激痛点针刺联合温针灸治疗气滞血瘀型神经根型颈椎病的临床疗效

Clinical Efficacy of Radical Pain Point Acupuncture Combined with Warm Acupuncture in the Treatment of Qi Stagnation and Blood Stasis Type Nerve Root Cervical Spondylosis

目的探讨激痛点针刺联合温针灸在气滞血瘀型神经根型颈椎病(CSR)患者中的应用效果。方法选取2021年1月—2023年2月福建省永泰县中医院收治的94例气滞血瘀型CSR患者,按随机数字表法分为对照组和观察组,各47例。对照组采取常规针灸治疗,观察组加用激痛点针刺联合温针灸治疗,对比两组治疗效果、中医证候积分、颈痛程度、颈椎功能、颈椎活动度及生活质量。结果治疗后,观察组中医证候积分、视觉模拟评分量表(VAS)、椎功能障碍指数量表(NDI)评分相比于对照组均更低(均P<0.05);治疗后,观察组颈椎前屈、后伸、左旋、右旋等颈椎活动度指标相比于对照组均更大(均P<0.05);治疗后,观察组心理、躯体、社会功能、物质生活等生活质量综合评定问卷(GQOLI-74)指标评分以及治疗总有效率相比于对照组均更高(均P<0.05)。结论激痛点针刺联合温针灸能增强气滞血瘀型CSR治疗效果,改善患者颈椎活动度,减轻颈椎疼痛与功能障碍,提高生活质量。

Objective To explore the application effect of pain trigger point acupuncture(acupuncture)combined with warm acupuncture and moxibustion in patients with nerve root cervical spondylosis(CSR)of qi stagnation and blood stasis type.Methods A total of 94 CSR patients with Qi stagnation and blood stasis type admitted to Yongtai Hospital of Traditional Chinese Medicine from January 2021 to February 2023 were selected and randomly divided into two groups,with 47 cases in each group,using a random number table method.The control group was treated with routine therapy,while the observation group was treated with pain point acupuncture(acupuncture)combined with warm acupuncture and moxibustion.Compare the treatment effects,traditional Chinese medicine syndrome scores,degree of neck pain,cervical function,cervical range of motion.Results After treatment,the observation group had lower TCM symptom scores,visual analog scale(VAS),and vertebral dysfunction index scale(NDI)scores compared with the control group(all P<0.05);after treatment,cervical spine mobility indexes such as anterior flexion,posterior extension,left rotation and right rotation were greater in the observation group compared with the control group(all P<0.05);after treatment,the observation group had higher scores on the GQOLI-74 indicators of psychological,physical,social,and material life,as well as a higher overall effective rate of treatment compared with the control group(all P<0.05).Conclusions Radical pain point acupuncture combined with warm acupuncture enhances the therapeutic effect of qi stagnation and blood stasis type CSR,improves patients'cervical spine mobility,reduces cervical spine pain and dysfunction,and improves quality of life.