揿针带针运动治疗神经根型颈椎病的临床研究

Clinical Study of Exercise Therapy with Retaining of Thumb-tack Needle in the Treatment of Cervical Spondylotic Radiculopathy

【目的】观察揿针带针运动治疗神经根型颈椎病的临床疗效。【方法】将78例神经根型颈椎病患者随机分为治疗组和对照组,每组各39例。治疗组给予揿针带针运动治疗,对照组给予毫针结合运动疗法治疗,每周治疗3次,每次治疗间隔不少于2 d,共治疗2周。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分、颈椎功能障碍指数(NDI)评分和颈椎关节活动度(ROM)评分的变化情况,并评价2组患者的临床疗效和安全性。【结果】(1)研究过程中,2组各有2例患者脱落,最终各有37例患者完成试验。(2)治疗2周后,治疗组的总有效率为91.89%(34/37),对照组为81.08%(30/37);组间比较,治疗组的疗效优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的VAS评分、NDI评分和ROM评分均较治疗前明显降低(P<0.05),且治疗组对VAS评分和NDI评分的降低作用均明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗过程中,2组患者均无晕针、皮下血肿、断针等现象出现,具有较高的安全性。【结论】揿针带针运动治疗神经根型颈椎病疗效确切,能够显著改善患者疼痛症状、颈椎功能和颈椎活动度。

Objective To observe the curative effect of exercise therapy with retaining of thumb-tack needle in treating cervical spondylotic radiculopathy(CSR). Methods Seventy-eight CSR patients were evenly randomized into treatment group and control group,39 cases in each group. The treatment group was treated with exercise therapy with retaining of thumb-tack needle,and the control group was treated with filiform needle combined with exercise therapy. The treatment was performed 3 times per week and lasted for 2 weeks, and the interval of treatment was over 2 days. The changes of visual analogue scale(VAS)pain scores,neck disability index(NDI)scores and cervical range of motion(ROM)scores before and after treatment were observed. After treatment,the clinical effect and safety of the two groups were evaluated. Results(1)During the trial,2 cases fell off from each group,and a total of 37 cases of each group eventually completed the trial.(2)After treatment for 2 weeks,the total effective rate of the treatment group and the control group was 91.89%(34/37) and 81.08%(30/37)respectively. The intergroup comparison showed that the treatment group had stronger efficacy than the control group,the difference being statistically significant(P<0.05).(3)The scores of VAS,NDI and ROM of the two groups after treatment were all dcreased in comparison with those before treatment, and the treatment group had stronger effect on decreasing the VAS scores and NDI scores,the difference being statistically significant(P<0.05).(4)During the trial, no fainting during acupuncture, subcutaneous hematoma, or break of needle occurred in the two groups,showing high safety. Conclusion Exercise therapy with retaining of thumb-tack needle exerts certain efficacy for the treatment of CSR patients, and the therapy is effective on relieving the pain symptom,and improving the function and range of motion of cervical vertebra.