针刺颈夹脊联合开“返魂锁”治疗神经根型颈椎病的临床效果(1)
[摘要] 目的 研究针刺颈夹脊联合开“返魂锁”治疗神经根型颈椎病的临床效果。 方法 将2014年6月～2015年6月湖北省中医院推拿康复科90例神经根型颈椎病患者随机分为治疗组和对照组各45例，治疗组患者采用针刺颈夹脊联合开“返魂锁”治疗，对照组患者采用常规针灸推拿治疗，对比两组患者颈椎病临床评价分数、疼痛视觉量表评分，并进行临床疗效观察。 结果 两组治疗后颈椎病临床评价分数显著升高(P < 0.05)，治疗组与对照组比较差异有统计学意义(P < 0.05)；治疗后治疗组与对照组疼痛视觉量表评分与治疗前比较差异有统计学意义(P < 0.05)，两组比较差异无统计学意义(P > 0.05)；治疗组总有效率93.3%，对照组84.4%，与对照组比较差异有统计学意义(P < 0.05)。 结论 采用针刺颈夹脊联合开“返魂锁”治疗神经根型颈椎病临床疗效显著，能明显改善神经根型颈椎病患者症状及疼痛症状，值得临床上推广应用。
[关键词] 针刺；颈夹脊；开“返魂锁”；神经根型颈椎病
[中图分类号] R653 [文献标识码] A [文章编号] 1673-7210(2016)07(a)-0100-04
[Abstract] Objective To study clinical curative effect of acupuncture cervical spine combined with open "Huanhun lock" treatment of cervical spondylotic radiculopathy. Methods 90 patients with cervical spondylotic radiculopathy from June 2014 to June 2015 in Massage and Rehabilitation Department of Hubei Provincial Traditional Chinese Medical Hospital were selected and randomly divided into treatment group and control group， with 45 cases in each group， the treatment group were treated with acupuncture cervical spine and open "Huanhun lock" treatment， the control group were treated with routine acupuncture and massage therapy. Cervical spondylotic patients clinical evaluation score， a visual pain scale score and the clinical curative effect were observed. Results After treatment， the cervical spondylotic clinical evaluation scores in two groups increased significantly (P < 0.05)， there was significant difference between the treatment group and the control group (P < 0.05). After the treatment， the pain visual analog table scores in two groups decreased significantly (P < 0.05)， but there was no significant difference between the treatment group and the control group (P > 0.05). The total effective rate was 93.3% in the treatment group， the control group was 84.4%， there was significant difference between the two groups (P < 0.05). Conclusion Acupuncture cervical spine and open "Huanhun lock" treatment of cervical spondylotic radiculopathy has significant clinical effect， it can significantly improve the symptoms and pain symptoms and worthy of clinical application.
[Key words] Acupuncture； Cervical spine； open "Huanhun lock"； Cervical spondylotic radiculopathy
随着现代生活方式、工作方式的改变，颈椎病发病率呈增高趋势，而且发病年龄段也更加年轻化，早期如不及时积极治疗将导致颈椎间盘退化加速[1]。神经根型颈椎病是颈椎病最常见的类型，主要由于颈椎间盘突出、关节增生等引起神经根受压、无菌性炎症刺激，临床表现主要以颈肩背及上肢疼痛、上臂及指端的放射性疼痛、麻木、无力为主[2-3]。针灸和推拿手法治疗可以改善局部血液循环，使颈椎局部肌肉痉挛得到缓解，增强颈部肌肉的适应能力，促进颈部相关肌肉群的修复，解除炎性刺激和神经压迫症状[4]，临床上已被广泛应用于治疗各种类型颈椎病，推拿治疗该疾病手法操作面较广，手法较多，如何寻找简单有效的方法是推拿临床研究热点。八把半锁疗法是推拿治疗急症的传统手法，开“返魂锁”为其中手法之一， 笔者前期研究发现临床上采用八把半锁手法治疗各类颈椎病效果良好，在前期研究基础上[5-6]，笔者应用针刺颈夹脊联合开“返魂锁”治疗神经根型颈椎病患者，效果良好，现报道如下： (李必保 沈峰)
[关键词] 针刺；颈夹脊；开“返魂锁”；神经根型颈椎病
[中图分类号] R653 [文献标识码] A [文章编号] 1673-7210(2016)07(a)-0100-04
[Abstract] Objective To study clinical curative effect of acupuncture cervical spine combined with open "Huanhun lock" treatment of cervical spondylotic radiculopathy. Methods 90 patients with cervical spondylotic radiculopathy from June 2014 to June 2015 in Massage and Rehabilitation Department of Hubei Provincial Traditional Chinese Medical Hospital were selected and randomly divided into treatment group and control group， with 45 cases in each group， the treatment group were treated with acupuncture cervical spine and open "Huanhun lock" treatment， the control group were treated with routine acupuncture and massage therapy. Cervical spondylotic patients clinical evaluation score， a visual pain scale score and the clinical curative effect were observed. Results After treatment， the cervical spondylotic clinical evaluation scores in two groups increased significantly (P < 0.05)， there was significant difference between the treatment group and the control group (P < 0.05). After the treatment， the pain visual analog table scores in two groups decreased significantly (P < 0.05)， but there was no significant difference between the treatment group and the control group (P > 0.05). The total effective rate was 93.3% in the treatment group， the control group was 84.4%， there was significant difference between the two groups (P < 0.05). Conclusion Acupuncture cervical spine and open "Huanhun lock" treatment of cervical spondylotic radiculopathy has significant clinical effect， it can significantly improve the symptoms and pain symptoms and worthy of clinical application.
[Key words] Acupuncture； Cervical spine； open "Huanhun lock"； Cervical spondylotic radiculopathy
随着现代生活方式、工作方式的改变，颈椎病发病率呈增高趋势，而且发病年龄段也更加年轻化，早期如不及时积极治疗将导致颈椎间盘退化加速[1]。神经根型颈椎病是颈椎病最常见的类型，主要由于颈椎间盘突出、关节增生等引起神经根受压、无菌性炎症刺激，临床表现主要以颈肩背及上肢疼痛、上臂及指端的放射性疼痛、麻木、无力为主[2-3]。针灸和推拿手法治疗可以改善局部血液循环，使颈椎局部肌肉痉挛得到缓解，增强颈部肌肉的适应能力，促进颈部相关肌肉群的修复，解除炎性刺激和神经压迫症状[4]，临床上已被广泛应用于治疗各种类型颈椎病，推拿治疗该疾病手法操作面较广，手法较多，如何寻找简单有效的方法是推拿临床研究热点。八把半锁疗法是推拿治疗急症的传统手法，开“返魂锁”为其中手法之一， 笔者前期研究发现临床上采用八把半锁手法治疗各类颈椎病效果良好，在前期研究基础上[5-6]，笔者应用针刺颈夹脊联合开“返魂锁”治疗神经根型颈椎病患者，效果良好，现报道如下： (李必保 沈峰)