夹脊温针灸联合发散式冲击波疗法辅助逐瘀汤治疗神经根型颈椎病临床研究
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R681.5

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余姚市科技计划项目(2024YZPT01)


Clinical Study of Integrated Jiaji Warm Needle Moxibustion and Radial Shockwave Therapy as Adjunctive Treatment to Zhuyu Decoction for Cervical Radiculopathy
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    目的:观察夹脊温针灸联合发散式冲击波疗法辅助逐瘀汤治疗神经根型颈椎病的临床疗效。方法:选 取2023年1月—2024年12月余姚市中医医院收治的200例神经根型颈椎病患者,按随机数字表法分为对照组 和观察组各100例。对照组采用常规治疗,观察组在对照组基础上采用夹脊温针灸联合发散式冲击波疗法辅助 逐瘀汤治疗。2组均治疗4周。评价2组临床疗效,比较2组治疗前后的中医证候评分、疼痛程度(McGill疼痛 量表) 及颈椎功能障碍指数(NDI)。结果:观察组总有效率为92.00%(92/100),高于对照组77.00%(77/100) (P<0.05)。治疗后,2组各项中医证候评分较治疗前降低(P<0.05);且观察组各项中医证候评分低于对照组 (P<0.05)。治疗后,2组视觉模拟评分法(VAS) 评分、疼痛分级指数(PRI) 及疼痛强度(PPI) 评分较治疗 前降低(P<0.05);且观察组VAS、PRI、PPI评分低于对照组(P<0.05)。治疗后,2组NDI评分较治疗前降 低(P<0.05);且观察组NDI评分低于对照组(P<0.05)。结论:夹脊温针灸联合发散式冲击波疗法辅助逐瘀 汤治疗神经根型颈椎病能够有效减轻疼痛症状,恢复颈椎功能,并显著提升治疗效果。

    Abstract:

    Abstract: Objective: To observe the clinical efficacy of integrated Jiaji warm needle moxibustion and radial shockwave therapy(RSWT)as adjunctive treatment to Zhuyu Decoction for cervical radiculopathy. Methods:A total of 200 patients with cervical radiculopathy admitted to Yuyao Hospital of Traditional Chinese Medicine between January 2023 and December 2024 were divided into the control group and the observation group using the random number table method,with 100 cases each. The control group received conventional therapy,while the observation group received additional Jiaji warm needle moxibustion, RSWT, and Zhuyu Decoction. Both groups were treated for four weeks. Clinical efficacy, and changes in traditional Chinese medicine syndrome scores, pain intensity (McGill Pain Questionnaire),and Neck Disability Index(NDI)were assessed in the two groups. Results:The total clinical efficacy in the observation group was 92.00%(92/100), higher than the 77.00%(77/100)in the control group(P<0.05) After treatment,traditional Chinese medicine syndrome scores decreased in both groups(P<0.05),with lower scores in the observation group(P<0.05). After treatment,Visual Analogue Scale(VAS),Pain Rating Index(PRI),and Present Pain Intensity(PPI)scores decreased in both groups(P<0.05), with lower scores in the observation group (P<0.05). After treatment,NDI scores decreased in both groups(P<0.05),with greater reduction in the observation group(P<0.05). Conclusion: The integrated Jiaji warm needle moxibustion and RSWT as adjunctive treatment to Zhuyu Decoction effectively alleviate pain, restore cervical function, and enhance therapeutic outcomes in cervical radiculopathy.

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邵伟平.夹脊温针灸联合发散式冲击波疗法辅助逐瘀汤治疗神经根型颈椎病临床研究[J].新中医,2025,57(17):78-82

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  • 在线发布日期: 2025-09-05
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