[1]龚龙,张立新,石雷,等.低温等离子射频消融术联合颈痛颗粒治疗神经根型颈椎病的临床观察[J].中国中医骨伤科杂志,2024,32(09):36-40.[doi:10.20085/j.cnki.issn1005-0205.240908]
　GONG Long,ZHANG Lixin,SHI Lei,et al.Clinical Observation of Low-Temperature Plasma Radiofrequency Ablation Combined with Jingtong Granules on the Treatment of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(09):36-40.[doi:10.20085/j.cnki.issn1005-0205.240908]
点击复制

低温等离子射频消融术联合颈痛颗粒治疗神经根型颈椎病的临床观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年09期
页码:
36-40
栏目:
临床研究
出版日期:
2024-09-15

文章信息/Info

Title:
Clinical Observation of Low-Temperature Plasma Radiofrequency Ablation Combined with Jingtong Granules on the Treatment of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2024)09-0036-05
作者:
龚龙1; 张立新1; 石雷1; 王迪1; 张军2△
1北京中医医院顺义医院(北京,101300)
2中国中医科学院望京医院
Author(s):
GONG Long1; ZHANG Lixin1; SHI Lei1; WANG Di1; ZHANG Jun2△
1Shunyi Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing 101300,China;
2Wangjing Hospital,China Academy of Traditional Chinese Medicine,Beijing 100102,China.
关键词:
神经根型颈椎病;  低温等离子射频消融术;  颈痛颗粒
Keywords:
cervical spondylotic radiculopathy;  low-temperature plasma radiofrequency ablation;  Jingtong granule
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240908
文献标志码:
A
摘要:
目的:探讨低温等离子射频消融术联合颈痛颗粒治疗神经根型颈椎病的效果。方法:将2020年11月至2023年11月收治的神经根型颈椎病(气滞血瘀型)患者80例列为观察对象,随机分组,对照组(40例)实施低温等离子髓核射频消融术治疗,观察组(40例)在对照组的基础上予以颈痛颗粒治疗。两组患者治疗时间均为4周,对比两组患者临床疗效、疼痛视觉模拟量表(VAS)评分、主诉与症状评分、颈椎功能障碍指数(NDI)评分、颈椎曲度和颈椎活动度变化、炎性因子水平、生活质量。结果:两组患者治疗2周后及4周后VAS评分、主诉与症状、NDI评分、血清hs-CRP、IL-6、TNF-α水平较治疗前降低,颈椎曲度和活动度、生活质量评分较治疗前升高,差异有统计学意义(P<0.05); 与对照组相比,观察组有效率、颈椎曲度和活动度、生活质量评分较高,治疗2周后及4周后VAS评分、主诉与症状、NDI评分、血清hs-CRP、IL-6、TNF-α水平较低,差异有统计学意义(P<0.05)。结论:低温等离子射频消融术联合颈痛颗粒应用于神经根型颈椎病的治疗效果显著,能使症状得到较好的缓解,颈椎活动度得以改善,炎症抑制效果及生活质量更优。
Abstract:
Objective:To explore the effect of low-temperature plasma radiofrequency ablation combined with Jingtong granules on the treatment of cervical spondylotic radiculopathy.Methods:80 patients with cervical spondylotic radiculopathy from november 2020 to november 2023 were selected as observation subjects and randomly divided into two groups.The control group(40 cases)received low-temperature plasma nucleus pulposus radiofrequency ablation treatment,while the observation group(40 cases)received Jingtong granules treatment on the basis of the control group.The treatment time for both groups was 4 weeks.The clinical efficacy,visual analogue scale(VAS)scores for pain,chief complaint and symptom scores,neck disability index(NDI)scores,changes in cervical curvature and range of motion,levels of inflammatory factors,and quality of life between two groups were compared.Results:VAS scores,chief complaints and symptoms,NDI scores,serum hs-CRP,IL-6,and TNF-α were decreased at 2 and 4 weeks after treatment in both groups of patients compared with before treatment,while the curvature and mobility of the cervical spine,as well as the quality of life scores were increased compared to before treatment(P<0.05).Compared with the control group,the observation group had higher effective rates,cervical curvature and range of motion,quality of life scores,VAS scores and lower chief complaints and symptoms,NDI scores,serum hs-CRP,IL-6,and TNF-α at 2 and 4 weeks after treatment(P<0.05).Conclusion:The application of low-temperature plasma radiofrequency ablation combined with Jingtong granules on the treatment of cervical spondylotic radiculopathy has a significant efficacy,which can effectively alleviate symptoms,improve cervical mobility,inhibit inflammation,and improve quality of life.

