[1]叶瑾,张元斌△,张玉良,等.张氏铺灸方联合竹圈姜灸治疗气滞血瘀型(神经根型)颈椎病的临床研究[J].中国中医骨伤科杂志,2025,33(05):27-31+36.[doi:10.20085/j.cnki.issn1005-0205.250506]
　YE Jin,ZHANG Yuanbin,ZHANG Yuliang,et al.Zhang's Spread Moxibustion Recipe Combined with Bamboo Circle Ginger Moxibustion in the Treatment of Cervical Spondylosis of Qi Stagnation and Blood Stasis Type(Nerve Root Type)[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(05):27-31+36.[doi:10.20085/j.cnki.issn1005-0205.250506]
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张氏铺灸方联合竹圈姜灸治疗气滞血瘀型(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05期
页码:
27-31+36
栏目:
临床研究
出版日期:
2025-05-05

文章信息/Info

Title:
Zhang's Spread Moxibustion Recipe Combined with Bamboo Circle Ginger Moxibustion in the Treatment of Cervical Spondylosis of Qi Stagnation and Blood Stasis Type(Nerve Root Type)
文章编号:
1005-0205(2025)05-0027-05
作者:
叶瑾1; 张元斌1△; 张玉良1; 王人彦2; 包英华1; 宁丽3; 俞梦盈3
1杭州市富阳中医骨伤医院(杭州,311400); 2浙江骨伤医院; 3西湖大学医学院附属杭州市第一人民医院
Author(s):
YE Jin1; ZHANG Yuanbin1△; ZHANG Yuliang1; WANG Renyan2; BAO Yinghua1; NING Li3; YU Mengying3
1Hangzhou Fuyang Orthopaedic Hospital of Traditional Chinese Medicine,Hangzhou 311400,China; 2Zhejiang Orthopedic Hospital,School of Medicine,Hangzhou 310015,China; 3Affiliated Hangzhou First People's Hospital,School of Medicine,West Lake University,Hangzhou 310006,China.
关键词:
神经根型颈椎病;  张氏铺灸方;  竹圈姜灸;  气滞血瘀型
Keywords:
cervical spondylotic radiculopathy;  Zhang's spread moxibustion prescription;  ginger moxibustion with bamboo circle;  Qi stagnation and blood stasis type
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250506
文献标志码:
A
摘要:
目的:探讨张氏铺灸方竹圈姜灸治疗气滞血瘀型(神经根型)颈椎病患者的临床疗效。方法:选取气滞血瘀型(神经根型)颈椎病患者135例,采用回顾性研究方法分为3组,牵引组、姜灸组及药灸组各45例。牵引组予颈椎枕颌带牵引治疗; 姜灸组在颈椎枕颌带牵引治疗的基础上予竹圈姜灸治疗; 药灸组在颈椎枕颌带牵引治疗的基础上运用张氏铺灸方进行竹圈姜灸治疗。治疗2个疗程后采用颈椎病的临床评价量表(CASCS)评分、颈痛量表(NPQ)评分及中医疗效量表评定患者的临床疗效。结果:三组患者治疗前后CASCS总评分、NPQ评分、血清炎性因子IL-1β、IL-6、TNF-α的组内比较和组间比较均有差异,且差异有统计学意义(P<0.05); 中医疗效评估显示药灸组综合疗效最优(总有效率为93.33%),其次为姜灸组(总有效率为77.78%),最后为牵引组(总有效率为57.78%),差异有统计学意义(Z=36.891,P<0.001)。结论:张氏铺灸方竹圈姜灸治疗气滞血瘀型(神经根型)颈椎病,能改善颈椎功能,缓解疼痛症状,发挥炎症抑制作用,提高患者生活质量,具有很好的临床疗效。
Abstract:
Objective:To investigate the clinical efficacy of Zhang's spread moxibustion with bamboo circle and ginger moxibustion in the treatment of cervical spondylotic radiculopathy of Qi stagnation and blood stasis.Methods:135 cases of cervical spondylotic radiculopathy of Qi stagnation and blood stasis type were selected and divided into three groups by retrospective study method,the traction group,the ginger moxibustion group and the herbal moxibustion group,45 cases in each group.The traction group was treated with cervical occipito-mandibular traction.The ginger moxibustion group was treated with ginger moxibustion on bamboo circle on the basis of cervical traction.In the herbal moxibustion group,Zhang's spread moxibustion recipe was used for bamboo circle and ginger moxibustion on the basis of cervical vertebra traction.After 2 courses of treatment,the clinical efficacy was evaluated by cervical spondylosis clinical evaluation scale(CASCS)score,neck pain questionnaire(NPQ)score and traditional Chinese medicine(TCM)efficacy scale.Results:There were significant differences in CASCS total score,NPQ score and serum inflammatory factors IL-1β,IL-6 and TNF-α in the three groups before and after treatment,and the differences were statistically significant(P<0.05).The evaluation of TCM curative effect showed that the herbal moxibustion group had the best comprehensive curative effect(total effective rate:93.33%),followed by the ginger moxibustion group(total effective rate:77.78%)and the traction group(total effective rate:57.78%),and the difference was statistically significant(Z=36.891,P<0.001).Conclusion:Zhang's spread moxibustion with bamboo circle and ginger moxibustion in the treatment of cervical spondylotic radiculopathy of Qi stagnation and blood stasis can improve the function of cervical spine,relieve pain symptoms,inhibit inflammation and improve the quality of life of patients,which has a good clinical efficacy.

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备注/Memo

备注/Memo:
基金项目:浙江省中医药科技计划项目(2023ZL143)
△通信作者 E-mail:zyb2am@126.com
更新日期/Last Update: 2025-05-15