scores and inflammatory factor levels.Moreover,it is superior to single acupuncture at cervical Jiaji points.
作者
何江
易璐
李林
冯晓琳
宋晓明
HE Jiang;YI Lu;LI Lin;FENG Xiaolin;SONG Xiaoming(Acupuncture Rehabilitation Department of Yichun Hospital of Traditional Chinese Medicine,Yichun 336000 Jiangxi,China)
出处
《中国民康医学》
2024年第2期116-118,共3页
Medical Journal of Chinese People’s Health
关键词
神经根型颈椎病
施氏整颈三步九法
针刺
颈夹脊穴
生命质量
炎性因子
Cervical spondylotic radiculopathy
Shi’s three steps and nine methods of cervical manipulation
Acupuncture
Cervical Jiaji point
Quality of life
Inflammatory factor
