Acupuncture-based treatments on cervical spondylosis of vertebral artery type

Cervical spondylosis of vertebral artery type is one of the chief patterns of cervical spondylosis.It is often described as neck pain accompanied with radiating pain and neurologic symptoms,such as sudden dizziness,blurred vision,tinnitus,nausea,vomiting,memory loss,and sudden fainting.The incidence of cervical spondylosis increases and patients with cervical spondylosis become progressively younger.Acupuncture in the cervical spondylosis of vertebral artery type treatment has a local positive reaction“Liuhe point”,in order to dredge the local Qi and blood.More and more evidences into the effectiveness and safety of cervical spine acupuncture for cervical spondylosis,specific neck pain,cervical radiculopathy,etc.This article summarizes the recent literature on acupuncture and acupuncture combined with other therapies for cervical spondylosis of vertebral artery type treatment and provides a comprehensive review from the perspectives of acupuncture therapy,warm needle moxibustion therapy,electroacupuncture,and acupuncture combined with other therapies,in order to provide reference and reference for clinical treatment.

Research Progress of Traditional Chinese Medicine Constitution Theory in Patients with Cervical Spondylosis

This paper expounds the theory of traditional Chinese medicine(TCM)constitution applied to patients with cervical spondylosis,in order to clarify the distribution characteristics of TCM constitution of patients with cervical spondylosis.And to analyze the correlation between TCM constitution theory and cervical spondylosis is helpful to provide ideas for integrated nursing care of TCM and western medicine in patients with cervical spondylosis,and provide the basis for the construction of health management program and the evaluation of health promotion effect.

MULTI-CENTER RANDOMIZED CONTROLLED TRIALS OF COMBINED TREATMENT OF VERTEBRAL ARTERY TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE AND MASSAGE

Objective:To evaluate the clinical value of synthetical therapy of acupuncture and massage for treating vertebral artery type cervical spondylosis (VACS). Methods: In the present study, triple-center, single-blind, randomized and control methods were adopted. Qualified subjects were randomly assigned to three groups: acupuncture-massage (acu-mas) group, acupuncture group, and massage group (60 subjects in each group). Bilateral Fengchi (风池GB 20), Jiaji (夹脊EX-B 2, C_ 4-7) and Baihui (百会GV 20) were punctured in combination with massage at the neck-shoulder and back region. The treatment was conducted once daily, 14 times altogether. Results: After treatment, of the 60 cases in each of acu-mas, acupuncture and massage groups, 28, 11 and 13 were cured, 13, 20 and 17 markedly effective, 12, 14 and 16 effective, and 7, 15 and 14 ineffective, with the total effective rates being 88.3%, 75.0% and 76.7% respectively. The therapeutic effect of acu-mas group was significantly superior to that of simple acupuncture and massage groups (P<0.05). The scores of clinical symptoms and signs in 3 groups all declined significantly after treatment (P<0.01), and the score of symptoms of acu-mas was markedly lower than those of acupuncture and massage groups (P<0.05). No significant differences were found among 3 groups in the score of clinical signs and between acupuncture and massage groups in the score of clinical symptoms (P>0.05). The time for producing therapeutic effects in acu-mas group was significantly shorter than those of acupuncture and massage groups (P<0.01, 0.05), meaning a faster of acu-mas group in producing clinical effect. No adverse events were found in all the 3 groups. Conclusion: Acupuncture and massage are effective and safe in the treatment of VACS, and the therapeutic effect of acupuncture combined with massage is superior to that of simple acupuncture and simple massage therapy.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACPUNCTURE COMBINED WITH MASSAGE FOR CERVICAL SPONDYLOSIS OF VERTEBRAL ARTERIAL TYPE BY USING TRANCRANIAL DOPPLYER ULTRASONOGRAPHY

