中国民康医学2024,Vol.36Issue(2) :116-118.DOI:10.3969/j.issn.1672-0369.2024.02.035

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患者的效果

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

何江 易璐 李林 冯晓琳 宋晓明
中国民康医学2024,Vol.36Issue(2) :116-118.DOI:10.3969/j.issn.1672-0369.2024.02.035

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患者的效果

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

何江 1易璐 1李林 1冯晓琳 1宋晓明1
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作者信息

  • 1. 宜春市中医院针灸康复科,江西 宜春 336000
  • 折叠

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.

Abstract

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-1β and 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.

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

Key words

Cervical spondylotic radiculopathy/Shi's three steps and nine methods of cervical manipulation/Acupuncture/Cervical Jiaji point/Quality of life/Inflammatory factor

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出版年

2024
中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
参考文献量8
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