| 引用本文:陈宇1，邓小磊2，王有雪3，王世轩1.针刺联合手法治疗神经根型颈椎病的疗效评估[J].世界中医药,2023,(05):. |
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| 针刺联合手法治疗神经根型颈椎病的疗效评估 |
| Therapeutic Effect of Acupuncture Combined with Chinese Massage on Cervical Spondylotic Radiculopathy |
| 投稿时间：2021-05-11 |
| DOI：10.3969/j.issn.1673-7202.2023.05.016 |
| 中文关键词: 针刺 手法治疗 神经根型颈椎病 疗效评估 血液流变学 颈部残障指数 McGill疼痛问卷评分 麻木评分 |
| English Keywords:Acupuncture Massage Cervical spondylotic radiculopathy Efficacy evaluation Hemorheology Neck disability index(NDI) McGill Pain Questionnaire(MPQ) score Numbness score |
| 基金项目:第七批全国老中医药专家学术经验继承工作项目（国中医药人教函〔2022〕76号）；辽宁省科学技术计划项目（2022-MS-19） |
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| 中文摘要: |
| 目的：观察针刺联合中医推拿手法治疗神经根型颈椎病的疗效并探究其机制。方法：选取2021年1月至2022年10月辽宁中医药大学附属第二医院骨科收治的神经根型颈椎病患者120例作为研究对象，按照随机数字表法分为对照组和观察组，每组60例。2组患者均行常规牵引疗法。对照组配合单纯中医推拿手法治疗，观察组在中医推拿手法治疗基础上联合针刺治疗。疗程均为1个月。比较治疗前后2组患者麻木评分、颈部残障指数（NDI）、简化McGill疼痛问卷（MPQ）评分、血清白细胞介素-6（IL-6）、肿瘤坏死因子α（TNF-α）、血清白细胞介素-1β（IL-1β）、血液流变学指标水平变化情况，以及治疗有效率。结果：观察组治疗有效率（91.67%）明显高于对照组（73.33%）,2组比较，差异有统计学意义（P<0.05）；治疗后2组患者MPQ、NDI、麻木3个评分均显著下降（均P<0.05），与对照组比较，观察组改善明显（P<0.05）；治疗后2组患者血液流变学各项指标表达水平均显著下降（P<0.05），且观察组改善更为显著（P<0.05）。结论：针刺联合中医推拿手法治疗神经根型颈椎病疗效突出，可改善患者颈部麻木、疼痛等症状，同时改善颈部功能障碍状态，降低血黏度，下调血清IL-6、TNF-α和IL-1β表达水平。 |
| English Summary: |
| To observe the therapeutic effect and explore the mechanism of acupuncture combined with Chinese massage in the treatment of cervical spondylotic radiculopathy.Methods:A total of 120 patients with cervical spondylotic radiculopathy treated in the Department of Orthopedics，the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2018 to October 2019 were randomly assigned into control and observation groups(n=60).The control group was treated with Chinese massage，and the observation group with acupuncture+Chinese massage.The treatment lasted for one month.The therapeutic effect，numbness score，neck disability index(NDI)，simplified McGill Pain Questionnaire(MPQ) score，serum levels of interleukin-6(IL-6)，IL-1β，and tumor necrosis factor-alpha(TNF-α)，and hemorheological indexes were determined before and after treatment.Results:The observation group had higher response rate than the control group(91.67% vs.73.33%，P<0.05).The treatment in both groups decreased the MPQ，NDI，and numbness scores and the hemorheological indexes(P<0.05)，and the decreases were more significant in the observation group(P<0.05).Conclusion:Acupuncture combined with Chinese massage is effective in the treatment of cervical spondylotic radiculopathy.It can alleviate neck numbness，pain and other symptoms，recover neck function，reduce blood viscosity，and lower serum IL-6，TNF-α，and IL-1β levels. |
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