理筋整复手法联合温针灸治疗气滞血瘀证神经根型颈椎病临床观察

Tendons Rectification Manipulation Combined with Warming Needle Moxibustion in the Treatment of Cervical Spondylotic Radiculopathy of Qi Stagnation and Blood Stasis Syndrome

目的 探讨理筋整复手法联合温针灸治疗在气滞血瘀证神经根型颈椎病(CSR)患者中的应用价值。方法 选取2021年3月—2023年3月收治的70例CSR气滞血瘀证患者。随机均匀分组,对照组(35例)行常规针刺治疗,观察组(35例)行理筋整复手法联合温针灸治疗,比较2组疼痛分级指数(PRI)评分、田中靖久颈椎量表20分法(CSR20)评分、中医证候积分、血液流变学指标与临床疗效。结果 治疗后,观察组PRI评分、中医证候积分低于对照组(P<0.05),CSR20评分高于对照组(P<0.05),全血高切黏度、低切黏度均低于对照组(P<0.05),总有效率高于对照组(P<0.05)。结论 理筋整复手法与温针灸合用能够改善CSR患者的康复治疗效果,降低中医证候积分与血液黏度,促进相关临床症状的改善。

Objective To explore the application value of tendons rectification manipulation combined with warming needle moxibustion in the treatment of cervical spondylotic radiculopathy(CSR) of qi stagnation and blood stasis syndrome.Methods Seventy patients with CSR admitted between March 2021 and March 2023 were selected,all of whom had obvious symptoms of neck and shoulder pain and numbness on admission,and were confirmed to be qi stagnation and blood stasis evidence by evidence type analysis.The control group of 35 cases was treated with conventional acupuncture,and the observation group of 35 cases was treated with tendons rectification manipulation combined with warming needle moxibustion.The two groups were compared in terms of the pain rating index(PRI) score,Yasuhisa Tanaka Cervical Spine Rating Scale(CSR20) score,Chinese medicine symptom scores,and blood rheology indexes,as well as the clinical efficacy.Results After treatment,PRI score and TCM syndrome score of observation group were lower than control group(P<0.05),CSR20 score was higher than control group(P<0.05),whole blood high and low shear viscosity were lower than control group(P<0.05),and total effective rate was higher than control group(P<0.05).Conclusion The tendons rectification manipulation combined with warming needle moxibustion can improve the rehabilitation effect of CSR patients,reduce the TCM symptom score and blood viscosity,and promote the improvement of related clinical symptoms.