电温针联合挑四缝治疗神经根型颈椎病的临床观察

Clinical Observation of Electro-thermal Needling Combined with Sifeng Points-Picking in the Treatment of Cervical Spondylotic Radiculopathy

【目的】观察电温针联合挑四缝治疗神经根型颈椎病的临床疗效。【方法】将60例神经根型颈椎病患者随机分为观察组和对照组,每组各30例,对照组给予电温针治疗,观察组在对照组治疗的基础上,联合挑四缝治疗。连续治疗7 d为1个疗程,共治疗1个疗程。治疗7 d后,评价2组临床疗效,观察2组患者治疗前后简化McGill疼痛问卷(MPQ)评分的变化情况,以及颈部残障指数(NDI)评分与麻木评分的情况。比较2组患者治疗前后血清白细胞介素6(IL-6)以及肿瘤坏死因子α(TNF-α)含量的变化情况。【结果】(1)治疗后,2组患者的MPQ评分、NDI评分以及麻木评分均明显改善(P<0.05),且观察组在改善MPQ评分、NDI评分以及麻木评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者的血清IL-6和TNF-α含量明显改善(P<0.05),且观察组在改善血清IL-6和TNF-α含量方面明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组总有效率为86.67%(26/30),对照组为70.00%(21/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】电温针联合挑四缝治疗神经根型颈椎病,能够明显缓解患者疼痛与麻木的临床症状,有效降低IL-6和TNF-α的含量,临床疗效显著。

Objective To observe the clinical efficacy of electro-thermal needling combined with Sifeng(EXUE10)points-picking in the treatment of cervical spondylotic radiculopathy.Methods Sixty patients with cervical spondylotic radiculopathy were randomly divided into observation group and control group,with 30 patients in each group.The control group was treated with electro-thermal needling,while the observation group was combined with Sifeng points-picking on the basis of the treatment in the control group.The observation group was treated with Sifeng points-picking therapy on the basis of the control group.Both groups were treated for one course of treatment and 7 days as a course of treatment.After 7 days of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the simplified McGill Pain Questionnaire(MPQ)scores,as well as the Neck Disability Index(NDI)scores and numbness scores of the two groups were observed before and after treatment.The changes in serum interleukin 6(IL-6)and tumor necrosis factorα(TNF-α)levels were compared before and after treatment between the two groups.Results(1)After treatment,the MPQ scores,NDI scores,and numbness scores of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the MPQ scores,NDI scores,and numbness scores,and the differences were statistically significant(P<0.05).(2)After treatment,the serum IL-6 and TNF-αlevels of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving serum IL-6 and TNF-αlevels,and the difference was statistically significant(P<0.05).(3)The total effective rate was 86.67%(26/30)in the observation group and 70.00%(21/30)in the control group.The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).Conclusion Electro-thermal needling combined with Sifeng points-picking in the treatment of cervical spondylotic radiculopathy can significantly alleviate the clinical symptoms of pain and numbness of patients,effectively reduce the content of IL-6 and TNF-α,and the clinical efficacy is remarkable.