腹针疗法联合脊柱微调手法治疗气滞血瘀型神经根型颈椎病临床研究
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R681.5

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温岭市社会发展科技项目(2022S00087)


Clinical Study on the Abdominal Acupuncture Therapy Combined with Spine Fine- Tuning Manipulation for Cervical Spondylotic Radiculopathy of Qi Stagnation with Blood Stasis Type
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    摘要:

    目的:观察腹针疗法联合脊柱微调手法治疗气滞血瘀型神经根型颈椎病(CSR) 的临床疗效。方 法:采用随机数字表法将98 例气滞血瘀型CSR 患者分为对照组、治疗组各49 例。对照组给予脊柱微调手法 治疗,治疗组给予脊柱微调手法联合腹针疗法治疗,2 组均治疗2 周。比较2 组治疗前后中医证候积分、颈椎 功能、疼痛、颈椎生理曲度及血液流速。结果:治疗组总有效率91.84%,高于对照组75.51% (P<0.05)。 2 组治疗后中医证候积分、视觉模拟评分法(VAS) 评分较治疗前降低(P<0.05),颈椎病临床评价量 表(CASCS) 评分、颈椎生理曲度及椎动脉、基底动脉的平均血液流速、收缩峰值血液流速较治疗前升 高(P<0.05),且治疗组治疗后中医证候积分、VAS 评分低于对照组(P<0.05),CASCS 评分、颈椎生理曲度 及椎动脉、基底动脉的平均血液流速、收缩峰值血液流速高于对照组(P<0.05)。结论:腹针疗法联合脊柱微 调手法治疗气滞血瘀型CSR 疗效显著,能够减轻患者颈椎不适症状,调节颈椎生理曲度,改善颈椎功能。

    Abstract:

    Abstract: Objective: To observe the clinical effect of abdominal acupuncture therapy combined with spine fine-tuning manipulation for cervical spondylotic radiculopathy (CSR) of qi stagnation with blood stasis type. Methods:A total of 98 cases of CSR patients of qi stagnation with blood stasis type were divided into the control group and the treatment group according to the random number table method,with 49 cases in each group. The control group was treated with spine fine- tuning manipulation,and the treatment group was treated with spine fine- tuning manipulation combined with abdominal acupuncture therapy. Both groups were treated for 2 weeks. Traditional Chinese medicine (TCM) syndrome scores,cervical function, pain, cervical physiological curvature and blood flow velocity were compared before and after treatment between the two groups. Results:The total effective rate was 91.84% in the treatment group,higher than that of 75.51% in the control group (P<0.05). After treatment,TCM syndrome scores and Visual Analogue Scale (VAS) scores in the two groups were decreased when compared with those before treatment (P< 0.05),and the scores of Clinical Assessment Scale of Cervical Spondylosis (CASCS),cervical physiological curvature,average blood flow velocity of vertebral artery and basilar artery,and peak systolic blood flow velocity in the two groups were increased when compared with those before treatment (P<0.05). After treatment, TCM syndrome score and VAS score in the treatment group were lower than those in the control group (P<0.05), CASCS score, cervical physiological curvature, average blood flow velocity of vertebral artery and basilar artery, and peak systolic blood flow velocity were higher than those in the control group (P<0.05). Conclusion: Abdominal acupuncture therapy combined with spine fine- tuning manipulation has a significant curative effect in treating CSR of qi stagnation with blood stasis type,which can alleviate cervical discomfort, adjust cervical physiological curvature, and improve cervical spine function.

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周爱珍,李正祥,王立新,李思斌,王海梁,柯奇朝,陈筱,张阳春.腹针疗法联合脊柱微调手法治疗气滞血瘀型神经根型颈椎病临床研究[J].新中医,2024,56(3):150-154

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  • 在线发布日期: 2024-02-23
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