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四位一体推拿疗法联合温针灸治疗神经根型颈椎病气滞血瘀证34例 被引量:9

Thirty-Four Cases of Cervical Spondylotic Radiculopathy with Qi Stagnation and Blood Stasis Syndrome Treated with the Quaternity Massage Therapy in Combination with Warming Needle Moxibustion
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摘要 目的:观察四位一体推拿疗法联合温针灸治疗神经根型颈椎病气滞血瘀证的临床疗效。方法:选取2017年10月至2019年10月本院诊治的神经根型颈椎病气滞血瘀证患者136例,按照随机数字表法分为对照组、推拿组、温针灸组和治疗组,每组34例。对照组给予颈复康冲剂内服治疗,推拿组在对照组治疗的基础上给予四位一体推拿疗法治疗,温针灸组在对照组治疗的基础上给予颈夹脊穴温针灸治疗,治疗组在对照组治疗的基础上给予四位一体推拿疗法联合温针灸治疗。观察四组患者临床疗效、复发率及治疗前后症状积分、P物质(substance P,SP)和白细胞介素-6 (interleukin-6,IL-6)水平、颈椎功能障碍指数(neck disability index, NDI)评分变化情况。结果:治疗组有效率88.23%,温针灸组有效率为61.76%,推拿组有效率为58.82%,对照组有效率为44.11%,治疗组有效率高于其他三组,差异有统计学意义(P<0.05);治疗组治疗后症状积分低于其他三组,差异具有统计学意义(P<0.05);治疗组治疗后SP、IL-6水平显著下降,且低于其他三组,差异具有统计学意义(P<0.05);治疗组治疗后NDI评分低于其他三组,差异具有统计学意义(P<0.05);治疗后6个月,治疗组复发率低于其他三组,但差异无统计学意义(P>0.05)。结论:四位一体推拿疗法联合温针灸治疗神经根型颈椎病气滞血瘀证,可显著缓解患者疼痛症状,亦可改善肌肉供血供氧情况及颈部生理功能,作用机制可能与调控血清SP、IL-6浓度,抑制炎性反应有一定相关性。 Objective: To observe the clinical curative effect of the quaternity massage therapy in combination with warming needle moxibustion on cervical spondylotic radiculopathy with qi stagnation and blood stasis syndrome.Methods: A total of 136 patients cervical spondylotic radiculopathy with qi stagnation and blood stasis syndrome treated in our hospital from October 2017 to October 2019 were selected and randomly divided into the control group, the massage group, the warming needle moxibustion group and the treatment group, with 34 cases in each group.The control group was treated with Jingfukang Granule orally;the massage group was treated with the quaternity massage therapy on the basis of the control group;the warming needle moxibustion group was treated with warming needle moxibustion at neck Jiaji(EX-B2) on the basis of the control group;and the treatment group was treated with the quaternity massage therapy in combination with warming needle moxibustion on the basis of the control group.The clinical efficacy, the recurrence rate, the changes of symptom score, substance P(SP) and interleukin-6(IL-6) levels, neck disability index(NDI) score before and after treatment were observed.Results: The effective rate of the treatment group was 88.23%,while that of the warming needle moxibustion group was 61.76%,that of the massage group was 58.82%,and that of the control group was 44.11%.The effective rate of the treatment group was higher than that of any one of the other three groups, and the difference was statistically significant(P<0.05).After treatment, the symptom score of the treatment group was lower than that of any of the other three groups, and the difference was statistically significant(P<0.05).After treatment, the levels of SP and IL-6 in the treatment group were significantly lower than those in the other three groups, and the difference was statistically significant(P<0.05).The NDI score of the treatment group was lower than that any of the other three groups after treatment, and the difference was statis
作者 郭迪 GUO Di(Chinese Medicine Hospital of Puyang,Puyang,Henan,China,457000)
机构地区 濮阳市中医医院
出处 《河南中医》 2021年第9期1399-1403,共5页 Henan Traditional Chinese Medicine
关键词 神经根型颈椎病 气滞血瘀证 四位一体推拿疗法 温针灸 颈夹脊穴 cervical spondylotic radiculopathy qi stagnation and blood stasis syndrome the quaternity massage therapy warming needle moxibustion neck Jiaji(EX-B2)
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