刃针循经筋治疗神经根型颈椎病的临床研究

Clinical study on the treatment of cervical spondylotic radiculopathy with edge needle along the meridian tendons

目的探讨刃针循经筋治疗神经根型颈椎病的临床疗效。方法选取2019年1月至2021年12月浙江中医药大学附属金华中医院神经根型颈椎病患者120例,随机分为刃针组和针刺组,刃针组60例采用循经筋的刃针治疗,7d治疗1次,疗程4周;针刺组60例采用毫针针刺治疗,每周治疗5次,疗程4周。比较两组患者治疗前后的症状与体征积分、视觉模拟评分(visual analog score,VAS)疼痛评分及临床疗效差异。结果刃针组在改善症状与体征、减轻疼痛方面优于针刺组,差异有统计学意义(P<0.05)。两组临床疗效比较,差异无统计学意义(P>0.05)。结论刃针循经筋治疗神经根型颈椎病在改善症状与体征、减轻疼痛方面优于针刺治疗,但两种方法临床总有效率差异不大。

Objective To explore the clinical effect of blade acupuncture along meridians in the treatment of cervical spondylotic radiculopathy.Methods A total of 120 patients with cervical spondylotic radiculopathy from January 2019 to February 2021 in Jinhua Haspital of traditional Chinese Medicine affilicoted to Zhejiang University of traditional Chinese medicine were randomly divided into blade acupuncture group and acupuncture group.60 patients in the blade acupuncture group were treated with acupuncture along meridians and tendons,once for seven days for 4 weeks.60 cases in the acupuncture group were treated with filiform acupuncture.5 times a week,for 4 weeks.The scores of main symptoms and signs,visual analog score(VAS)pain score and clinical efficacy were observed and compared between the two groups before and after treatment.Results The blade acupuncture group was better than the acupuncture group in improving symptoms and signs and reducing pain,which was statistically significant(P<0.05),but not statistically significant in clinical efficacy(P>0.05).Conclusion Under the guidance of meridian tendon theory,blade acupuncture was better than acupuncture in improving symptoms and signs and reducing pain,but there is little difference in the total clinical effective rate.