小针刀治疗神经根型颈椎病临床疗效研究
|
摘要
目的:探究小针刀治疗神经根型颈椎病的临床疗效。方法:选取2017年1月—2018年6月于辽宁中医药大学附属医院现代疗法中心以神经根型颈椎病为诊断收入院的患者86例,采用随机数字表法随机分为试验组和对照组,对照组予针刺治疗,试验组予小针刀治疗,分别治疗2个疗程,统计并分析两组患者VAS、NDI、症状体征评分及临床疗效水平。结果:经治疗后,试验组患者VAS、NDI、症状体征评分均明显低于对照组,且差异均有统计学意义(P<0.05);经治疗后,试验组患者临床愈显率高于对照组(P<0.05),但两组治疗总有效率并无统计学差异(P>0.05)。结论:小针刀治疗能有效降低神经根型颈椎病患者VAS、NDI评分,改善患者神经根压迫症状,且具有较好的临床疗效,值得临床应用和推广。
Objective :To explore the clinical effect of small needle knife therapy on cervical spondylotic radiculopathy. Methods :86 patients with cervical spondylotic radiculopathy diagnosed in our hospital from January 2017 to June 2018 were randomly divided into experimental group and control group. The control group was treated with acupuncture and moxibustion,and the experimental group was treated with small needle knife. Two courses of treatment were given respectively. VAS,NDI,symptoms score and clinical efficacy of the two groups were counted and analyzed. Results :After treatment,the scores of VAS,NDI and symptoms score in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05);The clinical recovery rate in the experimental group was higher than that in the control group(P<0.05),but there was no statistical difference in the total effective rate between the two groups(P>0.05). Conclusion :Small needle knife therapy can effectively reduce VAS and NDI scores of patients with cervical spondylotic radiculopathy,improve the symptoms score,and has good clinical efficacy,which is worthy of clinical application and promotion.
Objective :To explore the clinical effect of small needle knife therapy on cervical spondylotic radiculopathy. Methods :86 patients with cervical spondylotic radiculopathy diagnosed in our hospital from January 2017 to June 2018 were randomly divided into experimental group and control group. The control group was treated with acupuncture and moxibustion,and the experimental group was treated with small needle knife. Two courses of treatment were given respectively. VAS,NDI,symptoms score and clinical efficacy of the two groups were counted and analyzed. Results :After treatment,the scores of VAS,NDI and symptoms score in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05);The clinical recovery rate in the experimental group was higher than that in the control group(P<0.05),but there was no statistical difference in the total effective rate between the two groups(P>0.05). Conclusion :Small needle knife therapy can effectively reduce VAS and NDI scores of patients with cervical spondylotic radiculopathy,improve the symptoms score,and has good clinical efficacy,which is worthy of clinical application and promotion.
引文
[1]黄锦军,何孟泽,陆学滨.针灸推拿和经筋疗法治疗椎动脉型颈椎病研究近况[J].实用中医药杂志,2016,32(3):286-288.
[2]陈文虎,奚春阳,徐公平,等.神经根型颈椎病和脊髓型颈椎病手术治疗的研究进展[J].现代生物医学进展,2015,15(26):5169-5173.
[3]买小军,王学琦,卢万春,等. X线平片、CT、MRI诊断颈椎病的价值[J].中国医学影像学杂志,2009,13(3):220-222.
[4]洪小萍,李世斌,连艺杰.中医药治疗颈椎病的现状分析[J].福建医药杂志,2016,38(4):138-139.
[5]宋永伟.应用孙氏旋提手法治疗神经根型颈椎病[J].中医正骨,2011,23(4):67-68.
[6]曹世强,于金栋,张静,等.神经根型颈椎病针灸治疗研究进展[J].河北中医,2015,17(1):144-148.
[7]杨晓荣.针灸治疗44例神经根型颈椎病的临床观察[J].中国保健营养,2016,26(11):123-124.
[8]孙悦礼,姚敏,崔学军,等.神经根型颈椎病颈痛临床评价方法研究[J].世界中医药,2014,9(6):707-712.
[9]郭剑华,马善治,刘渝松,等.中医优势病种颈椎病综合治疗优化方案临床研究[J].实用中医药杂志,2011,8(8):517-521.
[10]高树中.针灸治疗学[M].上海:上海科学技术出版社,2009:135-136.
[11]王威,冯兴兵,王章富,等.口服药物联合手法松解及功能锻炼治疗神经根型颈椎病的疗效观察及作用机制研究[J].中医正骨,2017,29(9):70-72.
[12]左亚忠,房敏,姜淑云,等.推拿对颈椎病疼痛、颈部功能和生活质量影响的临床研究[J].上海中医药杂志,2008,42(5):54-55.
[13]蔡武胜.小针刀松解术与颈椎持续牵引治疗神经根型颈椎病126例临床观察[J].中国现代医生,2017,55(8):113-115.
