[1]刘巨尧,郑莹芊,苏华新,等.针刀联合火龙罐干预神经根型颈椎病麻木症状的临床观察[J].中国中医骨伤科杂志,2026,34(06):19-24.[doi:10.20085/j.cnki.issn1005-0205.260603]
　LIU Juyao,ZHENG Yingqian,SU Huaxin,et al.Clinical Observation of Acupotomy Combined with Huolong Cupping Therapy on Numbness Symptom of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(06):19-24.[doi:10.20085/j.cnki.issn1005-0205.260603]
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针刀联合火龙罐干预神经根型颈椎病麻木症状的临床观察()

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

卷:
第34卷
期数:
2026年06期
页码:
19-24
栏目:
椎间盘疾病
出版日期:
2026-06-15

文章信息/Info

Title:
Clinical Observation of Acupotomy Combined with Huolong Cupping Therapy on Numbness Symptom of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2026)06-0019-06
作者:
刘巨尧1; 郑莹芊2; 苏华新1; 唐森1; 文水珍1; 曾富坤1; 彭卓隽1; 汤伟2; 叶勇2△
1湖南中医药高等专科学校附属第一医院(湖南省直中医医院)(湖南 株洲,412000)
2湖南中医药大学第一附属医院
Author(s):
LIU Juyao1; ZHENG Yingqian2; SU Huaxin1; TANG Sen1; WEN Shuizhen1; ZENG Fukun1; PENG Zhuojun1; TANG Wei2; YE Yong2△
1The First Affiliated Hospital of Hunan Traditional Chinese Medical College(Hunan Province Directly Affiliated TCM Hospital),Zhuzhou 412000,Hunan China; 2The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China.
关键词:
针刀;  火龙罐;  神经根型颈椎病;  麻木;  感觉神经定量检测
Keywords:
acupotomy therapy;  Huolong cupping;  cervical spondylotic radiculopathy;  numbness;  quantitative sensory testing
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260603
文献标志码:
A
摘要:
目的:观察针刀联合火龙罐干预神经根型颈椎病麻木症状的临床疗效。方法:纳入符合条件的80例神经根型颈椎病患者(脱落7例),其中观察组37例(脱落3例),对照组36例(脱落4例)。观察组采用常规针刀联合火龙罐治疗,对照组采用常规针刀治疗,两组均接受6次治疗。分别测量患者治疗前后感觉神经定量检测等级(QST)及治疗前、治疗后与3个月后随访麻木症状视觉模拟量表(VAS)评分、颈椎功能障碍指数(NDI)评分以评价治疗效果。结果:两组患者在治疗后及3个月后随访期间,其麻木症状VAS评分和NDI评分均呈现出较治疗前显著下降的趋势,差异有统计学意义(P<0.05); 进一步比较表明,3个月后随访比较,观察组下降幅度显著大于对照组,差异有统计学意义(P<0.05),对照组治疗后3个月随访麻木症状评分下降差异无统计学意义(P>0.05)。此外,观察组与对照组治疗3个月后NDI评分也都有所降低,尽管降低幅度相近且差异无统计学意义(P>0.05),但这些数据仍然反映了两种治疗方法可能在短期内具有相似的疗效。组间比较揭示了观察组在上肢麻木症状评分、NDI评分及感觉神经定量检测等级方面的表现均超越了对照组,特别是3个月后上肢麻木症状评分和NDI评分指标上,观察组数据更加稳定,表明其远期治疗效果更具持续性,差异有统计学意义(P<0.05)。就总有效率而言,观察组与对照组的总有效率分别为86.49%和77.78%,差异有统计学意义(P<0.05)。结论:针刀联合火龙罐疗法可显著缓解患者神经根型颈椎病的上肢麻木症状,有助于促进神经功能恢复,改善颈部生理功能,提高患者生存质量。
Abstract:
Objective:To investigate the therapeutic effect of acupotomy combined with Huolong cupping therapy in the treatment of cervical spondylotic radiculopathy(CSR).Methods:80 eligible patients with CSR were recruited,7 withdrew,37 were in observation group(3 withdrawal),and 36 in control group(4 withdrawal).Patients in the observation group were treated with acupotomy and Huolong cupping treatment,whereas those in the control group received acupotomy alone.The two groups were treated 6 times.Before and after treatment and at 3 months of follow up,the sensory nerve quantitative classification,visual analogue scale(VAS)and neck disability index(NDI)were used to evaluate the treatment outcome.Results:Both groups showed significantly lower VAS and NDI scores compared with baseline after treatment and 3 months of follow-up(P<0.05).Further comparison revealed that the observation group showed a significantly greater reduction compared to the control group at the follow-up after 3 months(P<0.05),while the reduction in numbness scores in the control group at 3 months post-treatment was not statistically significant(P>0.05).Additionally,both the observation group and the control group exhibited a decrease in the NDI at 3 months post-treatment.Although the extent of reduction was similar and the difference was not statistically significant(P>0.05),these data still suggest that the two treatment methods may have comparable short-term efficacy.Subsequent between-group comparisons revealed that the observation group outperformed the control group in terms of upper limb numbness scores,NDI,and QST grades.Particularly in upper limb numbness scores and NDI at 3 months post-treatment,the data from the observation group were more stable,indicating more sustained long-term therapeutic effects(P<0.05).Regarding the overall effective rate,the observation group achieved a rate of 86.49%,compared with 77.78% in the control group,this difference was statistically significant(P<0.05).Conclusion:Acupotomy combined with Huolong cupping therapy can significantly alleviate upper limb numbness in patients with CSR,promote nerve function recovery,improve cervical physiological function,and enhance patients' quality of life.

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(收稿日期:2025-10-10)

备注/Memo

备注/Memo:
基金项目:湖南省卫生健康委员会2023年度科研计划项目(C202302088588)
湖南中医药大学校级科研项目(科函〔2023〕7号)
△通信作者 E-mail:13975198192@163.com
更新日期/Last Update: 2026-06-15