深刺颈夹脊穴联合颈椎卧位持续牵引治疗神经根型颈椎病的临床疗效观察

Observation on the Clinical Effect of Deep Needling of Cervical Jiaji Points Combined with Continuous Cervical Traction on the Treatment of Cervical Spondylotic Radiculopathy

目的:探讨深刺颈夹脊穴联合颈椎卧位牵引治疗神经根型颈椎病临床疗效。方法:选取2020年9月-2021年9月于安徽中医药大学第二附属医院骨伤科收治且符合纳入标准的60例患者,按随机数字表法随机分为观察组(深刺颈夹脊穴联合颈椎卧位持续牵引)和对照组(颈椎卧位持续牵引),每组30例,且2组患者均行基础治疗。比较2组临床治疗总有效率、颈椎功能评定量表(ASCS)评分和视觉模拟(VAS)评分,同时观察有无不良反应。结果:治疗2周时,观察组总有效率为93.3%(28/30),明显高于对照组的76.67%(23/30),两者具有统计学差别(P<0.05)。治疗2周时,2组VAS评分较治疗前均降低,且组间比较有明显差别(P<0.05),2组ASCS评分较治疗前均升高,且组间比较有明显差别(P<0.05)。随访1个月时,观察组VAS评分较治疗2周时低,差异具有统计学意义(P<0.05),对照组VAS评分与治疗2周时无明显差别(P>0.05),2组间比较有明显差别(P<0.05);随访1个月时,2组的ASCS评分较治疗2周时均无明显差别(P>0.05),但2组间比较仍有明显差别(P<0.05)。随访3个月时,2组的VAS评分及ASCS评分较随访1个月时,无明显差别(P>0.05),但2组间比较仍有明显差别(P<0.05)。结论:深刺颈夹脊穴联合颈椎卧位持续牵引治疗神经根型颈椎病,能明显改善患者的颈椎疼痛、僵硬和功能状态,长期疗效稳定,且未见明显不良反应,值得临床推广应用。

Objective:To explore the clinical effect of deep puncture at Neck Jiaji acupoint combined with cervical supine position traction in the treatment of cervical radiculopathy.Methods:From September 2020 to September 2021,60 patients who were admitted to the Department of Orthopedics and Traumatology of the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine and met the inclusion criteria were selected and randomly divided into the observation group(deep puncture of the cervical spine)according to the random number table method.Acupoints combined with continuous traction in the supine position of the cervical spine)and the control group(continuous traction in the supine position of the cervical spine),30 cases in each group,and both groups received basic treatment.The total effective rate,cervical spine function assessment scale(ASCS)score and visual analog(VAS)score were compared between the two groups,and the presence or absence of adverse reactions was observed.Results:After 2 weeks of treatment,the total effective rate in the observation group was 93.3%(28/30),which was significantly higher than 76.67%(23/30)in the control group,with a statistical difference(P<0.05).After 2 weeks of treatment,the VAS scores of the two groups were lower than those before treatment,and there was a significant difference between the two groups(P<0.05).At 1-month follow-up,the VAS score of the observation group was lower than that of the 2-week treatment,and the difference was statistically significant(P<0.05).There was no significant difference between the control group and the 2-week treatment(P>0.05).There was significant difference(P<0.05);at 1-month follow-up,there was no significant difference in ASCS scores between the two groups compared with 2-week treatment(P>0.05),but there was still a significant difference between the two groups(P<0.05).At the 3-month follow-up,there was no significant difference in the VAS score and ASCS score between the two groups compared with the 1-month follow-up(P>0.05),but there was still a significant difference between the two groups(P<0.05).Conclusion:Deep puncture at Neck Jiaji acupoint combined with continuous cervical traction in the supine position for the treatment of cervical radiculopathy can significantly improve the pain,stiffness and functional status of the cervical spine.The long-term curative effect is stable,and there is no obvious adverse reaction.