首页|梅花针组穴叩刺法联合定点旋转复位法治疗神经根型颈椎病的临床研究

梅花针组穴叩刺法联合定点旋转复位法治疗神经根型颈椎病的临床研究

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目的 分析梅花针组穴叩刺法联合定点旋转复位法治疗神经根型颈椎病的效果及对患者疼痛、肌电图的影响.方法 选取河南省洛阳正骨医院2021年4月至2024年4月103例神经根型颈椎病患者临床资料,按治疗方案分组,其中行旋转复位法治疗的34例为复位组,行梅花针组穴叩刺法治疗的34例为叩刺组,行旋转复位联合梅花针组穴叩刺治疗的35例为联合组.对比三组治疗效果、疾病相关评分[颈椎功能障碍指数(NDI)、颈椎病临床评价量表(CASCS)、视觉模拟评分法(VAS)评分]、肌电图指标、颈椎活动度.结果 治疗4周后联合组治愈率为80.00%,高于复位组52.94%、叩刺组55.88%(P<0.05);治疗4周后联合组NDI、VAS评分低于复位组、叩刺组,CASCS评分高于复位组、叩刺组(P<0.05);治疗4周后联合组正中神经、腋神经的潜伏期均低于复位组、叩刺组,运动传导速度均高于复位组、叩刺组(P<0.05);治疗4周后颈椎侧屈、前屈、后伸活动度高于复位组、叩刺组(P<0.05).结论 神经根型颈椎病经梅花针组穴叩刺联合定点旋转复位治疗可提高治愈率,纠正颈椎功能,恢复颈椎活动度,改善神经传导功能,提高神经运动传导速度.
Clinical study on the treatment of cervical spondylotic radiculopathy with plum-blossom needle group acupoint pricking combined with fixed-point rotation reduction method
Objective To analyze the effect of plum-blossom needle group acupoint pricking combined with fixed-point rotation reduction method on the treatment of cervical spondylotic radiculopathy and its impact on patient pain and electromyography.Methods 103 patients with cervical spondylotic radiculopathy were included in the clinical data of Luoyang Orthopedic Hospital in Henan Province from April 2021 to April 2024.They were grouped according to the treatment plans,including 34 cases treated with rotation reduction method as the reduction group,34 cases treated with plum-blossom needle group acupoint pricking method as the pricking group,and 35 cases treated with rotation reduction combined with plum-blossom needle group acupoint pricking method as the combination group. The treatment efficacy,disease-related scores([neck disability index[NDI]score,clinical assessment scale for cervical spondylosis[CASCS]score,visual analog scale[VAS]score),electromyographic indicators,and cervical spine range of motion among the three groups were compared.Results After 4 weeks of treatment,the cure rate of the combination group was 80.00%,which was higher than 52.94% of the reduction group and 55.88% of the pricking group(P<0.05);After 4 weeks of treatment,the combination group had lower NDI and VAS scores than the reduction group and the pricking group,and higher CASCS scores than the reduction group and pricking group(P<0.05);After 4 weeks of treatment,the latency of the median nerve and axillary nerve in the combination group was lower than that in the reduction group and the pricking group,and the motor conduction velocity was higher than that in the reduction group and the pricking group(P<0.05);After 4 weeks of treatment,the range of motion for cervical lateral flexion,forward flexion,and backward extension was higher than that in the reduction group and pricking group(P<0.05). Conclusion The treatment of cervical spondylotic radiculopathy with plum-blossom needle group acupoint pricking combined with fixed-point rotation reduction can improve the cure rate,correct cervical function,restore cervical mobility,improve nerve conduction function,and increase neuromotor conduction velocity.

Fixed-point rotation reduction methodPlum-blossom needleCervical spondylotic radiculopathyNeuromotor conduction velocityCervical range of motion

雷超阳、程坤、杜欢欢

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河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛一科,河南郑州 451000

定点旋转复位法 梅花针 神经根型颈椎病 神经运动传导速度 颈椎活动度

2025

中国疗养医学
中国煤矿工人北戴河疗养院

中国疗养医学

影响因子:0.584
ISSN:1005-619X
年,卷(期):2025.34(1)