浮针联合穴位推拿治疗神经根型颈椎病气滞血瘀证临床研究
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R246.2;R274

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杭州市医药卫生科技项目(2024YW02)


Clinical Study on Fu's Subcutaneous Needling Combined with Acupoint Tuina in the Treatment of Cervical Spondylotic Radiculopathy with Qi Stagnation and Blood Stasis Syndrome
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    摘要:

    目的:观察浮针联合穴位推拿治疗神经根型颈椎病(CSR) 气滞血瘀证的临床疗效。方法:纳入 2022年10月—2024年5月在建德市第一人民医院针灸推拿科门诊治疗的100例CSR气滞血瘀证患者,采用随机 数字表法分为对照组和联合组各50例。2组均口服塞来昔布胶囊治疗,对照组在此基础上加用穴位推拿治疗, 联合组在对照组基础上加用浮针治疗。2组均治疗2周。治疗后评估2组临床疗效,比较2组治疗前后疼痛视觉 模拟评分法(VAS) 评分、颈椎功能障碍指数(NDI)、Northwick Park颈痛量表(NPQ)、中文版生活质量量 表(QOL) 评分、颈椎活动度、血液流变学指标、炎症因子水平,记录不良反应发生情况。结果:联合组总有 效率94.00% (47/50),高于对照组80.00% (40/50)(P<0.05)。治疗后,2组VAS、NDI、NPQ评分均较治疗 前下降(P<0.05),联合组VAS、NDI、NPQ 评分均低于对照组(P<0.05);2 组QOL 评分均较治疗前升 高(P<0.05),联合组QOL评分高于对照组(P<0.05);2组颈椎前屈、后伸、侧屈、旋转角度均较治疗前增 大(P<0.05),联合组颈椎前屈、后伸、侧屈、旋转角度均大于对照组(P<0.05);2组全血高切黏度、全血 低切黏度、血浆黏度、血小板聚集率、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) 水平均较治疗前降低(P<0.05),联合组上述4项血液流变学指标及3项炎症因子水平均低于对照 组(P<0.05)。研究期间,2组均无严重不良事件发生。结论:浮针联合穴位推拿治疗CSR气滞血瘀证,能有 效缓解疼痛,改善颈椎功能,降低血液黏稠度,抑制炎症反应,提高患者生活质量,且安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical efficacy of Fu's subcutaneous needling combined with acupoint tuina in the treatment of cervical spondylotic radiculopathy (CSR) with qi stagnation and blood stasis syndrome. Methods: A total of 100 CSR patients with qi stagnation and blood stasis syndrome treated in the Acupuncture, Moxibustion and Tuina Department outpatient clinic,The First People's Hospital of Jiande from October 2022 to May 2024 were included. They were randomly divided into the control group and the combination group using the random number table method, with 50 cases in each group. Both groups received oral Celecoxib Capsules. The control group additionally received acupoint tuina, while the combination group received Fu's subcutaneous needling in addition to the control group's treatment. Both groups were treated for two weeks. Clinical efficacy was evaluated after two weeks of treatment. The Visual Analogue Scale (VAS) score,Neck Disability Index (NDI) score,Northwick Park Neck Pain Questionnaire (NPQ) score, Chinese version of the Quality of Life (QOL) scale score, cervical range of motion( ROM),hemorheological indices,and inflammatory factor levels were compared between the two groups before and after treatment. The incidence of adverse reactions was recorded. Results: The total effective rate in the combination group was 94.00% (47/50), which was higher than that of 80.00% (40/50) in the control group (P< 0.05). After treatment, the VAS, NDI, and NPQ scores decreased in both groups compared with those before treatment (P<0.05), and the VAS, NDI, and NPQ scores were lower in the combination group than those in the control group (P<0.05). QOL scores increased in both groups compared with those before treatment (P<0.05),and the QOL score was higher in the combination group than that in the control group (P<0.05). The cervical flexion, extension, lateral flexion, and rotation angles increased in both groups compared with those before treatment (P< 0.05),and the cervical flexion,extension,lateral flexion,and rotation angles were greater in the combination group than those in the control group (P<0.05). The whole blood high-shear viscosity, whole blood low-shear viscosity, plasma viscosity,platelet aggregation rate,and levels of interleukin-1β (IL-1β),interleukin-6 (IL-6),and tumor necrosis factor- α (TNF-α) decreased in both groups compared with those before treatment (P<0.05). These four hemorheological indices and three inflammatory factor levels were lower in the combination group than in the control group( P<0.05). No serious adverse events occurred in either group during the study. Conclusion:Fu's subcutaneous needling combined with acupoint tuina in the treatment of CSR with qi stagnation and blood stasis syndrome can effectively alleviate pain,improve cervical function,reduce blood viscosity,inhibit inflammatory response,enhance quality of life,and demonstrates high safety.

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唐海英,徐霖,罗建峰.浮针联合穴位推拿治疗神经根型颈椎病气滞血瘀证临床研究[J].新中医,2026,58(8):122-128

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  • 在线发布日期: 2026-04-29
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