正骨手法配合"三通四联"针灸综合疗法治疗神经根型颈椎病的临床观察OA
Clinical observation on effects of bone setting manipulation with"Santong Silian"acupuncture and moxibustion therapy on cervical spondylosis radiculopathy
[目的]探讨正骨手法联合"三通四联"针灸综合疗法对神经根型颈椎病(CSR)治疗的效果,及对患者疼痛程度、颈椎功能等的影响.[方法]纳入CSR患者120例,随机分为对照组、联合组.对照组采用"三通四联"针灸综合疗法,联合组加用正骨手法.比较两组总有效率、疾病严重程度、颈椎功能、颈椎活动度、血清炎症因子指标及不良反应.[结果]联合组总有效率显著高于对照组(P<0.05);视觉模拟法(VAS)评分、颈椎功能障碍指数(NDI)、中医证候积分显著低于对照组(P<0.05).联合组颈椎左右旋、前后屈活动度显著高于对照组(P<0.05),肿瘤坏死因子-α(TNF-α)、白三烯C4(LTC4)水平显著低于对照组(P<0.05).[结论]CSR患者接受正骨手法和"三通四联"针灸疗法联合干预,可有效减轻机体疼痛,纠正颈椎生理功能,效果较为理想,临床应用价值较高.
[Objective]To explore the effect of bone setting manipulation with"Santong Silian"acupuncture and moxibustion therapy on cervical spondylosis radiculopathy(CSR),and the impacts on the degree of pain and cervical function.[Methods]Totally 120 CSR patients in our hospital were stochastically assigned into control group and joint group.The control group adopted"Santong Silian"acupuncture and moxibustion therapy,and the joint group additionally adopted bone setting manipulation.Two groups were compared in terms of total effective rate,disease severity,cervical function,cervical mobility,serum inflammatory cytokine indicators,and bad reactions.[Results]The joint group had a clearly higher total effective rate compared to control group(P<0.05),and conspicuously lower visual analogue scale(VAS)score,neck disability index(NDI),and Chinese medicine syndrome score compared to control group(P<0.05).The joint group had conspicuously higher cervical left and right rotation mobility,anterior and posterior flexion mobility compared to control group(P<0.05),and clearly lower tumor necrosis factor-α(TNF-α)and leukotriene C4(LTC4)compared to control group(P<0.05).[Conclusion]The joint intervention of bone setting manipulation with"Santong Silian"acupuncture and moxibustion therapy for CSR patients can effectively alleviate body pain and correct the physiological function of cervical vertebra.It has a relatively ideal effect and high clinical value.
李道通;张雅琪;范亚朋;刘佳;陈晨;席世珍;赵村辉;毛书歌
河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科,洛阳 471002河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)二科,洛阳 471002
医药卫生
颈椎病神经根型三通四联正骨手法颈椎活动度
cervical spondylosisradiculopathySantong Silian methodbone setting manipulationcervical mobility
《天津中医药》 2026 (8)
975-979,5
河南省中医药科研专项课题(2024ZY3068).
评论