摘要
目的 观察针刀12点3线配合肩胛三肌定位法治疗神经根型颈椎病的临床疗效并探寻治疗机理.方法 将104例患者按随机数字表法分为针刀组48例与针刺组56例,两组均在基础治疗的基础上,分别应用针刀和针刺治疗.治疗20 d后记录患者中医症状疗效、治疗时长、住院天数、住院费用等,治疗前及治疗后记录颈椎功能障碍指数(NDI)、前列腺素E2(PGE2)水平.结果 在中医症状疗效、治疗时长、住院天数及住院费用方面,针刀组均优于针刺组(P＜0.05);治疗后针刀组NDI指数、PGE2水平均优于针刺组(P＜0.05).结论 应用12点3线配合肩胛三肌定位法行针刀治疗神经根型颈椎病的疗效确切,优于针刺治疗.
Abstract
Objective:To observe the clinical efficacy and explore the therapeutic mechanisms of the 12-point 3-line technique combined with scapular tri-muscle localization using acupotome in the treatment of cervical ra-diculopathy.Methods:One hundred and four patients were divided into an acupotome group(48 cases)and an acupuncture group(56 cases).Both groups received basic treatment,with the acupotome group receiving acupoto-my and the acupuncture group receiving acupuncture.After 20 days of treatment,the TCM symptom efficacy,treat-ment duration,hospital stay,and hospital costs were recorded.The Cervical Disability Index(NDI)and prostaglan-din E2(PGE2)levels were measured before and after treatment.Results:In terms of TCM symptom efficacy,treat-ment duration,hospital stay,and hospital costs,the acupotome group showed significantly better performance than the acupuncture group(P＜0.05).After treatment,the NDI and PGE2 levels in the acupotome group were signifi-cantly better than those in the acupuncture group(P＜0.05).Conclusion:The 12-point 3-line technique com-bined with scapular tri-muscle localization using acupotome for cervical radiculopathy is effective and superior to acupuncture therapy.
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