首页|中医正骨联合针灸治疗神经根型颈椎病患者的效果观察

中医正骨联合针灸治疗神经根型颈椎病患者的效果观察

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目的 探讨神经根型颈椎病患者应用中医正骨联合针灸治疗的临床效果。方法 临床纳入 2021 年 10 月至2023 年 10 月洛阳伊滨区诸葛镇卫生院收治的 72 例神经根型颈椎病患者进行研究,按照随机数字表法将入选者分为对照组与实验组,每组各36例。对照组患者采用针灸治疗,实验组患者采用中医正骨联合针灸治疗。观察两组治疗效果、颈肩功能、中医证候积分、颈椎活动度及生活质量。结果 实验组治疗有效率(94。44%)高于对照组(77。78%),差异具有统计学意义(P<0。05)。治疗后,实验组患者颈椎功能障碍指数(NDI)评分低于对照组,日本骨科协会颈髓功能评分(JOA)及Constant-Murley肩关节功能评分(CMS)均高于对照组,差异均有统计学意义(P<0。05)。治疗后,实验组患者各项中医证候积分(肢体疼痛、颈肩疼痛、眩晕恶心)均低于对照组,差异均有统计学意义(P<0。05)。治疗后,实验组颈椎前屈、后伸、侧屈及侧旋的最大角度均大于对照组,差异均有统计学意义(P<0。05)。治疗后,实验组患者生活质量各项评分(生理功能、生理职能、活力、社会功能、机体疼痛、精神健康、情感职能、健康总体自评评分)均高于对照组,差异均有统计学意义(P<0。05)。结论 中医正骨联合针灸治疗神经根型颈椎病的治疗效果较好,能改善患者颈椎功能、脊髓功能及肩功能障碍,降低中医证候积分,改善患者活动受限症状,提高生活质量,临床有较好的应用效果。
Observational Study on the Effect of Traditional Chinese Medicine Orthopedics Combined with Acupuncture in the Treatment of Patients with Cervical Spondylosis of Nerve Root Type
Objective To explore the clinical effect of traditional Chinese medicine orthopedics combined with acupuncture in the treatment of patients with cervical spondylosis of nerve root type.Methods 72 patients with cervical spondylosis of nerve root type treated in Zhuge Town Health Center,Yibin District,Luoyang from October 2021 to October 2023 were included in the study.According to the random number table method,the selected patients were divided into a control group and an experimental group,each with 36 cases.The control group was treated with acupuncture,and the experimental group was treated with traditional Chinese medicine orthopedics combined with acupuncture.The treatment effects,neck and shoulder function,traditional Chinese medicine syndrome score,cervical spine mobility,and quality of life of the two groups were observed.Results The effective rate of treatment in the experimental group(94.44%)was higher than that in the control group(77.78%),and the difference was statistically significant(P<0.05).After treatment,the Neck Disability Index(NDI)score of the patients in the experimental group was lower than that in the control group,and the scores of the Japanese Orthopaedic Association(JOA)cervical spinal function and Constant-Murley shoulder joint function(CMS)were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of each traditional Chinese medicine syndrome(limb pain,neck and shoulder pain,dizziness and nausea)in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the maximum angles of cervical flexion,extension,lateral flexion,and rotation in the experimental group were all larger than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of each item of quality of life(physiological function,physiological role,vitality,social function,body pain,mental health,emotional role,overall health self-assessment)in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The treatment of cervical spondylosis of nerve root type with traditional Chinese medicine orthopedics combined with acupuncture has a good effect,can improve the cervical spine function,spinal cord function and shoulder function of patients,reduce the traditional Chinese medicine syndrome score,improve the symptoms of limited activity of patients,improve the quality of life,and has a good application effect in clinical practice.

Traditional Chinese Medicine Orthopedicsacupuncturecervical spondylosis of nerve root typeneck and shoulder functionclinical efficacy

王冠锋、李宏九

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洛阳伊滨区诸葛镇卫生院 中医科,河南 洛阳 471000

河南省洛阳正骨医院(河南省骨科医院) 脊柱外五科,河南 洛阳 471000

中医正骨 针灸 神经根型颈椎病 颈肩功能 临床疗效

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(6)
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