参考文献/References:

[1] 叶林强,陈超,刘源辉,等.体位对颈椎旋转手法整复神经根型颈椎病关节突关节骨错缝的有限元分析[J].中国组织工程研究,2023,27(29):4607-4611.
[2] 史彬,刘承鑫,王帅康,等.不同年龄分组神经根型颈椎病患者行颈椎前路椎间盘切除术后矢状面参数变化特点[J].首都医科大学学报,2023,44(4):620-628.
[3] 赵海荣,郭云鹏,李洋,等.个性化角度颈椎牵引治疗神经根型颈椎病疗效观察[J].颈腰痛杂志,2023,44(1):139-140.
[4] 潘才成,覃梁圣,黄珩,等.O型臂导航辅助经皮内镜下Key-hole术式治疗神经根型颈椎病的临床疗效[J].中国脊柱脊髓杂志,2023,33(6):523-529.
[5] 项廷淼,殷世武,卞路,等.低温等离子髓核成形术联合盘内臭氧注射治疗神经根型颈椎病的临床对照研究[J].介入放射学杂志,2023,32(4):385-388.
[6] 孟佳珩,周宏政,任树军,等.冲击波配合颈舒颗粒治疗神经根型颈椎病(气滞血瘀证)的临床研究[J].中国中医急症,2021,30(9):1590-1592.
[7] 秦玉良.神经根型颈椎病的诊断与治疗[J].世界最新医学信息文摘,2012,12(12):61-63.
[8] 林伟弟,杨松,王瑞安,等.电针颈夹脊穴对神经根型颈椎病神经病理性疼痛模型大鼠脊髓背角CX3CL1、AC3、CGRP和SP物质表达的影响[J].湖南中医药大学学报,2023,43(4):705-711.
[9] 滕加文,陈文明,韩瑛光.补肾逐瘀汤配合雷火灸治疗老年神经根型颈椎病的临床研究[J].实用医院临床杂志,2023,20(2):45-49.
[10] 杨奕,卢姗.神经根型颈椎病患者术后康复的影响因素及路径分析[J].河北医药,2023,45(15):2372-2375.
[11] 黄显兵,利锦,黎家鸿,等.“上病下治”整脊法治疗神经根型颈椎病的疗效观察[J].广州中医药大学学报,2023,40(7):1729-1733.
[12] 黄伟森.林创坚采用手法结合中药及核心肌群锻炼治疗神经根型颈椎病的经验[J].广州中医药大学学报,2023,40(8):2064-2068.
[13] 官陈迎,袁小敏,文舒宁.龙氏治脊疗法结合放血疗法治疗神经根型颈椎病疗效观察[J].现代中西医结合杂志,2023,32(17):2448-2451.
[14] 刘伟,郞璇,李亚明.经皮穿刺低温等离子髓核射频消融术联合功能锻炼治疗神经根型颈椎病的临床效果分析[J].中国医学前沿杂志(电子版),2019,11(11):98-101.
[15] 张立志,张阳,张志成,等.腰椎射频消融髓核成形术后椎间隙感染的临床表现及治疗策略[J].中国骨伤,2023,36(9):884-889.
[16] 王晓英,雷晴宇,曹正培.红外热成像图在评估椎间孔韧带松解术治疗腰椎间盘突出症疗效中的应用[J].中国疼痛医学杂志,2020,26(6):478-480.
[17] 李继岳.射频消融髓核成形术对神经根型颈椎病患者VAS、并发症的影响[J].临床研究,2020,28(5):90-91.
[18] 徐露露,赵文胜,朱国能,等.低温等离子射频消融联合臭氧消融术治疗颈椎间盘突出症临床研究[J].浙江中西医结合杂志,2021,31(11):1040-1042.
[19] 任树军,张明岳,杨亚锋,等.针刀干预激痛点联合颈舒颗粒治疗神经根型颈椎病急性期临床研究[J].中国中医急症,2023,32(2):230-232.
[20] 全权,符少杨,李滋平,等.颈痛颗粒联合针刺治疗神经根型颈椎病疗效及对血清IL-6、TNF-α、IL-1β水平影响[J].北方药学,2020,17(7):38-39.
[21] 曾智,陈家平,陈亚锋.桂葛舒颈方联合针刺治疗神经根型颈椎病寒瘀阻络证临床研究[J].国际中医中药杂志,2022,44(9):996-1000.

备注/Memo

备注/Memo:
△通信作者 E-mail:zhangjunmd@163.com
更新日期/Last Update: 2024-09-05