[1]陈龙△,李成龙,方芫,等.激痛点针刀治疗神经根型颈椎病的临床研究[J].中国中医骨伤科杂志,2025,33(01):37-41.[doi:10.20085/j.cnki.issn1005-0205.250108]
　CHEN Long,LI Chenglong,FANG Yuan,et al.Clinical Study of Acupotomy at Trigger Point on the Treatment of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(01):37-41.[doi:10.20085/j.cnki.issn1005-0205.250108]
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激痛点针刀治疗神经根型颈椎病的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年01期
页码:
37-41
栏目:
临床研究
出版日期:
2025-01-15

文章信息/Info

Title:
Clinical Study of Acupotomy at Trigger Point on the Treatment of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2025)01-0037-05
作者:
陈龙1△; 李成龙1; 方芫1; 何晓云1
1合肥市第八人民医院(合肥,238000)
Author(s):
CHEN Long1△; LI Chenglong1; FANG Yuan1; HE Xiaoyun1
1The Eighth People's Hospital of Hefei,Hefei 238000,China.
关键词:
激痛点针刀;  颈椎复位;  神经根型颈椎病;  疼痛;  颈椎功能
Keywords:
acupotomy at trigger point;  reduction of cervical spine;  cervical spondylotic radiculopathy;  pain;  cervical spine function
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250108
文献标志码:
A
摘要:
目的:探讨激痛点针刀治疗神经根型颈椎病的临床疗效。方法:以2021年6月至2023年6月收治的80例神经根型颈椎病患者为研究对象,采用随机信封法将上述患者分为观察组(采用激痛点针刀+手法治疗)和对照组(采用手法治疗),各40例,比较两组患者疗效、颈椎曲度、血液流变学指标、颈椎疼痛程度及功能。结果:观察组总有效率比对照组更高,差异有统计学意义(P<0.05); 治疗3个月后,观察组颈椎第2椎体上终板与第7椎体下终板垂线间夹角(C2/7 Cobb角)比对照组更大,差异有统计学意义(P<0.05); 治疗3个月后,观察组阻力指数(RI)比对照组更低,收缩期峰值血流速度(PSV)、时间平均流速(TMFV)比对照组更高,差异有统计学意义(P<0.05); 相较于治疗前,治疗4周后及治疗3个月后两组患者疼痛程度评分和功能障碍评分均逐渐下降,且观察组比对照组均更低,差异有统计学意义(P<0.05)。结论:激痛点针刀+手法治疗对于神经根型颈椎病患者而言,增大了C2/7 Cobb角,改善了血液动力学指标,减轻了疼痛程度和功能障碍,更能提升疗效,具有推广应用价值。
Abstract:
Objective:To explore the clinical efficacy of acupotomy at trigger point on the treatment of cervical spondylotic radiculopathy(CSR).Methods:A total of 80 patients with cervical spondylotic radiculopathy admitted from June 2021 to June 2023 were randomly divided into the observation group(n=40,treated with acupoint acupuncture combined with manipulation)and the control group(n=40,treated with manipulation)by the random envelope method.The efficacy,cervical curvature,hemorheology,cervical pain and function were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After 3 months of treatment,the angle between the upper endplate of the second vertebral body and the lower endplate of the seventh vertebral body(C2/7 Cobb angle)in the observation group was larger than that in the control group(P<0.05).After 3 months of treatment,the resistance index(RI)of the observation group was lower than that of the control group,and the peak systolic blood flow velocity(PSV)and time mean flow velocity(TMFV)were higher than those of the control group(P<0.05).Compared with before treatment,the pain scores and dysfunction scores of the two groups gradually decreased after 4 weeks and 3 months of treatment,and the scores of the observation group were lower than those of the control group(P<0.05).Conclusion:Acupotomy at trigger point combined with manipulation can improve the curative efficacy,increase C2/7Cobb angle,improve hemodynamics,reduce pain and dysfunction in patients at cervical spondylotic radiculopathy,which is worthy of promotion.

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备注/Memo

备注/Memo:
基金项目:2022年合肥市卫生健康应用医学科研项目(Hwk2022yb036)
△通信作者 E-mail:babibeibi@163.com
更新日期/Last Update: 2025-01-15