Objective: To observe the effect of acupuncture combined with massage on blood flow velocity of the vertebro-basilar artery in cervical spondylosis of vertebral arterial type (CSVAT) patients. Methods: In the present study, methods of evidence-based medicine, triple-centers, single-blindness, randomization and control were used. A total of 100 cases of CSVAT patients were randomized into acupuncture plus massage (acu-massage) group (n=38), acupuncture group (n=32) and massage group (n=30). Acupoints used were Fengchi (风池GB 20), cervical Jiaji (颈夹脊EX-B 2), Baihui (百会GV 20), and the methods of massage used were kneading-rolling, adhesion-separating and acupoint-digital pressing, topical digital pressing and rubbing, traction-extending and mild palm-rubbing. The treatment was conducted once daily, with 7 sessions being a therapeutic course and continuously for 2 courses. Changes of peak velocity (Vp), end-diastolic velocity (Vd), mean velocity (Vm) of blood flow of the vertebral artery (VA) and basilar artery (BA), etc were detected before and after the treatment by using transcranial Doppler (TCD) ultrasonography. Results: After the treatment, the abnormally low Vp of both VA and BA in acu-massage, acupuncture and massage groups, Vm of VA in acu-massage and acupuncture groups, Vm of BA in acu-massage and massage groups, and Vd of VA and BA in the 3 groups all increased significantly in comparison with their own pretreatment (P<0.05, 0.01), and the therapeutic effects of acu-massage group in the 3 indexes were significantly superior to those of acupuncture group and/or massage group (P<0.05, 0.01). The abnormally increased Vp of VA in acu-massage and acupuncture groups, Vm of VA in the 3 groups, and Vd of VA in acu-massage and massage groups decreased obviously after the treatment in comparison with their own pretreatment (P<0.05, 0.01), and the therapeutic effects of acu-massage group were significantly superior to those of acupuncture and/or massage group in the 3 indexes of VA (P<0.05, 0.01). In addition, the abnormally increased Vp, Vm and Vd of BA in the 3 groups showed a similar tendency. No significant differences between acupuncture and massage groups in 3 indexes (P>0.05). Conclusion: The therapeutic effects of acupuncture plus massage is significantly superior to those of simple acupuncture and simple massage therapies in improving abnormal blood dynamics of vertebral and basilar arteries in CSVAT patients.

多学科交叉背景下中医手法治疗颈椎病效应机制研究现状与思考

中医手法效应机制研究是目前手法研究中的关键科学问题,是中医骨伤科现代化与国际化道路上的重点和难点。现阶段,我国正逢多学科交叉引领知识生产、科技创新、学科发展的重要时期,中医骨伤学科与其他学科交叉创新的发展趋势为推动中医手法效应机制研究提供了载体。颈椎病作为中医骨伤学科的优势病种,近年来许多学者基于多学科的技术和理论开展中医手法效应机制研究。本文以中医手法治疗颈椎病为切入点,重点围绕颈部肌群,颈椎椎体、椎间盘、椎体附件,颈部血管,神经系统4个维度,整合了多学科交叉背景下中医手法效应机制研究中多种技术和理论的应用现状和实施策略,有利于中医骨伤学科与其他学科更好地结合、创新、转化,为系统阐明手法的科学内涵提供思路与借鉴。

基于“筋骨平衡”理论针刺推拿疗法治疗椎动脉型颈椎病的临床观察

目的浅析椎动脉型颈椎病(cervical spondylotic vertebral arteriopathy,CSA)患者实施基于“筋骨平衡”理论针刺推拿疗法对其中医症状积分、颈性眩晕症状与功能评估量表(cervical vertigo symptom and function assessment scale,ESCV)评分、颈椎曲度及脑血流参数的影响。方法选择该院2019年12月—2021年12月就诊的CSA患者86例实施研究,随机数字表法分作观察组与对照组,各43例;其中对照组脱落2例,剔除1例,共完成40例;观察组脱落1例,剔除1例,共完成41例;对照组予以常规牵引疗法,观察组予以基于“筋骨平衡”理论针刺推拿疗法;比较两组治疗前与治疗后中医症状积分、ESCV评分、颈椎曲度及脑血流参数的变化,并对比两组疗效。结果治疗后,观察组中医症状积分皆显著低于对照组(P<0.05)。治疗后,观察组ESCV评分和颈椎曲度皆明显高于对照组(P<0.05)。治疗后,观察组椎底动脉及左、右椎动脉的Vs与Vd水平均显著高于对照组(P<0.05)。观察组总有效率显著高于对照组[95.12%(39/41)vs 80.00%(32/40),P<0.05]。结论基于“筋骨平衡”理论针刺推拿疗法对CSA患者疗效显著,有效改善中医症状积分、ESCV评分以及颈椎曲度,增强脑血流参数。

