温针灸联合神经松动术治疗神经根型颈椎病的临床效果观察.docxVIP

温针灸联合神经松动术治疗神经根型颈椎病的临床效果观察 摘要：目的：观察温针灸联合神经松动术治疗神经根型颈椎病(CSR)的临床疗效，分析其 对患者颈椎活动度、肌表面电信号频率与血清生化指标的影响。方法：选取本院2019年4 月-2020年8月收治的100例CSR患者作为研究对象，采用随机数表法分为对照组与研究组, 各50例。对照组接受神经松动术治疗，研究组在此基础上联合温针灸治疗。治疗1周后， 对两组患者疗效情况、颈椎活动度、颈痛量表评分(NPQ)、颈椎病临床评价量表评分 (CASCS) 患侧肌肉肌表面电信号中位频率、血清白三烯与炎性因子含量进行对比分析。 结果：研究组治疗总有效率高于对照组(90.00% vs 78.00%),疗效显著优于对照组(PV 0.05)；治疗后，两组患者颈椎活动度、CASCS评分均显著增加(PV0.05),且研究组均 显著高于对照组(PV0.05) ； NPQ评分、血清白三烯B4 (LTB4)、白三烯C4 (LTC4)、 白三烯D4 (LTD4)与炎性因子白细胞介素-1。(IL-lp)、肿瘤坏死因子-a (TNF-a)、白 细胞介素?6 (IL-6)含量均显著下降(PV0.05)，旦研究组显著低于对照组(PV0.05)； 与治疗前比较，对照组患侧肌肉肌表面电信号中位频率无明显变化(P0.05),研究组患 侧肌肉肌表面电信号中位频率明显增加且显著高于对照组(PV0.05) o结论：温针灸联合 神经松动术治疗可以调节患侧肌肉肌表面电信号，降低血清白三烯与炎性因子含量，有效改 善CRS临床症状，提高患者颈椎活动度。 关键词：温针灸；神经松动术；神经根型颈椎病；白三烯；颈椎活动度 Clinical observation of warm acupuncture and moxibustion combined with nerve looseningin the treatment of cervical spondylotic radiculopathy Abstract: Objective: To observe the clinical effect of warm acupuncture and moxibustion combined with nerve loosening in the treatment of cervical spondylotic radiculopathy (CSR), and to analyze the effects of warm acupuncture and moxibustion combined with nerve loosening on the range of motion of cervical vertebra, the frequency of muscle surface electrical signals and serum biochemical indexes. Methods: A total of 100 cases of CSR patients admitted to our hospital from April 2019 to August 2020 were selected as the research object, and divided into control group and study group by random number table method, with 50 cases in each group. The control group received nerve loosening treatment, and the study group combined with warm acupuncture treatment. After 1 week of treatment, the curative effect, cervical motion, NPQ score, CASCS score, the median frequency of myosurface electrical signal of the affected side muscle, serum leukotriene and inflammatory factors content were compared and analyzed between 2 groups. Results: The total effective rate of the study group was higher than that of the control group (90.00% vs 78.00%), an