针刺联合穴位注射、颈椎牵引治疗神经根型颈椎病临床研究

Clinical Study on Acupuncture Combined with Acupoint Injection and Cervical Traction for Cervical Spondylotic Radiculopathy

目的:观察普通针刺联合穴位注射、颈椎牵引治疗神经根型颈椎病的临床疗效。方法:选取2020年1月1日至2021年12月30日贵州电力医院收治的CSR患者92例,按照随机数字表法分为观察组和对照组,各46例。对照组给予颈椎牵引联合甲钴胺分散片、氨酚双氢可待因片治疗,观察组给予针刺联合穴位注射、颈椎牵引治疗。观察两组治疗前后简化麦吉尔疼痛问卷表(short form McGill pain questionnaire, SF-MPQ)疼痛评分、田中靖久症状量表评分、颈椎功能障碍指数(Neck Disability Index, NDI)变化情况及临床疗效。结果:观察组治疗10 d后、治疗20 d后SF-MPQ各项评分均低于对照组,差异有统计学意义(P<0.05);观察组治疗10 d后、治疗20 d后田中靖久症状量表评分高于对照组,差异有统计学意义(P<0.05);观察组治疗10 d后、治疗20 d后颈椎功能障碍指数低于对照组,差异有统计学意义(P<0.05);观察组有效率为95.7%,对照组有效率为78.30%,观察组有效率高于对照组,差异有统计学意义(P<0.05)。结论:针刺联合穴位注射、颈椎牵引治疗神经根型颈椎病能有效改善患者临床症状,减轻患者疼痛。

Objective:To observe the clinical efficacy of common acupuncture combined with acupoint injection and cervical traction on cervical spondylotic radiculopathy(CSR).Methods:A total of 92 patients with CSR admitted to Guizhou Electric Power Hospital from January 1,2020 to December 30,2021 were selected and divided into the observation group and the control group according to the ran-dom number table method,with 46 cases in each group.The control group was given cervical traction combined with Mecobalamin Dis-persible Tablets and Acetaminophen Dihydrocodeine Tablets,while the observation group was given acupuncture combined with acupoint injection and cervical traction.The changes in short form McGill pain questionnaire(SF-MPQ)pain score,Yasuhisa Tanaka symptom scale score,Neck Disability Index(NDI)and the clinical efficacy of the two groups before and after treatment were observed.Results:After 10 days'and 20 days'treatment,the SF-MPQ scores of the observation group were lower than those of the control group,with sta-tistically significant differences(P<0.05);the Yasuhisa Tanaka symptom scale scores of the observation group were higher than those of the control group,with statistically significant differences(P<0.05);the cervical disability index of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).The effective rate of the observation group was 95.7%,while that of the control group was 78.30%;the effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with acupoint injection and cervi-cal traction in the treatment of CSR can effectively improve the clinical symptoms of patients and relieve pain.