颈椎操联合中医针灸在神经根型颈椎病中的应用

Application of Cervical Exercise Combined with Acupuncture and Moxibustion in Chinese Medicine for Cervical Spondylosis of Nerve Root Type

目的:探讨颈椎操联合中医针灸在神经根型颈椎病中的应用。方法:将100例神经根型颈椎病患者根据随机数字表法将所有患者随机分为对照组和试验组2组,试验组采用颈椎操联合中医针灸进行治疗,而对照组则仅给予常规针刺进行治疗,记录2组治疗前后的P物质和白细胞介素-6(IL-6)等指标,分别采用疼痛分级指数和当前疼痛程度以及视觉模拟评分法对患者进行疼痛评分,比较2组患者的临床治疗效果。结果:经治疗,试验组总有效率为90.00%,对照组为68.00%(χ2=9.384,P<0.05)。治疗前,2组间IL-6和P物质水平比较,差异无统计学意义(P>0.05)。治疗后,2组治疗后IL-6和P物质水平均低于治疗前(P<0.05)。试验组治疗后IL-6、P物质水平均低于对照组(P<0.05)。治疗前,2组间疼痛程度、疼痛分级指数、视觉模拟评分比较,差异无统计学意义(P>0.05)。经治疗后,2组疼痛情况均优于治疗前(P<0.05),2组治疗后疼痛各指标比较,差异有统计学意义(P<0.05)。结论:对于神经根型颈椎病患者采用颈椎操联合中医针灸进行治疗能够有效减轻患者的疼痛情况,降低其炎症反应,治疗效果显著。

Objective: To explore the application of cervical exercise combined with acupuncture and moxibustion in Chinese medicine for cervical spondylosis of nerve root type. Methods : Divided 100 cases of patients with cervical spondylosis of nerve root type randomly into the control group and the experiment group according to the random number table. The experiment group was treated with cervical exercise combined with acupuncture and moxibustion in Chinese medicine, while the control group was only treated with routine acupuncture. Recorded indexes like substance P and interleukin-6(IL-6) in two groups before and after treatment. Used pain grading index, current pain degree and visual analog scale to evaluate the pain of patients, and compared the clinical effects of patients in the two groups. Results : After treatment, the total effective rate was90.00% in the experiment group and 68.00% in the control group(χ2=9.384, P < 0.05). Before treatment, there was no significant difference being found in the comparison of the levels of IL-6 and substance P between the two groups( P > 0.05).After treatment, the levels of IL-6 and substance P in the two groups were lower than those before treatment( P < 0.05);the levels of IL-6 and substance P in the experiment group were lower than those in the control group( P < 0.05). Before treatment,there was no significant difference being found in the comparison of the pain degree, pain grade indexes and visual analogue scores between the two groups(P > 0.05). After treatment, the pain condition of the two groups was better than that before treatment(P < 0.05);there was significant difference being found in the comparison of each index of pain( P < 0.05).Conclusion : The application of cervical exercise combined with acupuncture and moxibustion in Chinese medicine for patients with cervical spondylosis of nerve root type can effectively alleviate the pain of patients and reduce their inflammatory response.It has obvious curative effect.