首页|"Z"字形拨针治疗神经根型颈椎病急性加重期(气滞血瘀证)的临床观察

"Z"字形拨针治疗神经根型颈椎病急性加重期(气滞血瘀证)的临床观察

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目的 观察"Z"字形拨针治疗对神经根型颈椎病急性加重期(气滞血瘀证)的疗效及炎性因子的影响.方法 选取120例患者,随机分为拨针组和针刺组,分别给予"Z"字形拨针联合常规护理宣教和针刺联合常规护理宣教.比较两组治疗前后的颈椎功能、疼痛程度、生活质量和血清炎性因子水平、头夹肌及头半棘肌E值的变化和1个月、3个月、6个月的复发率.结果 两组治疗后症状及功能评价均有明显改善,但拨针组优于针刺组(P<0.05);两组治疗后血清肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平均显著降低(P<0.05),拨针组明显低于针刺组(P<0.05);两组治疗后的头夹肌及头半棘肌E值均下降,拨针组明显低于针刺组(P<0.05);治疗后6个月的复发率比较,拨针组明显低于针刺组(P<0.05).结论 "Z"字形拨针治疗能有效改善神经根型颈椎病急性加重期(气滞血瘀证)患者的颈椎功能、疼痛程度和生活质量,降低相关肌肉的E值,且可能通过抑制炎性因子的释放发挥治疗作用,降低复发率.
Clinical Observation on"Z"Shape Scraping Needle Therapy for Acute Exacerbation of Cervical Spondy-lotic Radiculopathy(Syndrome of Qi Stagnation and Blood Stasis)
Objective:To observe the clinical effect of"Z"shaped scraping needle therapy for acute exacerba-tion of cervical spondylotic radiculopathy(syndrome of qi stagnation and blood stasis)and its influence on inflam-matory factors.Methods:A total of 120 patients who met the inclusion criteria were randomly divided into the scraping needle group and acupuncture group,and received"Z"-shaped scraping needle combined with routine care education and acupuncture combined with routine care education,respectively.The changes of cervical spine function,pain intensity,quality of life and serum inflammatory factor levels,the E splenius capitis muscle and com-plexus,and the recurrence rates at 1 month,3 months and 6 months were compared between the two groups.Re-sults:The symptoms and functional evaluation of both groups improved significantly after treatment,and the scrap-ing needle group was better than the acupuncture group(P<0.05).The serum levels of TNF-α,IL-1β and IL-6 decreased significantly in both groups after treatment(P<0.05),and the scraping needle group had lower levels than the control group(P<0.05).The E values of splenius capitis muscle and complexus decreased in both groups after treatment,and the scraping needle group was lower than the control group(P<0.05).The recurrence rate at 6 months after treatment was lower in the scraping needle group than in the control group(P<0.05).Conclusion:"Z"shaped scraping needle therapy can effectively improve the cervical spine function,pain intensity and quality of life of patients with acute exacerbation of cervical spondylotic radiculopathy(syndrome of qi stagnation and blood stasis),reduce the E values of related muscles,and may exert its effect by inhibiting the release of inflamma-tory factors,and reduce the recurrence rate.

Cervical radiculopathySplenius capitis muscleQi stagnation and blood stasisClinical study

徐莺、卜天生、张数理

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甘肃省白银市第一人民医院,甘肃 白银 730900

神经根型颈椎病 拨针 气滞血瘀 临床研究

白银市科技计划

2022-2-52Y

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(6)
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