Zhou Zhong-Liang, Su Guo-Hong, Zheng Bao-Zhu, Zuo Yu-Zhu, Wei Fu-Liang
Department of Orthopaedics, the Second Hospital Affiliated to Anhui University of TCM, Hefei 230061, Anhui, China;
Zhongguo Gu Shang. 2016 Sep 25;29(9):820-824. doi: 10.3969/j.issn.1003-0034.2016.09.010.
To compare the therapeutic effects between needle knife therapy combined with rotation traction manipulation and rotation traction manipulation for the treatment of cervical spondylotic radiculopathy.
From November 2013 to June 2015, 80 patients with cervical spondylotic radiculopathy meeting the inclusion criteria were divided into two groups randomly:the control group in which 39 patients were treated with rotation traction manipulation, and the treatment group in which 41 patients were treated with needle knife combined with rotation traction manipulation. The patients in the control group were treated once dayly for 2 weeks, which was 1 course. The patients in the treatment group were treated with needle knife firstly once a week for 2 weeks, which was 1 course;then were treated with the same methods as the patients in the control group. The symptoms, signs score and the therapeutic effects of the two groups before and after treatment were observed.
After treatment, symptoms and signs scores declined in both groups(<0.05). The results of the treatment group were better than effects in the control group(<0.05). In the treatment group, 19 patients got an excellent result, 16 good, 5 fair and 1 bad;while in the control group, 10 patients got an excellent result, 10 good, 16 fair and 3 bad;the results of the treatment group were better than the results of the control group(<0.01).
Needle knife combined with rotation traction manipulation is an effective method for the treatment of cervical spondylotic radiculopathy, which is better than using manipulation method simply. Needle knife therapy has follow advantages:improving local blood circulation, reducing local content of pain substance, increasing production of substances resisting pain, opening channels and collaterals, and make body reaching new static and dynamic balance on the new foundation.
比较小针刀疗法联合旋转牵引手法与单纯旋转牵引手法治疗神经根型颈椎病的疗效。
选取2013年11月至2015年6月符合纳入标准的神经根型颈椎病患者80例，随机分为两组：对照组39例采用旋转牵引手法治疗，治疗组41例采用小针刀联合旋转牵引手法治疗。对照组患者每日治疗1次，连续治疗2周为1个疗程。治疗组患者先每周行小针刀治疗1次，连续治疗2周为1个疗程；之后采用与对照组相同的方法治疗。观察两组治疗前后的症状、体征评分及疗效。
治疗后，两组患者的症状和体征评分均下降（P<0.05）。治疗组疗效优于对照组（P<0.05）。治疗组中，优19例，良16例，可5例，差1例；对照组中，优10例，良10例，可16例，差3例；治疗组疗效优于对照组（P<0.01）。
小针刀联合旋转牵引手法是治疗神经根型颈椎病的有效方法，优于单纯手法治疗。小针刀疗法具有改善局部血液循环、降低局部致痛物质含量、增加抗痛物质生成、疏通经络、使机体在新的基础上达到新的动静平衡等优点。
