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| 正骨手法配合“三通四联”针灸综合疗法治疗神经根型颈椎病的临床观察 |
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李道通1, 张雅琪1, 范亚朋1, 刘佳1, 陈晨1, 席世珍1, 赵村辉1, 毛书歌2
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1.河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)四科, 洛阳 471002;2.河南省洛阳正骨医院(河南省骨科医院)颈肩腰腿痛(推拿)二科, 洛阳 471002
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| 摘要: |
| 目的 探讨正骨手法联合“三通四联”针灸综合疗法对神经根型颈椎病（CSR）治疗的效果，及对患者疼痛程度、颈椎功能等的影响。方法 纳入CSR患者120例，随机分为对照组、联合组。对照组采用“三通四联”针灸综合疗法，联合组加用正骨手法。比较两组总有效率、疾病严重程度、颈椎功能、颈椎活动度、血清炎症因子指标及不良反应。结果 联合组总有效率显著高于对照组（P＜0.05）；视觉模拟法（VAS）评分、颈椎功能障碍指数（NDI）、中医证候积分显著低于对照组（P＜0.05）。联合组颈椎左右旋、前后屈活动度显著高于对照组（P＜0.05），肿瘤坏死因子-α（TNF-α）、白三烯C4（LTC4）水平显著低于对照组（P＜0.05）。结论 CSR患者接受正骨手法和“三通四联”针灸疗法联合干预，可有效减轻机体疼痛，纠正颈椎生理功能，效果较为理想，临床应用价值较高。 |
| 关键词: 颈椎病 神经根型 三通四联 正骨手法 颈椎活动度 |
| DOI：10.11656/j.issn.1672-1519.2026.08.05 |
| 分类号:R244.1 |
| 基金项目:河南省中医药科研专项课题（2024ZY3068）。 |
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| Clinical observation on effects of bone setting manipulation with “Santong Silian” acupuncture and moxibustion therapy on cervical spondylosis radiculopathy |
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LI Daotong1, ZHANG Yaqi1, FAN Yapeng1, LIU Jia1, CHEN Chen1, XI Shizhen1, ZHAO Cunhui1, MAO Shuge2
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1.The Fourth Department of Neck, Shoulder, Waist and Leg Pain (Massage) of Luoyang Orthopedic Hospital (Henan Orthopedic Hospital), Luoyang 471002, China;2.The Second Department of Neck, Shoulder, Waist and Leg Pain (Massage) of Luoyang Orthopedic Hospital (Henan Orthopedic Hospital), Luoyang 471002, China
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| Abstract: |
| Objective To explore the effect of bone setting manipulation with "Santong Silian" acupuncture and moxibustion therapy on cervical spondylosis radiculopathy (CSR), and the impacts on the degree of pain and cervical function. Methods Totally 120 CSR patients in our hospital were stochastically assigned into control group and joint group. The control group adopted "Santong Silian" acupuncture and moxibustion therapy, and the joint group additionally adopted bone setting manipulation. Two groups were compared in terms of total effective rate, disease severity, cervical function, cervical mobility, serum inflammatory cytokine indicators, and bad reactions. Results The joint group had a clearly higher total effective rate compared to control group (P < 0.05), and conspicuously lower visual analogue scale (VAS) score, neck disability index (NDI), and Chinese medicine syndrome score compared to control group (P < 0.05). The joint group had conspicuously higher cervical left and right rotation mobility, anterior and posterior flexion mobility compared to control group (P < 0.05), and clearly lower tumor necrosis factor-α (TNF-α) and leukotriene C4 (LTC4) compared to control group (P < 0.05). Conclusion The joint intervention of bone setting manipulation with "Santong Silian" acupuncture and moxibustion therapy for CSR patients can effectively alleviate body pain and correct the physiological function of cervical vertebra. It has a relatively ideal effect and high clinical value. |
| Key words: cervical spondylosis radiculopathy Santong Silian method bone setting manipulation cervical mobility |
