颈七针治疗神经根型颈椎病临床研究(1)
摘要：目的 观察颈七针治疗神经根型颈椎病的临床疗效及对血液流变学、炎症因子水平的影响。方法 选择神经根型颈椎病患者166例，采用随机数字表法分为对照组和研究组各83例。对照组予电脑颈椎牵引配合电脑中频治疗，研究组予颈七针治疗。均每日1次，10 d为1个疗程，连续治疗2个疗程。比较2组临床疗效，观察2组治疗前后血液流变学指标，白细胞介素(IL)-1β、IL-6、肿瘤坏死因子-α(TNF-α)水平及颈椎功能障碍指数(NDI)、Cobb角。结果 研究组总有效率为90.36%(75/83)，对照组为78.31%(65/83)，研究组明显优于对照组(P<0.05)。与本组治疗前比较，2组治疗后血液流变学指标降低，IL-1β、TNF-α、IL-6水平降低，NDI降低，Cobb角增大，差异有统计学意义(P<0.05)；2组治疗后比较，研究组血液流变学指标低于对照组， IL-1β、TNF-α、IL-6水平低于对照组，NDI小于对照组，Cobb角大于对照组，差异有统计学意义(P<0.05)。结论 颈七针可改善神经根型颈椎病患者临床症状，降低血液黏稠度，降低炎症因子水平，提高临床疗效。
关键词：颈七针；神经根型颈椎病；血液流变学；临床研究
中图分类号：R274.915.31 文献标识码：A 文章编号：1005-5304(2019)03-0025-04
Abstract： Objective To evaluate the clinical efficacy of cervical seven needles in treating cervical spondylotic radiculopathy and its effects on hemorrheology and inflammatory factor levels. Methods Totally 166 patients with cervical spondylotic radiculopathy were selected and divided into control group and study group according to random number table method， with 83 cases in each group. The control group was treated with cervical traction and medium frequency electrotherapy by computer， and the study group was treated with cervical seven needles. The treatment for both groups was once a day and ten days were one treatment course， lasting for two courses. The clinical efficacy of both groups was compared. The hemorrheology index， interleukin (IL)-1β， IL-6 and tumor necrosis factor-α (TNF-α) levels and neck disability index (NDI)， Cobb angle were observed before and after treatment. Results The total effective rate was 90.36% (75/83) in the study group and 78.31% (65/83) in the control group (P<0.05). Compared with before treatment， the hemorrheology indexes of the two groups decreased， IL-1β， TNF-α， IL-6 levels decreased， and NDI decreased， Cobb angle increased， with statistical significance (P<0.05). After treatment， the hemorheology index of the study group was lower than that of the control group， the levels of IL-1β， TNF-α， and IL-6 were lower than those of the control group， and the NDI was lower than the control group， the Cobb angle was higher than that of the control group，with statistical significance (P<0.05). Conclusion Cervical seven needles can improve the clinical symptoms of the patients with cervical spondylotic radiculopathy， reduce the viscosity of blood and the level of inflammatory factors， and improve clinical efficacy.
Keywords： cervical seven needles； cervical spondylotic radiculopathy； hemorrheology； clinical study
近年來，我国颈椎病发病率呈明显上升趋势，尤其神经根型颈椎病较为突出[1]。针灸是治疗神经根型颈椎病的有效手段，不良反应小。研究显示，颈七针治疗神经根型颈椎病疗效显著[2]。本研究观察颈七针对神经根型颈椎病血液流变学及炎症因子水平的影响，现报道如下。, 百拇医药(郭倩 杜朝晖 郭伟)
关键词：颈七针；神经根型颈椎病；血液流变学；临床研究
中图分类号：R274.915.31 文献标识码：A 文章编号：1005-5304(2019)03-0025-04
Abstract： Objective To evaluate the clinical efficacy of cervical seven needles in treating cervical spondylotic radiculopathy and its effects on hemorrheology and inflammatory factor levels. Methods Totally 166 patients with cervical spondylotic radiculopathy were selected and divided into control group and study group according to random number table method， with 83 cases in each group. The control group was treated with cervical traction and medium frequency electrotherapy by computer， and the study group was treated with cervical seven needles. The treatment for both groups was once a day and ten days were one treatment course， lasting for two courses. The clinical efficacy of both groups was compared. The hemorrheology index， interleukin (IL)-1β， IL-6 and tumor necrosis factor-α (TNF-α) levels and neck disability index (NDI)， Cobb angle were observed before and after treatment. Results The total effective rate was 90.36% (75/83) in the study group and 78.31% (65/83) in the control group (P<0.05). Compared with before treatment， the hemorrheology indexes of the two groups decreased， IL-1β， TNF-α， IL-6 levels decreased， and NDI decreased， Cobb angle increased， with statistical significance (P<0.05). After treatment， the hemorheology index of the study group was lower than that of the control group， the levels of IL-1β， TNF-α， and IL-6 were lower than those of the control group， and the NDI was lower than the control group， the Cobb angle was higher than that of the control group，with statistical significance (P<0.05). Conclusion Cervical seven needles can improve the clinical symptoms of the patients with cervical spondylotic radiculopathy， reduce the viscosity of blood and the level of inflammatory factors， and improve clinical efficacy.
Keywords： cervical seven needles； cervical spondylotic radiculopathy； hemorrheology； clinical study
近年來，我国颈椎病发病率呈明显上升趋势，尤其神经根型颈椎病较为突出[1]。针灸是治疗神经根型颈椎病的有效手段，不良反应小。研究显示，颈七针治疗神经根型颈椎病疗效显著[2]。本研究观察颈七针对神经根型颈椎病血液流变学及炎症因子水平的影响，现报道如下。, 百拇医药(郭倩 杜朝晖 郭伟)