郑氏"颈四步"手法联合穴位埋线治疗对神经根型颈椎病的疗效OA
Effect of Zheng's"cervical four steps"manipulation combined with acupoint catgut embedding on cervical spondylotic radiculopathy
目的 探讨郑氏"颈四步"手法联合穴位埋线治疗对神经根型颈椎病(CSR)的疗效.方法 选取2021年6月至2023年12月在该院接受诊治的120例CSR患者作为研究对象,采用随机数字表法将所有研究对象分为联合组和穴位埋线组,每组60例.穴位埋线组采用穴位埋线方案治疗,联合组在穴位埋线组治疗基础上联合郑氏"颈四步"手法治疗.比较2组临床疗效、中医证候积分、疼痛情况、颈椎活动度、实验室指标[前列腺素E2(PGE2)、白细胞介素-8(IL-8)与C反应蛋白(CRP)]水平、生活质量及治疗期间患者不良反应发生情况.结果 治疗后,联合组总有效率为91.67%,高于穴位埋线组的75.00%,差异有统计学意义(P<0.05).治疗后,2组颈肩部疼痛、活动受限、颈部压痛、上肢疼痛麻木证候积分、日常生活能力量表(ADL)评分、视觉模拟评分法(VAS)评分,以及PGE2、IL-8、CRP水平均低于治疗前,前倾角度、后屈角度、左转角度、右转角度均大于治疗前,且联合组颈肩部疼痛、活动受限、颈部压痛、上肢疼痛麻木中医证候积分、ADL评分、VAS评分,以及PGE2、IL-8、CRP水平均低于穴位埋线组,前倾角度、后屈角度、左转角度、右转角度均大于穴位埋线组,差异均有统计学意义(P<0.05).2组治疗期间局部疼痛、头晕、皮疹、红肿不良反应总发生率比较,差异无统计学意义(P>0.05).结论 郑氏"颈四步"手法联合穴位埋线治疗可有效减轻CSR患者机体炎症反应,改善患者颈椎活动度,疗效较为理想,值得临床推广应用.
Objective To explore the therapeutic effect of Zheng's"four cervical steps"manipulation com-bined with acupoint catgut embedding on cervical spondylotic radiculopathy(CSR).Methods A total of 120 patients with CSR who were treated in the hospital from June 2021 to December 2023 were selected as the re-search objects.All the research objects were divided into combined group and acupoint embedding group by random number table method,with 60 cases in each group.The acupoint thread embedding group was treated with acupoint thread embedding scheme,and the combined group was treated with Zheng's"cervical four steps"manipulation on the basis of the treatment in the acupoint thread embedding group.The clinical effica-cy,TCM syndrome score,pain,cervical spine activity,laboratory indexes[prostaglandin e(PGE2),interleu-kin-8(IL-8)and C-reactive protein(CRP)]levels,quality of life and adverse reactions during treatment were compared between the two groups.Results After treatment,the total effective rate of the combined group was 91.67%,which was higher than 75.00%of the acupoint embedding group,and the difference was statisti-cally significant(P<0.05).After treatment,the neck and shoulder pain,limited movement,neck tenderness,upper limb pain and numbness syndrome scores,activities of daily living scale(ADL)scores,visual analogue scale(VAS)scores,and levels of PGE2,IL-8 and CRP in the two groups were lower than those before treat-ment,and the forward Angle,backward flexion Angle,left turn Angle and right turn Angle were higher than those before treatment.The TCM syndrome scores of neck and shoulder pain,limitation of movement,neck tenderness,upper limb pain and numbness,ADL score,VAS score,and the levels of PGE2,IL-8 and CRP in the combined group were lower than those in the acupoint embedding group,and the angles of anteversion,retroflexion,left turn and right turn in the combined group were higher than those in the acupoint embedding group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of local pain,dizziness,rash,redness and swelling and other adverse reactions between the two groups during treatment(P>0.05).Conclusion Zheng's"cervical four steps"manipulation combined with acupoint catgut embedding can effectively reduce the inflammatory response of CSR patients and improve the range of motion of cervical spine.The effect is ideal,which is worthy of clinical promotion and application.
王新宇;王俊华;陈从山;张远洋;李明辉;黄钰滢;方兴刚
湖北省十堰市太和医院/湖北医药学院附属医院 推拿科,湖北 十堰 442000湖北省十堰市太和医院/湖北医药学院附属医院 中西医结合科,湖北 十堰 442000湖北省十堰市太和医院/湖北医药学院附属医院 推拿科,湖北 十堰 442000湖北省十堰市太和医院/湖北医药学院附属医院 推拿科,湖北 十堰 442000湖北省十堰市太和医院/湖北医药学院附属医院 中西医结合科,湖北 十堰 442000湖北省十堰市太和医院/湖北医药学院附属医院 中西医结合科,湖北 十堰 442000湖北省十堰市太和医院/湖北医药学院附属医院 中西医结合科,湖北 十堰 442000
医药卫生
颈椎病神经根型穴位埋线推拿手法中医证候积分郑氏"颈四步"手法
cervical spondylosisnerve root typeacupoint thread-embeddingmanipulation of mas-sageTCM syndrome scoreZheng's"cervical four steps"manipulation
《检验医学与临床》 2026 (5)
634-639,6
湖北省卫生健康科研项目(WJ2021F032).
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