首页|期刊导航|针灸临床杂志|运动针刺联合常规针刺治疗神经根型颈椎病的临床研究

运动针刺联合常规针刺治疗神经根型颈椎病的临床研究OA

Clinical Study on Motion Acupuncture Combined with Conventional Acupuncture in Treatment of CSR

中文摘要英文摘要

目的:分析神经根型颈椎病临床治疗中采取运动针刺联合常规针刺的效果.方法:以120 例神经根型颈椎病患者为对象,以随机法展开分组,即观察组与对照组,各60 例.观察组予运动针刺配合常规针刺治疗,对照组予常规针刺治疗,两组治疗均为1 次/d,连续治疗5 次后休息2d,疗程共两周.以临床总体疗效、颈痛及上肢痛视觉模拟评分(VAS)、颈椎功能障碍指数量表(NDI)分数、颈椎临床评价量表(CASCS)分数、颈椎活动度评分和颈椎生理曲度为观察指标对两组治疗前后进行疗效评估,对最终纳入统计的108 例患者进行结果分析.结果:观察组总有效率94.55%(52/55),优于对照组的81.13%(43/53),差异具有统计学意义(P<0.05);治疗两周后,两组CASCS评分、颈椎活动度评分及颈椎生理曲度较治疗前均有所增加,两组VAS评分、NDI评分较治疗前均有所降低,且两组差异均具有统计学意义(P<0.05);治疗结束后3 个月,两组VAS评分比较,差异无统计学意义(P>0.05);两组的NDI评分均低于治疗前,而CASCS分数、颈椎活动度评分及颈椎生理曲度较前均有所增加,差异具有统计学意义(P<0.05).结论:运动针刺联合常规针刺治疗神经根型颈椎病疗效显著.

Objective:To analyze the clinical efficacy of motion acupuncture combined with conventional acupuncture in treatment of cervical spondylotic radiculopathy(CSR).Methods:A total of 120 patients with CSR were randomly assigned to the observation group and the control group,with 60 patients in each group.The control group was treated with conventional acupuncture;on which basis,the observation group was also treated with motion acupuncture.Both groups were treated once daily for five consecutive days,followed by a two-day rest period,for a total treatment duration of two weeks.Overall clinical efficacy,visual analogue scale(VAS)scores for neck and upper limb pain,Neck Disability Index(NDI)scores,Cervical Spine Clinical Scale(CASCS)scores,cervical range of motion(ROM),and cervical physiological curvature were evaluated in both groups.Outcome analysis was conducted on the 108 patients who completed the study.Results:The overall clinical efficacy of the observation group was 94.55%(52/55),which was superior to 81.13%(43/53)of the control group(P<0.05).After two weeks of treatment,both groups showed increased CASCS scores,cervical ROM,and cervical physiological curvature compared with baseline,while VAS scores and NDI scores decreased significantly in both groups;the differences between the groups were statistically significant(P<0.05).3 months after the treatment,there was no significant difference in VAS scores between the two groups(P>0.05);both groups maintained lower NDI scores compared with baseline(P<0.05);CASCS scores,cervical ROM,and cervical physiological curvature remained significantly improved(P<0.05).Conclusion:Motion acupuncture demonstrates significant clinical efficacy in treatment of CSR.

李胜吾;刘步云;胡锐;李俊霖

四川省骨科医院,四川 成都 610041四川省骨科医院,四川 成都 610041四川省骨科医院,四川 成都 610041四川省骨科医院,四川 成都 610041

医药卫生

神经根型颈椎病运动针刺常规针刺

Cervical spondylotic radiculopathyMotion acupunctureConventional acupuncture

《针灸临床杂志》 2026 (4)

26-31,6

四川省干部保健科研课题,编号:2019-608成都市医学科研课题,编号:2024043.

10.19917/j.cnki.1005-0779.026066

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