针灸、推拿结合颈椎牵引对神经根型颈椎病患者的临床疗效

Clinical Efficacy of Acupuncture, Massage Combined With Cervical Traction for Cervical Spondylotic Radicular Disease

目的观察针灸、推拿结合颈椎牵引对神经根型颈椎病患者痛,感缓解及超敏C反应蛋白(hs-CRP)、白细胞介素-8(IL-8)的影响。方法选取我院2016年1月—2017年6月收治的70例神经根型颈椎病患者作为研究对象。根据随机数字表法,将其分为联合组与对照组,每组各35例。对照组采用颈椎牵引治疗,联合组加用针灸、推拿方法。比较两组患者治疗效果。结果联合组治疗总有效率高于对照组,治疗后JOA评分高于对照组,差异均具有统计学意义(P <0.05)。随访6个月,联合组不良反应发生率及复发率均低于对照组,差异均具有统计学意义(P <0.05)。结论针灸、推拿结合颈椎牵引可缓解神经根型颈椎病患者痛感,且降低hs-CRP、IL-8水平,且降低治疗过程中不良反应,减少复发率。

Objective To observe the efects of acupuncture, massage and cervical traction on pain, sensory relief, high-sensitivity C-reactive protein （hs-CRP） and interleukin-8 （IL-8） in patients with cervical spondylotic radiculopathy. Methods 70 patients with cervical spondylotic radicular disease treated in our hospital from January 2016 to June 2017 were selected as the research subjects. According to the random number table method, they were divided into a combined group and a control group, 35 cases in each group. The control group was treated with cervical traction. The combined group was treated with acupuncture and massage. The therapeutic efects of the two groups were compared. Results The total efective rate of the combined group was higher than that of the control group. The JOA score of the combined group was higher than that of the control group after treatment, and the diference was statistically signifcant （P 〈 0.05）. After 6 months of follow-up, the incidence of adverse reactions and recurrence rate in the combined group were lower than those in the control group, and the diference was statistically signifcant （P 〈 0.05）. Conclusion Acupuncture and massage combined with cervical traction can relieve the pain relief of the patients with cervical spondylosis of nerve root type, and reduce the level of substance hs-CRP, IL-8, and reduce the adverse reaction in the treatment process and reduce the recurrence rate.