输刺治疗神经根型颈椎病上肢麻痛的疗效观察及对肌电图F波传导速度的影响

目的观察在CT定位基础上行输刺治疗神经根型颈椎病上肢麻痛的临床疗效及对患者正中神经和尺神经肌电图F波传导速度的影响。方法将98例神经根型颈椎病上肢麻痛患者作为研究对象,用随机数字表法分为对照组和研究组,每组49例。研究组在CT定位基础上采用输刺治疗,对照组采用常规针刺治疗。比较两组患者治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、颈椎病功能障碍指数(neck disability index,NDI)评分和颈椎活动度以及血清肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白介素-8(interleukin-8,IL-8)和白介素-1β(interleukin-1β,IL-1β)水平的变化。通过肌电图检查,比较两组治疗前后正中神经和尺神经的F波传导速度以及F波出现率的变化。比较两组临床疗效。结果研究组总有效率高于对照组(P<0.05)。治疗后,两组VAS和NDI评分降低(P<0.05),颈椎前屈、后伸、左屈、右屈、左旋、右旋活动度增大(P<0.05),正中神经和尺神经的F波传导速度以及F波出现率提高(P<0.05),血清TNF-α、IL-8和IL-1β水平降低(P<0.05)。治疗后,研究组VAS和NDI评分低于对照组(P<0.05),颈椎前屈、后伸、左屈、右屈、左旋、右旋活动度大于对照组(P<0.05),正中神经和尺神经的F波传导速度以及F波出现率高于对照组(P<0.05),血清TNF-α、IL-8和IL-1β水平低于对照组(P<0.05)。结论在CT定位基础上行输刺治疗神经根型颈椎病上肢麻痛的临床疗效优于常规针刺,可缓解疼痛,改善颈椎活动度,减轻炎症反应,提高肌电图F波出现率和传导速度,有较好的神经修复作用。

基于“筋-经-骨”理念的李氏推拿疗法治疗伴小关节紊乱的颈型颈椎病临床观察

目的观察基于“筋-经-骨”理念的李氏推拿疗法治疗伴小关节紊乱的颈型颈椎病临床疗效。方法将70例伴小关节紊乱的颈型颈椎病患者按照随机数字表法分为2组,对照组35例予常规推拿治疗,治疗组35例予李氏推拿疗法治疗。2组均隔日治疗1次,治疗3周。比较2组治疗前后简化麦吉尔疼痛评分量表(SF-MPQ)评分、颈椎功能障碍指数量表(NDI)评分、颈椎曲度、匹兹堡睡眠质量指数量表(PSQI)评分。结果2组治疗后SF-MPQ疼痛视觉模拟评分(VAS)、疼痛分级指数(PRI)评分、现时疼痛程度(PPI)评分均较本组治疗前降低(P<0.05),治疗后治疗组疼痛VAS、PRI评分、PPI评分均低于对照组(P<0.05)。2组治疗后NDI评分均较本组治疗前降低(P<0.05),治疗后治疗组NDI评分低于对照组(P<0.05)。2组颈椎曲度治疗前后比较及2组治疗后组间比较差异均无统计学意义(P>0.05)。2组治疗后PSQI评分均较本组治疗前降低(P<0.05),治疗后治疗组PSQI评分低于对照组(P<0.05)。结论基于“筋-经-骨”理念的李氏推拿疗法在减轻伴小关节紊乱的颈型颈椎病患者疼痛、改善颈椎功能障碍、改善睡眠质量方面优于常规推拿治疗,短期内对改善颈椎曲度无优势。

