短刺针治疗神经根型颈椎病临床研究

Clinical Study on Short Thrust Needling for Nerve Root Cervical Spondylosis

目的:观察短刺针治疗神经根型颈椎病的临床疗效。方法:选取76例神经根型颈椎病患者作为研究对象,按照随机数字表法分为对照组36例和观察组40例,对照组采用常规针刺治疗,观察组采用短刺针治疗。治疗1个月后,比较2组视觉模拟评分法(Visual Analogue Scale,VAS)、SF-36健康调查量表(36-Item Short Form Health Survey,SF-36)、颈部残障指数量表(Neck Disability Index,NDI)评分,比较2组相关炎症因子指标及临床疗效。结果:治疗后,2组VAS、NDI评分均较治疗前降低(P<0.05),且观察组降低更显著,差异均有统计学意义(P<0.05)。治疗后,2组SF-36各项目评分均较治疗前升高(P<0.05),其中,观察组躯体疼痛、社会功能评分均高于对照组,差异有统计学意义(P<0.05)。治疗后,2组白细胞介素-1β(IL-1β)、肿瘤坏死因子(TNF-α)水平均较治疗前降低,且观察组IL-1β、TNF-α水平降低更显著,差异有统计学意义(P<0.05)。观察组总有效率为92.5%,高于对照组的75.0%(P<0.05)。结论:短刺针治疗神经根型颈椎病疗效确切,能更好地改善患者的临床症状,抑制炎症反应,缓解疼痛,提高患者的健康水平。

Objective:To observe the clinical effect of short thrust needling for nerve root cervical spondylosis.Methods:A total of 76 cases of patients with nerve root cervical spondylosis were selected as the study subjects and divided into the control group and the observation group according to the random number table method,36 and 40 cases in each group respectively.The control group was given routine acupuncture,and the observation group was given short thrust needling.After treatment for one month,the scores of Visual Analogue Scale(VAS),36-Item Short Form Health Survey(SF-36)and Neck Disability Index(NDI),the related indexes of inflammatory factors and the clinical effect in the two groups were compared.Results:After treatment,the scores of VAS and NDI in the two groups were decreased(P<0.05),and the decrease in the observation group was more significant,the difference being significant(P<0.05).After treatment,the scores of each item in SF-36 in the two groups were increased(P<0.05);among them,the scores of body pain and social function in the observation group were higher than those in the control group,the difference being significant(P<0.05).After treatment,the levels of interlenkin-1β(IL-1β)and tumor necrosis factor-α(TNF-α)in the two groups were decreased,and the decrease in the observation group was more significant,the difference being significant(P<0.05).The total effective rate was 92.5% in the observation group,significantly higher than that of 75.0% in the control group(P<0.05).Conclusion:Short thrust needling has definite curative effect in treating nerve root cervical spondylosis,and can better improve clinical symptoms and health,inhibit the development of inflammation and relieve pain.