针刺-热敏灸-药蜡热熨三联疗法治疗神经根型颈椎病的疗效观察

Therapeutic Effect of Acupuncture-heat-sensitive Moxibustion-medicated Wax Hot Pressing Triple Therapy on Cervical Spondylotic Radiculopathy

目的:观察针刺-热敏灸-药蜡热熨三联疗法治疗神经根型颈椎病(CSR)的临床疗效。方法:选取巩义市人民医院2019年3月至2020年5月收治的94例风寒湿痹证CSR患者,随机分为观察组和对照组,各47例。对照组采用针刺治疗,观察组采用针刺+热敏灸+药蜡热熨治疗。观察两组患者的颈部关节活动度评分、视觉模拟评分法(VAS)评分、颈椎功能障碍指数(NDI)评分、血清中肿瘤坏死因子-(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-6(IL-6)水平,比较两组患者的的临床治疗效果。结果:观察组患者的治疗总有效率为95.74%,高于对照组的78.72%,差异具有统计学意义(P<0.05)。治疗后,两组患者颈部关节活动度评分明显提高,VAS评分和NDI评分均明显降低,且观察组上述指标改善程度优于对照组,差异具有统计学意义(P<0.05);治疗后两组患者血清TNF-α、IL-1β及IL-6水平较治疗前均明显降低,且观察组明显低于对照组,差异具有统计学意义(P<0.05);治疗期间两组患者均无不良反应发生。结论:针刺-热敏灸-药蜡热熨三联疗法治疗风寒湿痹证CSR疗效较好,可有效缓解疼痛指数,减轻炎症反应,改善颈部关节活动度和颈椎功能障碍。

Objective To observe the clinical efficacy of acupuncture-heat-sensitive moxibustion-medicinal wax hot pressing triple therapy in the treatment of cervical spondylotic radiculopathy(CSR).Methods A total of 94 CSR patients with wind-cold-dampness arthralgia syndrome admitted to Gongyi City People’s Hospital from March 2019 to May 2020 were randomly divided into observation group and control group,with 47 cases in each group.The control group was treated with acupuncture,and the observation group was treated with acupuncture+heat-sensitive moxibustion+hot ironing with medicated wax.Observe the neck joint range of motion score,visual analogue scale(VAS)score,cervical spine dysfunction index(NDI)score,serum tumor necrosis factor(TNF-α),interleukin-1β(IL-1β))And interleukin-6(IL-6)levels to compare the clinical treatment effects of the two groups of patients.Results The total effective rate of patients in the observation group was 95.74%,which was higher than 78.72%in the control group.The difference was statistically significant(P<0.05).After treatment,the neck joint range of motion scores of the two groups of patients were significantly improved,and the VAS score and NDI score were significantly reduced.The improvement of the above indicators in the observation group was better than that of the control group,and the difference was statistically significant(P<0.05);The serum TNF-α,IL-1βand IL-6 levels of the patients in the group were significantly lower than before treatment,and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05);during the treatment period,there was no adverse effect in the two groups The reaction occurs.Conclusion Acupuncture-heat-sensitive moxibustion-medicinal wax hot pressing triple therapy has a good effect on the treatment of wind-cold-dampness arthralgia syndrome CSR,which can effectively relieve pain index,reduce inflammation,and improve neck joint mobility and cervical spine dysfunction.