[1]程浩文,师彬,秦豪,等.刃针经筋结点松解联合当归拈痛汤治疗风湿热痹型神经根型颈椎病的临床研究[J].中国中医骨伤科杂志,2024,32(03):45-50.[doi:10.20085/j.cnki.issn1005-0205.240309]
　CHENG Haowen,SHI Bin,QIN Hao,et al.Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy(Rheumatic Fever Arthralgia Type)by Blade Needle Combined with Danggui Niantong Decoction[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(03):45-50.[doi:10.20085/j.cnki.issn1005-0205.240309]
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刃针经筋结点松解联合当归拈痛汤治疗风湿热痹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32卷
期数:
2024年03期
页码:
45-50
栏目:
临床研究
出版日期:
2024-03-15

文章信息/Info

Title:
Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy(Rheumatic Fever Arthralgia Type)by Blade Needle Combined with Danggui Niantong Decoction
文章编号:
1005-0205(2024)03-0045-06
作者:
程浩文1; 师彬1; 秦豪1; 王涛1; 张庆浩1; 谈楷漪1; 张志超1; 王从安1△
1山东第一医科大学附属颈肩腰腿痛医院/山东省医学科学院颈肩腰腿痛医院(济南,250062)
Author(s):
CHENG Haowen1; SHI Bin1; QIN Hao1; WANG Tao1; ZHANG Qinghao1; TAN Kaiyi1; ZHANG Zhichao1; WANG Congan1△
1Shandong First Medical University Affiliated Neck,Shoulder,Waist and Leg Pain Hospital(Shandong Academy of Medical Sciences Neck,Shoulder,Waist and Leg Pain Hospital),Jinan 250062,China.
关键词:
神经根型颈椎病;  刃针;  筋结点;  当归拈痛汤;  风湿热痹型;  炎症反应
Keywords:
cervical spondylotic radiculopathy;  blade needle;  reinforcement joint;  Danggui Niantong decoction;  rheumatic fever arthralgia type;  inflammatory response
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240309
文献标志码:
A
摘要:
目的:探讨刃针经筋结点松解联合当归拈痛汤治疗风湿热痹型神经根型颈椎病(CSR)急性期的临床疗效。方法:选择2021年12月至2022年12月收治的神经根型颈椎病患者204例,用随机数字表法将患者分为两组,每组各102例。对照组采用当归拈痛汤治疗,观察组采用刃针经筋结点松解联合当归拈痛汤治疗。观察两组患者疗效和不良反应以及治疗前和结束后中医症候积分、疼痛程度、颈椎症状和功能障碍程度、血清炎症细胞因子的差异。结果:观察组患者治疗总有效率为93.14%,高于对照组(77.45%),差异有统计学意义(P<0.05)。两组患者治疗后中医症候积分、视觉模拟量表(VAS)评分、Northwick Park颈痛问卷(NPQ)评分、颈椎功能障碍指数(NDI)评分及血清白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子α(TNF-α)水平降低,差异有统计学意义(P<0.05); 颈椎病临床评价量表(CASCS)评分增高,差异有统计学意义(P<0.05)。组间比较:观察组患者治疗后中医症候积分、VAS评分、NPQ评分、NDI评分及血清IL-1β、IL-6、TNF-α水平低于对照组,差异有统计学意义(P<0.05); CASCS评分高于对照组,差异有统计学意义(P<0.05)。结论:刃针经筋结点松解联合当归拈痛汤治疗风湿热痹型神经根型颈椎病可显著抑制炎症反应,缓解疼痛程度,改善颈椎功能,提高临床疗效。
Abstract:
Objective:To explore the clinical efficacy of the combination of the blade needle and the tendon node release and Danggui Niantong decoction on the treatment of the acute stage of nerve root cervical spondylotic radiculopathy(CSR)(rheumatic fever arthralgia type).Methods:204 patients with CSR admitted to the of our hospital from December 2021 to December 2022 were selected and randomly divided into two groups with 102 patients in each group.The control group was treated with Danggui Niantong decoction,and the observation group was treated with blade needle loosening through tendon junction combined with Danggui Niantong decoction.The differences of efficacy,TCM symptom scores,pain degree,cervical symptoms and dysfunction degree,serum inflammatory cytokines and adverse reactions were observed between the two groups.Results:The total effective rate of observation group was 93.14%,which was higher than that of control group 77.45%(P<0.05).TCM symptom scores,visual analogue scale(VAS)scores,Northwick Park neck pain questionnaire(NPQ)scores,cervical neck disability index(NDI)scores,serum levels of interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor α(TNF-α)were decreased(P<0.05),and scores of clinical evaluation scale for cervical spondylosis(CASCS)were increased(P<0.05).After treatment,TCM syndrome scores,VAS scores,NPQ scores,NDI scores,serum levels of IL-1β,IL-6 and TNF-α in observation group were lower than those in control group(P<0.05),and CASCS score was higher than those in control group(P<0.05).Conclusion:The treatment of CSR can significantly inhibit inflammatory response,relieve pain,improve cervical spine function and improve clinical efficacy.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年科学基金项目(82004495)
山东省自然科学基金青年基金项目(ZR2020QH318)
山东省中央引导地方科技发展资金项目(YDZX20203700002055)
△通信作者 E-mail:wangcongan2005@163.com
更新日期/Last Update: 2024-03-15