三通平衡法针刺联合三步推拿法治疗颈型颈椎病(气滞血瘀证)急性期患者的临床观察

Clinical Study on the Treatment of Acute Stage Patients with Cervical Spondylotic Localization(Qi Stag⁃nation and Blood Stasis Syndrome)with Three-way Balanced Acupuncture Combined with Three-step Massage Therapy

目的 观察三通平衡法针刺联合三步推拿法治疗颈型颈椎病(气滞血瘀证)急性期的临床疗效。方法 患者120例按照随机数字表法分为观察组与对照组各60例。两组均给予常规治疗,对照组采用三步推拿法治疗,在此基础上观察组加用三通平衡法针刺治疗。给予两组临床疗效及安全性评价,对比两组治疗前后中医证候积分、颈椎活动度、疼痛介质[P物质(SP)及前列腺素E2(PGE2)]及颈部血流。结果 观察组临床总有效率与对照组比较明显升高;治疗2周后,观察组中医证候各项积分均低于对照组,观察组颈椎各方向活动度均高于对照组,观察组左右侧椎动脉血流量及血流速度均高于对照组(P<0.05)。观察治疗期间两组均未发生皮疹、疼痛加重、恶心呕吐等不良反应。结论 三通平衡法针刺联合三步推拿法是治疗颈型颈椎病(气滞血瘀证)急性期的有效方案,能改善患者的中医证候,恢复颈椎活动度及颈部血流,减轻氧化应激状态,且安全性可靠。

Objective:To explore the clinical efficacy of three-way balanced acupuncture combined with threestep massage therapy for cervical spondylotic localization(CSL)in acute stage.Methods:A total of 120 patients were divided into observation group and control group according to random number table method,with 60 cases in each group.Both groups were given routine treatment,and the control group was treated with three-step massage therapy.On this basis,the observation group was treated with three-way balanced acupuncture.The clinical efficacy and safety of the two groups were evaluated,and the scores of TCM syndrome,cervical spine mobility,pain mediators[substance P(SP)and prostaglandin E2(PGE2)]and cervical blood flow were compared before and after treatment.Results:The total effective rate of clinical treatment in the observation group was significantly higher than that in the control group;after 2 weeks of treatment,the scores of TCM syndrome in the observation group were lower than those in the control group,the cervical spine mobility in all directions in the observation group was higher than that in the control group,and the blood flow volume and velocity of left and right vertebral arteries in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).No adverse reactions such as rash,pain aggravation,nausea and vomiting occurred in both groups during the observation and treatment period.Conclusion:Three-way balanced acupuncture combined with three-step massage therapy is an effective scheme for treating acute CSL.It can improve the TCM syndrome of patients,restore cervical spine mobility and cervical blood flow,reduce oxidative stress state,and has reliable safety.