解结针法联合旋提手法对神经根型颈椎病患者颈部残障指数及肌电图结果的影响

Effects of stasis relieving acupuncture combined with rotating lifting technique on neck disability index and electromyographic results in patients with cervical spondylotic radiculopathy

关键词:  神经根型颈椎病  旋提手法  解结针法  临床疗效  肌电图

Key words:  cervical spondylotic radiculopathy  rotating lifting technique  stasis relieving acupuncture  clinical efficacy  electromyography

摘要:

[目的] 探讨解结针法与旋提手法联用对神经根型颈椎病（CSR）干预的效果。[方法] 选择2022年1月—2023年11月内江市中医医院收治的CSR患者130例，随机分为对照组65例、联合组65例。对照组采用常规西医治疗，联合组采用解结针法+旋提手法治疗。比较两组总有效率、疼痛程度、颈部功能、肌电图结果、各炎症因子指标、生活质量及不良反应。[结果] 联合组总有效率（93.85%）显著高于对照组（76.92%）（P<0.05），视觉模拟评分（VAS）、颈部残障指数（NDI）评分显著低于对照组（P<0.05）；联合组感觉神经传导速度（SCV）、运动神经传导速度（MCV）显著高于对照组（P<0.05）；联合组白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）、白细胞介素-1β（IL-1β）水平显著低于对照组（P<0.05）；联合组健康状况调查简表（SF-36）评分显著高于对照组（P<0.05）；两组腹泻、恶心呕吐等不良反应率无显著差异（P>0.05）。[结论] 对CSR患者采用两者联合方案干预，可有效改善患者颈部功能，减轻炎症反应，效果较为理想，临床应用价值较高。

Abstract:

[Objective] To explore the intervention effect of the combination of stasis relieving acupuncture and rotating lifting technique on cervical spondylotic radiculopathy(CSR).[Methods] From January 2022 to November 2023,130 CSR patients admitted to our hospital were randomly separated into a reference group of 65 cases and a combined group of 65 cases. The reference group was treated with conventional Western medicine,while the combined group was treated with stasis relieving acupuncture and rotating lifting technique. The total effective rate,degree of pain,neck function,electromyographic results,various inflammatory factor indicators,quality of life,and side reactions were compared between the two groups.[Results] The total effective rate of the combined group(93.85%) was greatly higher than that of the reference group(76.92%)(P<0.05),while the visual analogue scale(VAS) and neck disability index(NDI) scores were greatly lower than those of the reference group(P<0.05). The sensory nerve conduction velocity(SCV) and motor nerve conduction velocity(MCV) of the combined group were greatly higher than those of the reference group(P<0.05). The levels of interleukin-6(IL-6),tumor necrosis factor(TNF),and interleukin-1(IL-1) in the combined group were greatly lower than those in the reference group(P<0.05). The SF-36 score of the combined group's health status survey was greatly higher than that of the reference group(P<0.05). There was no significant difference in the incidence of side reactions such as diarrhea and nausea and vomiting between the two groups(P>0.05).[Conclusion] The combination of the two interventions for CSR patients can effectively improve neck function,reduce inflammation,and achieve ideal results,with high clinical application value.