清宫正骨手法联合针刺治疗神经根型颈椎病急性期(气滞血瘀证)的疗效观察
Efficacy Observation of Qinggong Zhenggu Manipulation Combined with Acupuncture in the Treatment of Acute Cervical Spondylotic Radiculopathy with Syndrome of Qi Stagnation and Blood Stasis
刘文金 1陈美君 2林凤华3
作者信息
- 1. 广东省湛江市第二中医医院,广东湛江 524011;广州中医药大学,广东广州 510405
- 2. 广东省江门市五邑中医院,广东江门 529099;暨南大学,广东 广州 510632
- 3. 广东省江门市工贸职业技术学校,广东江门 529000
- 折叠
摘要
目的 观察针刺基础上联合清宫正骨手法治疗神经根型颈椎病(CSR)(气滞血瘀证)患者的疗效、症状改善及对炎症因子水平的影响.方法 将CSR患者60例按照随机数字表法分为两组各30例,对照组采用针刺治疗,治疗组在针刺基础上采用清宫正骨手法,共治疗2周.观察两组症状、疼痛及颈部功能障碍评分的差异性,比较临床效果和炎症因子水平.结果 治疗组总有效率为93.33％,高于对照组的73.33％(P＜0.05).与对照组相比较,治疗组治疗后症状、疼痛、颈椎功能障碍评分以及炎症因子水平明显更低(P＜0.05).结论 清宫正骨手法联合针刺治疗CSR疗效良好,可有效减轻患者疼痛,改善患者的颈椎功能,缓解临床症状,降低机体炎症水平,且安全性良好.
Abstract
Objective:To evaluate the effect of acupuncture combined with Qinggong Zhenggu manipulation on the efficacy,symptom improvement and inflammatory factor levels in patients with cervical spondylotic radiculopa-thy(CSR)of qi stagnation and blood stasis syndrome.Methods:60 patients with CSR were randomly divided into control group(n=30,treated with acupuncture)and treatment group(n=30,treated with Qinggong Zhenggu ma-nipulation on the basis of acupuncture),with a total of 2 weeks of treatment.The differences of symptoms,pain and neck dysfunction scores between the two groups were observed,and the clinical effects and levels of inflamma-tory factors were compared.Results:The total effective rate of the treatment group was 93.33％,which was higher than 73.33％of the control group(P＜0.05).After treatment,compared with the control group,the symptom score,pain,cervical dysfunction score and inflammatory factor level in the treatment group were significantly lower(P＜0.05).Conclusion:Qinggong Zhenggu manipulation combined with acupuncture is effective in the treatment of CSR.It can effectively reduce the pain of patients,improve the cervical spine function of patients,relieve clinical symptoms,reduce the level of inflammation,and has good safety,which has certain clinical application value.
关键词
神经根型颈椎病/清宫正骨手法/针刺/气滞血瘀证/急性期Key words
Cervical spondylotic radiculopathy/Qinggong Zhenggu manipulation/Acupuncture/Syndrome of qi stagnation and blood stasis/Acute phase引用本文复制引用
基金项目
国家中医药局中医药标准项目(2021567397)
出版年
2024
NETL
NSTL
万方数据