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。
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)-1 β, 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-1 β, 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-1 β, 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.
作者
郭倩
杜朝晖
郭伟
GUO Qian;DU Zhaohui;GUO Wei(731 Hospital of China Aerospace Science and Technology Group,Beijing 100074,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2019年第3期25-28,共4页
Chinese Journal of Information on Traditional Chinese Medicine
关键词
颈七针
神经根型颈椎病
血液流变学
临床研究
cervical seven needles
cervical spondylotic radiculopathy
hemorrheology
clinical study