灸刺放血联合治疗椎动脉型颈椎病急性发作期临床观察

目的 观察灸刺放血联合治疗椎动脉型颈椎病急性发作期的临床效果。方法 将70例椎动脉型颈椎病急性发作期患者随机分成观察组(灸刺放血结合组)和对照组(灸刺结合组),各35例。观察组予电子灸、普通针刺及刺络放血拔罐疗法,对照组给予电子灸及普通针刺法联合治疗;于首次治疗前后行椎-基底动脉血流动力学[脑血管彩色多普勒超声(TCD)]测定及对眩晕程度进行评估对比。结果 治疗后,TCD显示2组患者收缩峰期血流速度(Vs)、平均血流速度(Vm)均降低(P<0.01),且2组比较,差异有统计学意义(P<0.05)。但2组血管搏动指数(PI)、血管阻力指数(RI)无改善(P>0.05)。治疗后,2组眩晕程度均好转(P<0.01),且2组比较,差异有统计学意义(P<0.05)。结论 灸刺放血结合疗法能够有效减慢椎动脉型颈椎病急性发作期患者的椎-基底动脉高血流速度、缓解眩晕程度,即时效果明显优于针刺艾灸结合组,可在各级医疗机构推广应用。

麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗颈型颈椎病临床效果

目的:探讨麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗颈型颈椎病临床效果。方法:将广州医科大学附属第六人民医院2021年1月—2022年8月门诊及住院部接收的颈型颈椎病患者160例作为研究对象,采用随机数字表法将其分为对照组与研究组,每组80例。对照组采用麦肯基运动疗法,研究组采用麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗,两组均持续治疗3个月。采用颈椎功能障碍指数(NDI)、疼痛灾难化量表(PCS)评价颈功能、疼痛程度。比较两组颈椎活动范围、凝视稳定性(GS)测试阳性率、眼动测试(EMT)阳性率。结果:治疗后,研究组NDI评分低于对照组,差异有统计学意义(P<0.05)。治疗后,研究组PCS评分的疼痛反复思虑、疼痛无助感、疼痛夸大维度得分及总分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组颈椎前屈、后伸、左右侧屈、左右旋转活动范围均高于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组GS阳性率、EMT阳性率均低于对照组,差异均有统计学意义(P<0.05)。结论:麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗颈型颈椎病,可有效恢复颈椎功能,减轻疼痛,增加颈椎活动范围,改善颈椎神经的协调性和稳定性。

颈项功治疗颈型颈椎病60例的疗效观察

目的:通过对颈型颈椎病患者进行锻炼干预,比较颈项功和常规米字操治疗颈型颈椎病的临床疗效及对颈痛、压痛阈(Pressure Pain Threshold,PPT)的影响。方法:选择2020年11―12月浙江中医药大学纳入的60例颈型颈椎病患者,应用随机数字表法将60例颈型颈椎病患者分为功法组和常规米字操组,每组各30例。功法组患者采用功法“仙鹤点水”锻炼,常规米字操组患者采用常规米字操锻炼,两组患者每天早晚各锻炼1次,以锻炼4周为一个疗程。锻炼前对两组患者进行压痛点筛查,结果得到两组患者压痛点多在肩井穴和C3夹脊穴,并以此作为PPT值的采集点。观察各组患者在锻炼前后的视觉模拟评分法(Visual Analogue Scale,VAS)评分、Northwick Park颈痛量表(Northwick Park Neck-pain Questionnaire,NPQ)评分及肩井穴和C3夹脊穴的PPT值,并综合评定各组的临床疗效。结果:锻炼4周后两组患者的VAS评分和NPQ评分均较锻炼前降低(P<0.05),两组患者肩井穴的PPT值均较锻炼前升高(P <0.05),功法组C3夹脊穴的PPT值较锻炼前升高(P <0.05),常规米字操组C3夹脊穴的PPT值与锻炼前差异无统计学意义(P> 0.05)。功法组的总有效率为86.67%(26/30),优于常规米字操组的63.33%(19/30)(P <0.05)。结论:功法和常规米字操均能改善颈型颈椎病患者的颈部疼痛和压痛,但功法的疗效更加显著。

低温等离子射频消融术联合中医特色疗法在交感型颈椎病治疗中的应用效果

目的:探讨低温等离子射频消融术联合中医特色疗法在交感型颈椎病治疗中的应用效果。方法:选取2020年1月—2022年12月上海市嘉定区中医医院治疗的90例交感型颈椎病患者作为研究对象,采用随机数表法将患者分为观察组和对照组,各45例。对照组给予低温等离子射频消融术治疗,观察组在对照组基础上给予中医特色疗法(推拿配合揿针疗法)治疗。比较两组临床疗效、主要症状积分、超声检查指标、颈椎功能障碍指数(NDI)、颈交感神经症状评分和不良反应。结果:观察组总有效率为91.11%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗后,两组主要症状积分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组椎动脉收缩期峰值流速(VS)、舒张期末流速(VD)较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组NDI评分、颈交感神经症状评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未见明显不良反应。结论:低温等离子射频消融术联合中医特色疗法治疗交感型颈椎病可明显缓解症状,调节椎动脉血流,提高临床疗效,且具备安全性。