[14]范德辉,王尚巍.“颈四针”针刀疗法治疗神经根型颈椎病的疗效观察[J].辽宁中医杂志,2012(9):1839-1841.
[15]钟远鸣,苏正义,李兵,等.微创治疗神经根型颈椎病的研究概况[J].广西中医药,2016,39(1):1-3.
[16]宣守松,宋银花,罗永宝,等.柔性筋骨调衡术治疗颈型颈椎病临床疗效及对患者视觉模拟评分、颈椎功能障碍指数量表评分的影响[J].河北中医,2017,39(11):1719-1722.
[17]左亚忠,房敏,姜淑云,等.推拿对颈椎病疼痛、颈部功能和生活质量影响的临床研究[J].上海中医药杂志,2008,12(5):54-55.
[18]高月.激痛点针刀治疗神经根型颈椎病的临床观察[J].黑龙江医药,2015,28(6):1321-1323.
[19]李钦.透灸法结合电针在神经根型颈椎病患者中的疗效观察及对VAS评分的影响研究[J].按摩与康复医学,2018,9(12):17-18.
[20]赵勇,方维,秦伟凯.小针刀闭合性治疗肌筋膜炎的机制思考[J].中国针灸,2014,34(9):907-909.
[21]陈晓燕.温针灸配合小针刀治疗神经根型颈椎病90例疗效观察[J].中医临床研究,2016,8(20):47-48.
[2]陈文虎,奚春阳,徐公平,等.神经根型颈椎病和脊髓型颈椎病手术治疗的研究进展[J].现代生物医学进展,2015,15(26):5169-5173.
[3]买小军,王学琦,卢万春,等. X线平片、CT、MRI诊断颈椎病的价值[J].中国医学影像学杂志,2009,13(3):220-222.
[4]洪小萍,李世斌,连艺杰.中医药治疗颈椎病的现状分析[J].福建医药杂志,2016,38(4):138-139.
[5]宋永伟.应用孙氏旋提手法治疗神经根型颈椎病[J].中医正骨,2011,23(4):67-68.
[6]曹世强,于金栋,张静,等.神经根型颈椎病针灸治疗研究进展[J].河北中医,2015,17(1):144-148.
[7]杨晓荣.针灸治疗44例神经根型颈椎病的临床观察[J].中国保健营养,2016,26(11):123-124.
[8]孙悦礼,姚敏,崔学军,等.神经根型颈椎病颈痛临床评价方法研究[J].世界中医药,2014,9(6):707-712.
[9]郭剑华,马善治,刘渝松,等.中医优势病种颈椎病综合治疗优化方案临床研究[J].实用中医药杂志,2011,8(8):517-521.
[10]高树中.针灸治疗学[M].上海:上海科学技术出版社,2009:135-136.
[11]王威,冯兴兵,王章富,等.口服药物联合手法松解及功能锻炼治疗神经根型颈椎病的疗效观察及作用机制研究[J].中医正骨,2017,29(9):70-72.
[12]左亚忠,房敏,姜淑云,等.推拿对颈椎病疼痛、颈部功能和生活质量影响的临床研究[J].上海中医药杂志,2008,42(5):54-55.
[13]蔡武胜.小针刀松解术与颈椎持续牵引治疗神经根型颈椎病126例临床观察[J].中国现代医生,2017,55(8):113-115.
[14]范德辉,王尚巍.“颈四针”针刀疗法治疗神经根型颈椎病的疗效观察[J].辽宁中医杂志,2012(9):1839-1841.
[15]钟远鸣,苏正义,李兵,等.微创治疗神经根型颈椎病的研究概况[J].广西中医药,2016,39(1):1-3.
[16]宣守松,宋银花,罗永宝,等.柔性筋骨调衡术治疗颈型颈椎病临床疗效及对患者视觉模拟评分、颈椎功能障碍指数量表评分的影响[J].河北中医,2017,39(11):1719-1722.
[17]左亚忠,房敏,姜淑云,等.推拿对颈椎病疼痛、颈部功能和生活质量影响的临床研究[J].上海中医药杂志,2008,12(5):54-55.
[18]高月.激痛点针刀治疗神经根型颈椎病的临床观察[J].黑龙江医药,2015,28(6):1321-1323.
[19]李钦.透灸法结合电针在神经根型颈椎病患者中的疗效观察及对VAS评分的影响研究[J].按摩与康复医学,2018,9(12):17-18.
[20]赵勇,方维,秦伟凯.小针刀闭合性治疗肌筋膜炎的机制思考[J].中国针灸,2014,34(9):907-909.
[21]陈晓燕.温针灸配合小针刀治疗神经根型颈椎病90例疗效观察[J].中医临床研究,2016,8(20):47-48.