牵引态下针刺夹脊穴治疗神经根型颈椎病临床疗效观察及对炎症因子的影响

摘要

目的 观察牵引态下针刺夹脊穴治疗神经根型颈椎病的临床疗效以及其对患者炎症因子的影响.方法 收集2015年8月-2016年7月在我院针灸科门诊及住院部就诊的神经根型颈椎病患者102例,随机分成对照组和观察组,各51例.观察组采用牵引态下同时针刺相应的夹脊穴治疗,对照组采用非同步牵引状态下针刺相应的夹脊穴治疗.比较2组治疗前后颈椎功能障碍指数(NDI)、视觉模拟评分(VAS)、疼痛分级指数(PRI)以及炎症因子IL-1β、TNF-α和IL-6含量的变化.结果 治疗后与对照组总有效率(80.39%)相比,观察组的总有效率(92.16%)较高,差异具有统计学意义(P<0.05);治疗后2组患者PRI 、NDI和VAS评分以及炎症因子IL-1β、TNF-α和IL-6含量均显著降低(P<0.05),并且治疗后观察组均低于对照组(P<0.05).结论 牵引态下针刺夹脊穴能显著改善神经根型颈椎病患者临床症状,减轻患者疼痛,促进炎症的吸收.%Objective To observe the clinical curative effect of traction condition of acupuncture at Huatuojiaji Points on patients with cervical spondylotic radiculopathy and its effects on inflammatory factor. Methods 102 cases patients with cervical spondylotic radiculopathy were collected in our hospital form August 2015 to July 2016, and them were randomly divided into observation group and control group, 51 cases in each group. The observation group were treated with synchronous traction state under acupuncture, and the control group used asynchronous traction state under acupuncture treatment. The PRI, NDI, VAS, and the inflammatory factors of IL-1β, TNF-α, IL-6 in the two groups were compared before and after treatment. Results The total effective rate of the observation group (92.16%) was higher than that of the control group (80.39%), the difference was statistically significant (P<0.05). After treatment, the PRI, NDI, VAS, and the inflammatory factors of IL-1β, TNF-α, IL-6 in serum were decreased significantly (P< 0.05), and the observation group decreased more significantly (P< 0.05). Conclusion Traction condition of acupuncture can significantly improve clinical symptoms in patients with cervical spondylotic radiculopathy, relieve patients' pain and improve the absorption of inflammation.