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1. 南京医科大学康达学院附属连云港中医院针灸科
2. 南京医科大学康达学院临床医学部
3. 南京医科大学康达学院附属连云港中医院治未病科
纸质出版日期:2021
移动端阅览
侍昊, 黄谦, 姚文平, 等. 针刺联合雷火灸治疗风寒湿型神经根型颈椎病的随机对照研究[J]. 针刺研究, 2021,46(12):1036-1042.
SHI Hao, HUANG Qian, YAO Wen-ping, et al. Randomized controlled trial on cervical spondylotic radiculopathy of wind-cold-damp type treated with acupuncture and thunder-fire moxibustion[J]. Acupuncture research, 2021, 46(12): 1036-1042.
侍昊, 黄谦, 姚文平, 等. 针刺联合雷火灸治疗风寒湿型神经根型颈椎病的随机对照研究[J]. 针刺研究, 2021,46(12):1036-1042. DOI: 10.13702/j.1000-0607.20210006.
SHI Hao, HUANG Qian, YAO Wen-ping, et al. Randomized controlled trial on cervical spondylotic radiculopathy of wind-cold-damp type treated with acupuncture and thunder-fire moxibustion[J]. Acupuncture research, 2021, 46(12): 1036-1042. DOI: 10.13702/j.1000-0607.20210006.
目的:探讨针刺联合雷火灸治疗风寒湿型神经根型颈椎病(CSR)的疗效及对正中神经、尺神经F波的传导速度和血清中超敏C反应蛋白(hs-CRP)、白细胞介素(IL)-6、IL-1β、肿瘤坏死因子α(TNF-α)的影响。方法:将94例风寒湿型神经根型颈椎病患者随机分为对照组和联合组
每组47例。对照组选取风池、天柱、颈夹脊、大椎等穴针刺治疗
30 min/次
1次/日
5次/周
共4周。联合组在对照组基础上采用雷火灸风池、颈夹脊、大椎、肩井和天宗
20 min/次
隔日1次
共4周。治疗结束后
比较两组患者疗效
对简化McGill问卷(SF-MPQ)、颈部特异性量表和健康状况调查表(SF-36)进行评分
利用肌电图诱发电位仪检测患者正中神经和尺神经F波的传导速度
免疫比浊法检测血清中hs-CRP含量
酶联免疫吸附法检测血清中IL-6、IL-1β、TNF-α的含量。结果:联合组的总有效率为95.7%(45/47)高于对照组80.9%(38/47
P<0.05)。与本组治疗前比较
两组患者SF-MPQ、颈部特异性量表和SF-36量表评分明显改善(P<0.05)
正中神经和尺神经的F波传导速度加快(P<0.05)
血清中hs-CRP、IL-6、IL-1β和TNF-α下降(P<0.05)。与对照组比较
联合组SF-MPQ、颈部特异性量表和SF-36量表评分的改善更为明显(P<0.05)
正中神经和尺神经的F波传导速度更快(P<0.05)
血清中hs-CRP、IL-6、IL-1β和TNF-α含量下降亦更为显著(P<0.05)。结论:针刺联合雷火灸可以改善风寒湿型神经根型颈椎病患者的临床症状
减轻炎性反应。
Objective To explore the therapeutic effect of acupuncture combined with thunder-fire moxibustion on cervical spondylotic radiculopathy of wind-cold-damp type and its impacts on the conduction velocity of F wave of median nerve and ulnar nerve
as well as hypersensitive C-responsive protein(hs-CRP)
interleukin 6(IL-6)
IL-1β and tumor necrosis factor α(TNF-α) in serum. Methods A total of 94 patients with cervical spondylotic radiculopathy of wind-cold-damp type were randomly divided into a control group and a combined therapy group
47 cases in each group. In the control group
acupuncture was applied to Fengchi(GV20)
Tianzhu(BL10)
Neck-Jiaji(EX-B5)
Dazhui(GV14) and others
30 min each time
once daily
5 times a week
totally for 4 weeks. In the combined therapy group
on the base of the treatment as the control group
the thunder-fire moxibustion was adopted over GV20
EX-B5
GV14
Jianjing(ST21) and Tianzong(SI11)
20 min each time
once every other day
for 4 weeks in total. After the treatment
the curative effect was compared in the patients between two groups. The short-form McGill pain questionnaire(SF-MPQ)
the neck specificity scale and the MOS 36-item short form health survey(SF-36) were scored. The conduction velocity of F wave in median nerve and ulnar nerve was detected by electromyography. The expression of hs-CRP was measured by immunoturbidimetry. IL-6
IL-1β and TNF-α in serum were determined by enzyme linked immunosorbent assay. Results The total effective rate in the combined therapy group was 95.7%(45/47)
which was higher than 80.9%(38/47) in the control group(P<0.05). Compared with their own pretreatment
the scores of SF-MPQ
neck specificity scale and SF-36 were all obviously improved after treatment in the patients of either group(P<0.05)
while the conduction velocity of F wave in median nerve and ulnar nerve was accelerated and hs-CRP
IL-6
IL-1β and TNF-α in serum were decreased(P<0.05). Compared with the control group
the improvements in the scores of SF-MPQ
neck specificity scale and SF-36 were more obvious(P<0.05)
the increase of the conduction velocity of F wave in median nerve and ulnar nerve and the decrease of hs-CRP
IL-6
IL-1β and TNF-α in serum were more remarkable(P<0.05) in the combined therapy group. Conclusion Acupuncture combined with thunder-fire moxibustion relieves the clinical symptoms of cervical spondylotic radiculopathy of wind-cold-damp type.
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