Cervical Spondylosis Treated by Acupuncture at Ligou(LR 5) Combined with Movement Therapy

Objective:To compare therapeutic effects of acupuncture at Ligou(LR 5) plus movement therapy and conventional acupuncture on cervical spondylosis.Methods:The therapeutic effect of acupuncture at Ligou(LR 5) plus movement therapy on 57 cases of cervical spondylosis(Group Acup.+M) was observed and compared with that of conventional acupuncture(Group Acup.) on 65 cases of cervical spondylosis with the same types of the disease during the same observation period as those treated by the former therapy.Results:The cured rate,effective rate and total effective rate were 52.63%,45.61% and 98.24%,respectively in Group Acup.+M;46.15%,50.77% and 96.92%,respectively in Group Acup.There were no significant differences in therapeutic effects between the two groups,shown by Ridit test(P>0.05).Conclusion:Both acupuncture plus movement therapy and conventional acupuncture were similarly effective in treating cervical spondylosis,but the former was superior to the latter in shorter treatment course and fewer points used.

Clinical Observation of Acupuncture, Stone Scraping plus Cupping Therapy for Neck-type Cervical Spondylosis

目的：观察砭石、拔罐、电针及红外线综合疗法治疗颈型颈椎病的疗效及安全性。方法：70例患者随机分为综合组（35例）和对照组（35例）。综合组重用耿氏多功能砭板沿督脉实施推法和刮法，闪罐留罐法，并用常规电针疗法及红外线照射治疗；对照组采用常规电针疗法及红外线照射治疗。两组均隔日施治1次，治疗6次为1个疗程。观察两组治疗后即刻与1个疗程结束后的临床疗效以及不艮反应。结果：综合组治疗后即刻总有效率为88．6％，对照组为80．0%,综合组即刻疗效好于对照组（P〈0．05）。综合组1个疗程结束后总有效率为97．1％，对照组为94．3％，综合组1个疗程后疗效也好于对照组（P〈0．05）。结论：针砭罐综合疗法治疗颈型颈椎病安全有效且见效较快。

Clinical Observation on Treatment of Cervical Spondylosis with Combined Acupuncture and Cupping Therapies

目的：观察针刺结合拔罐治疗颈椎病的临床疗效。方法：针罐组（30例）采用针刺结合拔罐治疗针剌组（30例）采用单纯针剌治疗，治疗30天观察疗效。结果：两组治愈率、总有效率、半年后复发率、平均疗程经）（2检验P〈0．01两组有显著性差异。结论：针刺结合拔罐治疗颈椎病疗效好，疗程短，不易复发。

郑氏“颈四步”手法辅助微针刀治疗神经根型颈椎病

目的探究郑氏“颈四步”手法辅助微针刀治疗神经根型颈椎病的临床治疗效果。方法前瞻性随机选取本院在2020年5月-2023年5月间收治的80例神经根型颈椎病患者纳入研究,将其用随机数字法分成对照组和观察组,各40例。对照组予以微针刀治疗,观察组予以郑氏“颈四步”手法辅助微针刀治疗。比较2组临床疗效、中医症状、疼痛改善、颈椎活动度、血液流变学水平。结果观察组总有效率95.00%高于对照组75.00%(P<0.05)。治疗后,观察组颈项疼痛、颈项拘挛、上肢疼痛、活动不利、手指麻木评分低于对照组(P<0.05)。观察组治疗7 d后、14 d后视觉模拟评分法(VAS)评分低于对照组(P<0.05)。观察组左旋转、右旋转、左侧屈、右侧屈活动度均高于对照组(P<0.05)。观察组血浆黏度、全血高切黏度、全血低切黏度均低于对照组(P<0.05)。结论对神经根型颈椎病患者予以郑氏“颈四步”手法辅助微针刀治疗,可明显提升疗效、改善症状,同时有效减轻疼痛、提升颈椎活动度、改善血液流变,促进颈椎功能恢复。

