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古法针刺治疗神经根型颈椎病的临床研究

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目的 研究古法针刺治疗神经根型颈椎病的临床疗效.方法 选取三亚市中医院2020年3月-2022年6月收治的96例神经根型颈椎病患者,将其分为采用电针针刺夹脊穴治疗的电针组和采用古法针刺治疗的古法针刺组,均治疗4周.统计2组临床疗效,比较2组治疗前和治疗4周后血清学指标、椎-基底动脉血流动力学、颈椎活动度、颈椎功能.结果 治疗4周后,古法针刺组总有效率高于电针组(P<0.05).治疗4周后与治疗前比较,2组血清SP、TGF-β1、NF-κB水平、椎-基底动脉阻力指数(RI)降低,古法针刺组低于电针组(P<0.05);2组血清p-EP水平、椎-基底动脉Vm、Vs、颈椎前屈、后伸、右侧屈、左侧屈活动度及颈椎功能评分升高,古法针刺组高于电针组(P<0.05).结论 与电针针刺夹脊穴相比,采用古法针刺可有效改善神经根型颈椎病患者血清学指标,降低机体炎症反应,缓解疼痛改善其椎-基底动脉血流动力学、颈椎活动度,促进颈椎功能恢复,具有较好的治疗效果.
Clinical study on the treatment of cervical spondylotic radiculopathy with ancient acupuncture method
Objective To study the therapeutic effect of ancient acupuncture on cervical spondylotic radiculopathy.Methods 96 patients with cervical spondylotic radiculopathy admitted to Sanya Hospital of Traditional Chinese Medicine from March 2020 to June 2022 were divided into the electroacupuncture group and the ancient acupuncture group.The elcetroacupuncture group received elcetroacupuncture treatment at Jiaji acupoint.And the ancient acupuncture group received ancient acupuncture treatment.Both groups were treated for 4 weeks.The clinical efficacy of two groups was statistically analyzed.Serological indexes levels,vertebrobasilar artery hemodynamics,cervical motion and the function of cervical vertebrae were compared between two groups before treatment and after 4 weeks of treatment.Results After 4 weeks of treatment,the total effective rate of the ancient acupuncture group was higher than that of the electroacupuncture group(P<0.05).After 4 weeks of treatment,compared with before treatment,levels of serum SP,TGF-β1 and NF-κ,and vertebrobasilar artery resistance index(RI)in two groups decreased,and the ancient acupuncture group was lower than the electroacupuncture group(P<0.05).The serum β-EP level,vertebrobasilar artery Vm,Vs,and cervical spine flexion,extension,right flexion,left flexion range,and scores of cervical spine function increased in both groups,and the ancient acupuncture group was higher than the electroacupuncture group(P<0.05).Conclusion Compared with the treatment of electroacupuncture at Jiaji point,ancient acupuncture method can effectively improve the levels of serological indexes of patients with cervical spondylotic radiculopathy,reduce the body's inflammatory response,relieve pain,improve vertebrobasilar artery hemodynamics and cervical motion,promote cervical function recovery,and have a better therapeutic effect.

cervical spondylotic radiculopathyancient acupunctureelectroacupunctureJiaji pointcervical spine functionserological indicators

蔡海鑫、萨仁、郑全成、宋安华、杨敏

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三亚市中医院针灸科,海南 三亚 572000

神经根型颈椎病 古法针刺 电针 夹脊穴 颈椎功能 血清学指标

海南省卫生健康行业科研项目

20A200199

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(3)
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