经筋理论指导小针刀治疗神经根型颈椎病疗效及对血清P物质含量的影响

Curative Effect of Small Needle Knife Guided by Meridian Sinew Theory for Cervical Spondylotic Radiculopathy and Its Effect on Contents of Serum Substance P

目的:观察经筋理论引导下小针刀治疗神经根型颈椎病(CSR)的治疗效果以及对血清P物质(SP)含量的影响。方法:对80名CSR患者的临床资料进行回顾,将40例实施针刀治疗的患者设为治疗组,另外40例实施针刺疗法的患者设为对照组。比较2组治疗前后颈部疼痛视觉模拟评分法(VAS)评分、颈椎功能障碍指数(NDI)、SP水平及治疗后临床疗效。结果:与同组治疗前比较,2组治疗后VAS评分、SP水平、NDI各项评分及总分均降低(P<0.05);与对照组治疗后比较,治疗组VAS评分、SP水平、NDI各项评分及总分均降低(P<0.05)。对照组总有效率为77.50%,治疗组总有效率为95.00%,2组比较,差异有统计学意义(P<0.05)。结论:经筋理论指导下小针刀治疗CSR可明显下调SP水平,显著缓解颈肩疼痛症状及相关的功能障碍,促使患者早日恢复,提升其生活自理能力。

Objective:To observe the curative effect of small needle knife guided by meridian sinew theory for cervical spondylotic radiculopathy(CSR) and its effect on contents of serum substance P(SP). Methods:The clinical data of 80 cases of CSR patients were reviewed. A total of 40 cases of patients treated with needle knife were assigned to the treatment group,and the other 40 cases treated with acupuncture therapy were assigned to the control group. Visual Analogue Scale(VAS)scores,Neck Disability Index(NDI) and SP levels before and after treatment as well as the clinical effect after treatment in the two groups were compared. Results:After treatment,VAS scores,SP levels,each score of NDI and the total scores in the two groups were decreased when compared with those before treatment(P<0.05);VAS score,SP level,each score of NDI and the total score in the treatment group were all decreased when compared with those in the control group(P<0.05). The total effective rate was 77.50% in the control group and 95.00% in the treatment group,the difference being significant(P<0.05). Conclusion:Under the guidance of meridian sinew theory,the application of small needle knife for CSR can obviously down-regulate SP levels,significantly relieve neck and shoulder pain and related dysfunction,promote the early recovery of patients,and improve their self-care ability.