颈椎病的运动疗法及机制研究进展

目的本文对颈椎病的运动疗法及机制进展进行综述,以期进一步为本病临床运动处方的制定和相关研究的开展提供参考。方法基于文献研究,以“颈椎病”“颈痛”“运动治疗”“运动控制”“悬吊”“传统功法”“八段锦”等为关键词,在中国知网、万方知识服务平台、维普网数据库中检索中文文献;以“cervical spondylosis”“neck pain”“exercise therapy”“motor control training”“sling exercise training”“qigong”“Baduanjin”为关键词,在PubMed、Web of Science数据库中检索英文文献,检索时间范围2013年2月至2023年5月。结果在治疗颈椎病的运动疗法中,传统功法如八段锦、太极拳、五禽戏等运动强度小,简便易学,安全有效;现代运动疗法如运动控制、悬吊、牵伸训练等运动强度不等、坚持治疗疗效显著;运动疗法联合其他常规治疗或是运动疗法间的联合治疗效果更佳。运动疗法通过拉伸颈肌促进血液循环,激活脊髓上中枢镇痛通路,增加抗炎信号转导,降低肿瘤坏死因子-α(TNF-α)水平,发挥镇痛作用;增强肌力,改善僵硬和疲劳,恢复椎体力学平衡;增加神经与肌肉间的反馈,改善颈部本体感觉。结论运动疗法主要通过抗炎镇痛、改善颈椎感觉与运动功能来治疗颈椎病。运动疗法可有效改善颈椎病患者颈部疼痛和功能障碍,缓解患者焦虑不安等不良情绪,提高患者生活质量。

浮针疗法治疗颈椎病的研究进展

颈椎病是临床常见的慢性疾病,其发病率逐年增高,呈现年轻化趋势,给患者带来一系列的生理不适和心理压力。目前浮针疗法已广泛应用于颈椎病的治疗,此文通过讨论浮针疗法治疗颈椎病的中西医理论,归纳分析近年来浮针以及浮针联合其他疗法治疗颈椎病的临床报道,证实了浮针治疗颈椎病疗效确切并且具有快速缓解疼痛,操作简单安全,依从性高的独特优势。旨在总结并更好地指导临床与科研,同时就浮针疗法治疗颈椎病研究中存在的问题进行思考,以期对今后浮针治疗颈椎病的基础、临床研究中提供有利的引导。

系统针刀疗法治疗颈椎病的经验

颈椎病是骨科常见的脊柱退行性疾病,临床表现以头痛、头晕、肢体麻木、颈肩部疼痛及僵硬最为常见,严重影响到患者的日常生活及工作、学习。针刀治疗颈椎病效果显著,对颈椎疼痛点进行松解常常会有一定的效果。但颈椎病的发病机制涉及骨骼、椎间盘、韧带、肌肉等不同的组织结构,单纯的某一点松解的治疗方法仍然需要改进。系统针刀理论以传统针刀为基础,系统的整合了西医解剖学、生物力学、运动医学等理论,系统治疗颈椎病,临床效果显著。

督灸疗法联合易筋经“托天桩”功法在颈型颈椎病患者中的应用

目的:观察督灸疗法联合易筋经“托天桩”功法治疗颈型颈椎病的临床疗效。方法:运用简单随机化方法将82例颈型颈椎病患者,随机分为试验组和对照组,每组41例,以督灸疗法护理方案为对照组,以督灸疗法联合易筋经“托天桩”功法护理方案为试验组,治疗5次/周,连续治疗4周。结果:两组患者VAS评分和NDI评分均较治疗前明显改善,但试验组与对照组比较,两组间的改善程度存在差异,P<0.05,具有统计学意义。经TTM检测显示,两组患者的颈项部温度在接受治疗后,亦有明显变化且存在差异,P<0.05,具有统计学意义。在临床疗效方面,试验组总有效率为95.2%,高于对照组87.8%,P<0.05,两组临床疗效相比,具有统计学意义。结论:督灸疗法联合易筋经“托天桩”功法护理方案,在颈型颈椎病的治疗上,具有疗效显著,值得在临床上推广应用。